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| ORIGINAL ARTICLE |
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| Year : 2004 | Volume
: 50
| Issue : 3 | Page : 185-188 |
Presence of suicidality as a prognostic indicator
K Malhotra1, Thomas Schwartz2, U Hameed1
1 SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY - 13210, USA
2 Department of Psychiatry, 750 East Adams Street, Syracuse, NY - 13210, USA
Correspondence Address:
Thomas Schwartz
Department of Psychiatry, 750 East Adams Street, Syracuse, NY - 13210
USA
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 15377802 
Background: Suicidal symptoms in depression are often thought to predict a higher severity of illness and a worse prognosis.
Aims: To determine if suicidal ideation at the time of treatment for major depression can predict response to antidepressant medication in primary care.
Settings and Design: A retrospective analysis of subjects receiving anti-depressant drugs in a primary care setting
Methods and Material: Nine depressed patients (14%) who acknowledged suicidality on the PHQ-9 depression scale were followed up for and compared to a group of 54 (86%) depressed patients (controls) who did not have suicidal thoughts for four months. All were given treatment with antidepressants and followed with a disease management protocol where the PHQ-9 was used as a systematic outcome measure.
Statistical Analysis: Descriptive measures and t-tests were utilized to show statistical significance.
Results: There were no statistical differences in remission from depressive symptoms based on the PHQ-9 scale after antidepressant treatment, between patients with suicidal thoughts (56%) and those without (44%).
Conclusion: The presence of suicidality as a depressive symptom did not predict poorer clinical outcome when treating depression in the primary care setting in the patients studied.
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