Screening for Depression in Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force
Annals of Internal MedicinePublished 21 May 2002
Michael Pignone, Bradley N. Gaynes, Jerry L. Rushton, Catherine Mills Burchell, C. Tracy Orleans, Cynthia D. Mulrow
Citations1,098
SJR quartileQ1
SJR score3.38
SNIP3.27
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TL;DR
An updated systematic review for the U.S. Preventive Services Task Force found that several short, accurate, and easy-to-use instruments for detecting depression are available and appear to perform as well as longer instruments.
Abstract
Compared with usual care, screening for depression can improve outcomes, particularly when screening is coupled with system changes that help ensure adequate treatment and follow-up.
Keywords
PsychologyMedicineArts and Humanities
Encyclopedia of Social WorkDiagnostic and Statistical Manual of Mental Disorders
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Archives of General PsychiatryAn Inventory for Measuring Depression
38,163 Citations1961Aaron T. Beck
The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed.
Journal of Neurology Neurosurgery & PsychiatryA RATING SCALE FOR DEPRESSION
32,633 Citations1960M. Hamilton
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Archives of General PsychiatryLifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States
12,491 Citations1994Ronald C. Kessler
The prevalence of psychiatric disorders is greater than previously thought to be the case, and morbidity is more highly concentrated than previously recognized in roughly one sixth of the population who have a history of three or more comorbid disorders.
JAMAThe Epidemiology of Major Depressive Disorder
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The LancetGlobal mortality, disability, and the contribution of risk factors: Global Burden of Disease Study
4,476 Citations1997Christopher J L Murray, Alan D López
The three leading contributors to the burden of disease are communicable and perinatal disorders affecting children, and the substantial burdens of neuropsychiatric disorders and injuries are under-recognised.
Archives of General PsychiatryThe Structured Clinical Interview for DSM-III-R (SCID)
4,364 Citations1992Robert L. Spitzer
The history, rationale, and development of the Structured Clinical Interview for DSM-III-R (SCID) is described, which is a semistructured interview for making the major Axis I DSM- III-R diagnoses.
Choice Reviews OnlinePsychiatric disorders in America: the epidemiologic catchment area study
2,578 Citations1991
Journal of Consulting and Clinical PsychologyAssessment of suicidal intention: The Scale for Suicide Ideation.
2,468 Citations1979Aaron T. Beck, Mária Kovács +1 more
Archives of General PsychiatryCognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients
2,184 Citations1991Marsha M. Linehan
Subjects who received dialectical behavior therapy had fewer incidences of parasuicide and less medically severe parasuicides, were more likely to stay in individual therapy, and had fewer inpatient psychiatric days.
American Journal of Preventive MedicineCurrent methods of the U.S. Preventive Services Task Force
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American Journal of PsychiatryContact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence
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Alternative approaches to suicide-prevention efforts may be needed for those less likely to be seen in primary care or mental health specialty care, specifically young men.
American Journal of PsychiatryEffectiveness of Partial Hospitalization in the Treatment of Borderline Personality Disorder: A Randomized Controlled Trial
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Results suggest that partial hospitalization may offer an alternative to inpatient treatment for patients with borderline personality disorder and that replication is needed with larger groups.
Journal of Consulting and Clinical PsychologyRisk factors for suicide in psychiatric outpatients: A 20-year prospective study.
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Several modifiable variables were significant and unique risk factors for suicide, including suicide ideation, major depressive disorder, bipolar disorder, and unemployment status, in 6,891 psychiatric outpatients evaluated in a prospective study.
JAMAImpact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
1,033 Citations2000Kenneth B. Wells, Cathy Sherbourne +7 more
When managed primary care practices implemented QI programs that improve opportunities for depression treatment without mandating it, quality of care, mental health outcomes, and retention of employment of depressed patients improved over a year, while medical visits did not increase overall.
PharmacoResourcesEconomic burden of depression
979 Citations1994P E Greenberg, L E Stiglin +2 more
Depression imposes significant annual costs on society, and the true burden of this illness may be even greater than is implied by the estimate.
British Homeopathic journalA controlled trial
976 Citations1971C. Oliver Kennedy
I suggest the choice can only lie between clinical impressions and statistics, and that the individualization is now accepted in theory, so far it has not been possible to extend this principle to orthodox pharmacology, though I think some physiologists are now orientating their thoughts in this direction.
