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Hopelessness in suicide attempters after acute treatment of major depression in late life.
Rifai, A H; George, C J; Stack, J A; Mann, J J; Reynolds, C F.
Afiliação
  • Rifai AH; Department of Psychiatry, School of Medicine, University of Pittsburgh, PA.
Am J Psychiatry ; 151(11): 1687-90, 1994 Nov.
Article em En | MEDLINE | ID: mdl-7943461
The relation between hopelessness and suicide attempts in the elderly was examined by studying the course of hopelessness in depressed patients. Sixty-three elderly patients with recurrent major depression were treated with nortriptyline and interpersonal psychotherapy and underwent serial ratings of hopelessness and depression during the acute and continuation phases of treatment. Patients who had made a suicide attempt in the past had significantly higher hopelessness scores than nonattempters during both phases of treatment. They were also more likely to drop out of treatment. A high degree of hopelessness persisting after remission of depression in elderly patients appears to be associated with a history of suicidal behavior. It may also increase the likelihood of premature discontinuation of treatment and lead to future suicide attempts or suicide.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Escalas de Graduação Psiquiátrica / Psicoterapia / Tentativa de Suicídio / Transtorno Depressivo / Nortriptilina Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Psychiatry Ano de publicação: 1994 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Escalas de Graduação Psiquiátrica / Psicoterapia / Tentativa de Suicídio / Transtorno Depressivo / Nortriptilina Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Psychiatry Ano de publicação: 1994 Tipo de documento: Article País de publicação: Estados Unidos