History of suicide attempts among patients with depression in the GENDEP project

Nader Perroud, Rudolf Uher, Joanna Hauser, Marcella Rietschel, Neven Henigsberg, Anna Placentino, Dejan Kozel, Wolfgang Maier, Ole Mors, Daniel Souery, Monika Dmitrzak-Weglarz, Lisbeth Jorgensen, Zrnka Kovacic, Caterina Giovannini, Julien Mendlewicz, Astrid Zobel, Jana Strohmaier, Peter McGuffin, Katherine J. Aitchison, Anne Farmer

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Background: It has been proposed that a history of suicide attempts could be a correlate of severe depressive disorder and that suicide attempters (SA) could represent a particular subtype of subjects suffering from major depressive disorder. We investigated clinical and demographic characteristics associated with SA and tested the hypothesis that a history of suicide attempts predicts poor response to antidepressants. Methods: One-hundred-and-forty-one SA and 670 non-SA subjects with major depressive disorder (MOD) were treated for twelve weeks with escitalopram or nortriptyline in GENDEP, a part-randomized multi-center clinical and pharmacogenetic study. Baseline characteristics were compared using linear and logistic regression. Linear mixed models were used to analyse continuous outcomes during the twelve weeks of follow-up. Results: At baseline, SA subjects suffered from more severe depression (mean Montgomery-Asberg Depression Rating Scale: 30.29 (7.61) vs 28.43 (6.54),p = 0.0002), reported higher level of suicidal ideation (1.21 (0.82) vs 0.73 (0.48), p
Original languageEnglish
Pages (from-to)131 - 137
Number of pages7
JournalJournal of Affective Disorders
Volume123
Issue number1-3
DOIs
Publication statusPublished - Jun 2010

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