JAMADepressive Symptoms and Physical Decline in Community-Dwelling Older Persons
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Evidence that older persons who report depressive symptoms are at higher risk of subsequent physical decline is provided, and results suggest that prevention or reduction of depressed mood could play a role in reducing functional decline in older persons.
American Journal of PsychiatryTreatment of Borderline Personality Disorder With Psychoanalytically Oriented Partial Hospitalization: An 18-Month Follow-Up
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Acta Psychiatrica ScandinavicaAttempted suicide in Europe: rates, trend.S and sociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide
793 Citations1996Armin Schmidtke, U. Bille‐Brahe +17 more
Attempted suicide in Europe: rates, trends and sociodemographic characteristics of suicide attempters during the period 1989–1992 and the WHO/EURO Multicentre Study on Parasuicide results.
American Journal of Public Health and the Nations HealthSome Clinical Considerations in the Prevention of Suicide Based on a Study of 134 Successful Suicides
711 Citations1959Eli Robins, George E. Murphy +3 more
The present investigation was designed to attempt to gain information about suicides occurring in metropolitan St. Louis in a one-year period by means of interviews with relatives, friends, job associates, physicians, and others shortly after each successful suicide.
Behavior TherapyEfficacy of dialectical behavior therapy in women veterans with borderline personality disorder
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Annals of Internal MedicineA Current Perspective of Suicide and Attempted Suicide
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The neurobiological correlates of the stressors and the diathesis for suicidal behavior are described and the factors that determined inclusion in this review were superiority of research design, quality of psychometrics, and adequate representation of major points of view.
Archives of Family MedicineRecognition, management, and outcomes of depression in primary care
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While many depressed primary care patients may go unrecognized and untreated, this group appears to have milder and more self-limited depression.
Psychiatric ServicesA Randomized Controlled Trial of Postcrisis Suicide Prevention
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A systematic program of contact with persons who are at risk of suicide and who refuse to remain in the health care system appears to exert a significant preventive influence for at least two years, andDiminution of the frequency of contact and discontinuation of contact appear to reduce and eventually eliminate this preventive influence.
General Hospital PsychiatryThe economic burden of depression
480 Citations1986Alan Stoudemire, Richar Frank +3 more
These economic figures provide a lower-bound estimate of the full economic burden of major depression and further emphasize the need for timely recognition and treatment to potentially minimize the negative impact of the illness on society.
BMJPrevention of suicide: aspirations and evidence
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A review of the available evidence offers little support for the aspiration that the posited targets can be achieved on the basis of current knowledge and current policy.
Annals of Internal MedicineCase-Finding Instruments for Depression in Primary Care Settings
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The feasibility and operating characteristics of several case-finding instruments that have been used to detect depressive disorders in primary care settings are assessed to familiarize providers with the advantages and disadvantages of these instruments so that they can make informed decisions about incorporating them into practice.
PubMedDeaths: final data for 1998.
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The overall improvements in general mortality and life expectancy in 1998 continue the long-term downward trend in U.S. mortality.
BMJRandomised controlled trial of brief psychological intervention after deliberate self poisoningCommentary: Another kind of talk that works?
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The group practising problem solving improved significantly more than controls on ratings of depression, hopelessness, suicidal ideation and target problems at the end of treatment and at follow-up of up to one year, and there was evidence of an effect on the rates of repetition over the six months after treatment.
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A significant association was found between medical conditions and suicidality that persisted after adjusting for depressive illness and alcohol use, and the findings support the need to screen for suicideality in general medical settings, over and above use of general depression instruments.
Journal of the American Geriatrics SocietyImproving Treatment of Late Life Depression in Primary Care: A Randomized Clinical Trial
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The effects of case detection and treatment were beneficial and immediate, with the duration of episode of the disorder being much shorter for patients whose disorder was recognised by the general practitioner and so receiving treatment.
General Hospital PsychiatryIdentifying depression in primary care: a literature synthesis of case-finding instruments
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Journal of General Internal MedicineImproving depression outcomes in community primary care practice
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In practices without onsite mental health professionals, brief interventions training primary care teams to assume redefined roles can significantly improve depression outcomes in patients beginning a new treatment episode.
New England Journal of MedicineAssessment and Treatment of Suicidal Patients
272 Citations1997Robert M. A. Hirschfeld, James M. Russell
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Annals of Internal MedicineThe Cost–Utility of Screening for Depression in Primary Care
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The British Journal of PsychiatrySuicide and recency of health care contacts
247 Citations1998Jane Pirkis, Philip Burgess
More work is needed to determine whether these people who die by suicide show characteristic patterns of care and/or particular risk factors which would enable a targeted approach to be developed to assist clinicians in detecting and managing high-risk patients.
Cochrane Database of Systematic ReviewsPsychosocial and pharmacological treatments for deliberate self harm
232 Citations1999Keith KE Hawton, Ellen Townsend +5 more
There still remains considerable uncertainty about which forms of psychosocial and physical treatments of self-harm patients are most effective, inclusion of insufficient numbers of patients in trials being the main limiting factor.
The American Journal of MedicineCase-finding for depression in primary care: a randomized trial∗
223 Citations1999John W Williams, Cynthia D. Mulrow +5 more
A simple question about depression has similar performance characteristics as a longer 20-item questionnaire and is more feasible because of its brevity, and case-finding leads to a modest increase in recognition rates, but does not have consistently positive effects on patient outcomes.
Psychological MedicineThe efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems
218 Citations2001Ellen Townsend, Keith Hawton +6 more
Problem-solving therapy for DSH patients appears to produce better results than control treatment with regard to improvement in depression, hopelessness and problems, which is desirable that this finding is confirmed in a large trial.
Journal of Affective DisordersDepression and suicide on Gotland an intensive study of all suicides before and after a depression-training programme for general practitioners
199 Citations1995Zoltán Rihmer, Wolfgang Rutz +1 more
A detailed retrospective clinical analysis of all 115 consecutive suicide victims on Gotland between 1981 and 1992 showed that male gender and violent methods were overrepresented and this finding strongly suggests that the significant decrease in the suicide rate after the PTD programme is a direct result of the robust decrease in depressive suicides of the area served by trained GPs.
Archives of General PsychiatryCost-effectiveness of Systematic Depression Treatment for High Utilizers of General Medical Care
199 Citations2001Gregory E. Simon, Willard G. Manning +4 more
Among high utilizers of medical care, systematic identification and treatment of depression produce significant and sustained improvements in clinical outcomes as well as significant increases in health services costs.
The British Journal of PsychiatrySecondary Prevention of Non-fatal Deliberate Self-harm
178 Citations1993H. G. Morgan, Erica Jones +1 more
Patients who had harmed themselves for the first time were offered rapid, easy access to on-call trainee psychiatrists in the event of further difficulties, and they were encouraged to seek help at an early stage should such problems arise.
American Journal of PsychiatryReduction by Paroxetine of Suicidal Behavior in Patients With Repeated Suicide Attempts But Not Major Depression
178 Citations1998Robbert J. Verkes, Rose C. van der Mast +4 more
It is indicated that enhancing serotonergic function with an SSRI may reduce suicidal behavior in a subgroup of patients who have attempted suicide more than once but who do not suffer from major depression.
Journal of Consulting and Clinical PsychologyEffectiveness of an outpatient intervention targeting suicidal young adults: Preliminary results.
173 Citations1996M. David Rudd, M. Hasan Rajab +4 more
Both treatment and control participants evidenced significant improvement across all outcome measures throughout the follow-up period, and results indicated that the experimental treatment was more effective than treatment as usual at retaining the highest risk participants.
PsychosomaticsInterventions to Improve Provider Diagnosis and Treatment of Mental Disorders in Primary Care: A Critical Review of the Literature
166 Citations2000Kurt Kroenke, Anne Taylor‐Vaisey +2 more
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Medical CareImproving Physicians?? Recognition and Treatment of Depression in General Medical Care
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Routine use of a depression screening instrument can improve physician recognition of depression, with increased initiation of treatment, according to patients with high somatic or low psychologic symptoms of depression.
Archives of General PsychiatryBehavior Therapy vs Insight-Oriented Therapy for Repeated Suicide Attempters
157 Citations1981Robert Paul Liberman
Results indicated the superiority of the behavior therapy package, with the structured, brief hospitalization and assertive follow-up likely contributing to the main effects.
Psychological MedicineThe management of non-compliance with referral to out-patient after-care among attempted suicide patients: a controlled intervention study
148 Citations1995C. van Heeringen, S Jannes +4 more
A near-significant effect of the experimental procedure on the rate of repetition of suicidal behaviour was found and Uni-and multi-variate analyses showed a significant beneficial effect on compliance with referral.
The British Journal of PsychiatryEvaluation of a Social Work Service for Self-Poisoning Patients
148 Citations1978Jenny Gibbons, Janet Butler +2 more
Patients aged at least 17 who came to Casualty in one year after deliberately poisoning themselves were randomly assigned between an Experimental social work service (task-centred casework) and a Control follow-up service.
Journal of General Internal MedicineRandomized trial of case-finding for depression in elderly primary care patients
142 Citations2000Mary A. Whooley, Barry Stone +1 more
A randomized controlled trial to determine the effect of case-finding for depression on frequency of depression diagnoses, prescriptions for antidepressant medications, prevalence of depression, and health care utilization during 2 years of follow-up in elderly primary care patients was unable to demonstrate any benefit.
Archives of Family MedicineDevelopment and validation of the SDDS-PC screen for multiple mental disorders in primary care
140 Citations1995W E Broadhead
The Symptom-Driven Diagnostic System for Primary Care screen serves as a sensitive, valid, and patient-friendly first step in a new approach to recognizing and managing mental disorders in primary care.
Suicide and Life-Threatening BehaviorInterpersonal Problem‐Solving Skills Training in the Treatment of Self‐Poisoning Patients
137 Citations1994Breda C. McLeavey, Robert J. Daly +2 more
The present study evaluated the effectiveness of interpersonal problem-solving skills training (IPSST) for the treatment of self-poisoning patients, finding the IPSST condition was significantly more effective than the control condition as determined by outcome measures.
Social Psychiatry and Psychiatric EpidemiologyEvaluation of an after-care service for parasuicide (attempted suicide) patients
130 Citations1973Nilima Chowdhury, Roger Hicks +1 more
The “prediction of further suicidal behaviour rating scale” proved an effective instrument in determining which female patients were at high risk, but not so for males, and the social circumstances of the treated group were significantly improved when compared with the controls.
The British Journal of PsychiatryIntensive in-patient and community intervention versus routine care after attempted suicide
127 Citations1997Rob van der Sande, L. Van Rooijen +5 more
General implementation of an intensive in-patient and community intervention programme for suicide attempters does not seem justified.
Medical Clinics of North AmericaSuicide: A Guide to Risk Factors, Assessment, and Treatment of Suicidal Patients
123 Citations1988Susan J. Blumenthal
This article summarizes what is known about risk factors for suicide in both adolescent and adult populations and translates this knowledge base into practical considerations for the physician on the assessment and treatment of suicidal patients.
Psychological MedicineEvaluation of out-patient counselling compared with general practitioner care following overdoses
111 Citations1987Keith Hawton, Steve McKeown +4 more
Counselling following overdoses should be focused on groups of patients such as women and patients with dyadic problems who are most likely to benefit from it, especially men.
The British Journal of PsychiatryCrisis telephone consultation for deliberate self-harm patients: Effects on repetition
108 Citations1999Mark O. Evans, H. G. Morgan +2 more
The intervention had no significant effect on the overall DSH repetition rate and sub-group analysis suggested that response to the intervention differed according to the past history of DSH – subjects with a previous history repeating more often and first-timers appearing to benefit.
British Journal of Clinical PharmacologyThe prevention of recurrent suicidal acts.
108 Citations1983S.A. Montgomery, D. Roy +1 more
A group of 58 high-risk patients with multiple episodes of suicidal behaviour was treated with mianserin 30 mg at night or placebo in a six month double-blind trial of the efficacy of an antidepressant in reducing suicidal behaviour.
Journal of General Internal MedicineSuicidal ideation in primary care
104 Citations1996Mark Olfson, Myrna M. Weissman +3 more
In these primary care patients, suicidal ideation is strongly associated with mental disorder and mental health-related functional impairment, and can be detected with a single self-report “feeling suicidal” item.
BMJGeneral practice based intervention to prevent repeat episodes of deliberate self harm: cluster randomised controlled trial
101 Citations2002Olive Bennewith, Nigel Stocks +4 more
An invitation to consult, sent by the general practitioner of patients who have deliberately harmed themselves, and the use of management guidelines during any subsequent consultation did not reduce the incidence of repeat episodes of deliberate self harm.
Academic MedicineThe effect of screening, sensitization, and feedback on notation of depression
99 Citations1980Lawrence S. Linn, Joel Yager
Medical records of 150 medical ambulatory care patients randomly assigned to groups in which screening for depression, physician sensitization about depression, and informational feedback to physicians were systemically varied were reviewed for physician notations about depression and its treatment.
Psychological MedicineDomiciliary and out-patient treatment of self-poisoning patients by medical and non-medical staff
93 Citations1981Keith Hawton, John Bancroft +4 more
It was found that domiciliary treatment resulted in much higher attendance rates but no difference in outcome, while out-patient treatment of self-poisoning patients using a brief problem-orientated approach yielded the same results.
PubMedRecognition of depression by family medicine residents: the impact of screening.
91 Citations1978James T. Moore, Diana R. Silimperi +1 more
A self-administered depression questionnaire was used to alert residents to possible cases of depression, and relay of information from the questionnaire significantly increased resident recognition of depression.
Journal of General Internal MedicinePrimary care physicians’ medical decision making for late-life depression
90 Citations1996Christopher M. Callahan, Robert S. Dittus +1 more
Longitudinal collection of data regarding physicians’ clinical assessments and the volume and content of patients’ ambulatory visits as part of a randomized clinical trial of a physician-targeted intervention to improve the treatment of late-life depression found that recognition of depressive symptoms did not appear to be the primary barrier to treatment.
The British Journal of PsychiatryGeneral Hospital Admission in the Management of Parasuicide
85 Citations1990John A. H. Waterhouse, Stephen Platt
A parasuicide management policy consisting of assessment in a casualty department and selective discharge was appropriate for 15% of a hospital-referred population, lending support to recent government recommendations, but caution should be exercised before such a result is generalised.
Suicide and Life-Threatening BehaviorA Follow‐up Program for Suicide Attempters: Evaluation of Effectiveness
85 Citations1977Thomas C. Welu
The experimental group showed a statistically significant reduction in suicide reattempts and excessive use of alcohol, while the reduction of drug abuse, although not statistically significant, did conform to a trend indicating improvement.
Family PracticeComputerized assessment of common mental disorders in primary care: effect on clinical outcome
74 Citations1996Glyn Lewis, Deborah Sharp +2 more
Self-administered computerized assessments for psychiatric disorder have potential as a means of improving the clinical outcome of patients in primary care and it is likely that the effectiveness of the approach would be greatly increased by linking the results ofComputerized assessments to clinical practice guidelines, tailored to the individual patient by means of computerized technology.
Suicide and Life-Threatening BehaviorIntensive Follow‐up Does Not Decrease the Risk of Repeat Suicide Attempts
73 Citations1992R. W. Allard, Marilyn Marshall +1 more
A randomized controlled trial to determine whether an intensive intervention after a suicide attempt could decrease by half the risk of a repeat attempt in the following two years did not achieve its objective.
PubMedDesigning an intervention to prevent suicide: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial).
70 Citations1999Martha L. Bruce, Jane L. Pearson
Journal of the Royal College of Physicians of LondonThe Early Repetition of Deliberate Self Harm
69 Citations1997Simon Gilbody, Allan House +1 more
Repetition was more common and occurred much more quickly in those with a previous history than those without and implies that previous history is the single most useful predictor in the repetition of DSH.
PubMedIdentification and treatment of masked depression in a general medical practice.
66 Citations1983William W.K. Zung, R. E. King
The usefulness of the Zung Self-Rating Depression Scale as a screening instrument to uncover masked depression, and the benefits of early identification and treatment with alprazolam, were evaluated in a general medical practice population.
JAMASuicide in Teenagers
57 Citations2001Alan J. Zametkin, Marisa R. Alter +1 more
Psychiatric, familial, genetic, and social risk factors of adolescent suicide are reviewed, and the efficacy of lithium and antidepressant pharmacotherapy in reducing suicide rates is discussed.
Journal of General Internal MedicineSuicidal ideation among urban medical outpatients
52 Citations1995Mark Zimmerman, Jennifer D. Lish +4 more
Among the patients who had previously received psychiatric treatment, the suicidal patients were nearly three times more likely to anticipate that it would be difficult or very difficult to talk to their physicians about psychiatric problems, and there was no association between suicidal ideation and anticipated discomfort in talking with their Physicians about emotional health.
European Archives of Psychiatry and Clinical NeuroscienceLack of efficacy of fluoxetine in recurrent brief depression and suicidal attempts
49 Citations1994D. Montgomery, Annette Roberts +4 more
Fluoxetine neither raised nor lowered the suicide attempt rate as compared with placebo, providing no evidence to support the drug's role in either suicide provocation or prevention.
Family PracticeDoes testing for depression influence diagnosis or management by general practitioners?
46 Citations1995Christopher Dowrick
Feedback of screening questionnaire results appears to be of limited value in enhancing general practitioners' detection or management of depression.
Archives of Internal MedicineImpact of Screening for Mental Health Concerns on Health Service Utilization and Functional Status in Primary Care Patients
45 Citations1996Douglas Reifler
Use of the Symptom-Driven Diagnostic System for Primary Care second-stage diagnostic modules in patients who screened positively for mental disorders was associated with lower utilization rates but had no impact on functional outcome or patient satisfaction after 3 months.
Acta Psychiatrica ScandinavicaCognitive-behavioural intervention in deliberate self-harm
44 Citations2001Antony Joseph Raj. M., V. Kumaraiah +1 more
International Clinical PsychopharmacologyStructured diagnostic assessment and depot fluphenazine treatment of multiple suicide attempters in the emergency department
39 Citations1999John Battaglia, Timothy K. Wolff +4 more
A survival analysis indicated that the presence of 'acute' stressors at baseline and female sex were risk factors for continuing (post-randomization) 'serious' self-harm behaviours, while younger age and the absence of concurrent general medical conditions wererisk factors for all self- Harm behaviours.
Acta Psychiatrica ScandinavicaLithium and suicidal behavior in major affective disorder: a case–control study
38 Citations2001William Coryell, Stephan Arndt +6 more
A number of studies have suggested that lithium may be particularly effective in reducing suicide risks among patients with major affective disorders, but the design of many of these studies left them open to biases associated with treatment compliance.
Journal of Affective DisordersParasuicide
38 Citations1982S.R. Hirsch, Colm Walsh +1 more
From review of studies of treatment intervention in parasuicide it is concluded that suicide prevention centres do not lower the incidence of suicide and intensive domicillary follow-up for 3-6 months after inpatient treatment in a specialised unit for Parasuicide is no better at preventing further parasuicides than conventional follow- up in outpatient department or via the GP.
British Journal of Clinical PharmacologyDifferential effects on suicidal ideation of mianserin, maprotiline and amitriptyline.
28 Citations1978Stuart Montgomery, Börje Cronholm +2 more
A highly significant difference was observed in favour of mianserin against maprotiline on both items of suicl Thoughts'andsuiclthoughts′andpessimistic thoughts' on the MADS and the suicidal item on the HRS showed a similar tendency which did not reach significance.
Comparing a 3-Month and a 12-Month-Outpatient Aftercare Program for Parasuicide Repeaters
22 Citations1988A. Torhorst, H.‐J. Möller +3 more
In the present study, the effect of a short-term, crisis-oriented outpatient treatment program with research staff comprised of 12 weekly sessions extending over a maximum of 3 months is compared with a treatment program having a single 1-h session per month but extending over 12 months.
BMJPatterns of consultation and parasuicide.
16 Citations1987Andrew Crockett
Patients who had survived parasuicide were found to have attended much more frequently; their pattern of attendance had accelerated up to the time of the attempt and then decelerated; this variation was not seen in the control group.
General Hospital PsychiatryPatterns of self-harm behavior among women with borderline personality symptomatology: psychiatric versus primary care samples
13 Citations2000Randy A. Sansone, Michael W. Wiederman +2 more
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6 Citations2001Rosemary Rowe
A study of lay members conducted by the University of Bristol indicates that they are increasingly confident in their ability to influence decision making.
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