Evidence map›Paper›PMID 19910882›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2010

The wish to die and 5-year mortality in elderly primary care patients.

Patrick J Raue, Knashawn H Morales, Edward P Post, Hillary R Bogner, Thomas Ten Have, Martha L Bruce

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Adapting interpersonal psychotherapy for older adults at risk for suicide.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2015
    Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Integrated Care for Depression in Older Primary Care Patients.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018
    Review
  14. Article
  15. Article
  16. Article
  17. Issues in research on aging and suicide.Aging & mental health · 2016
    Article
  18. Review
  19. Review
  20. Characteristics and comorbid symptoms of older adults reporting death ideation.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Patrick J RaueDepartment of Psychiatry, Weill Cornell Medical College, White Plains, NY 10605, USA. praue@med.cornell.edu
Knashawn H Morales
Edward P Post
Hillary R Bogner
Thomas Ten Have
Martha L Bruce

Funding

MHCRC FOR THE STUDY OF LATE LIFE MOOD DISORDERSP30MH052247 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 1995 to 2004
$7.5M
Cornell ACISR for Late Life DepressionP30MH068638 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 2003 to 2007
$6.5M
Long Term Effects of Depression Care on Services Use and Mortality in Late LifeR01MH065539 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GALLO, JOSEPH JOHN · 2003 to 2013
$2.9M
PREVENTION OF SUICIDE IN THE ELDERLYR01MH059380 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI KATZ, IRA R · 1998 to 2002
$1.9M
DEPRESSION IN THE AGED--PSYCHIATRIC/MEDICAL COMORBIDITYP30MH052129 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI KATZ, IRA R · 1994 to 2002
$1.8M
PREVENTION OF SUICIDE IN THE ELDERLYR01MH059366 · NIMH · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 1998 to 2002
$1.7M
PREVENTION OF SUICIDE IN OLDER PRIMARY CARE PATIENTSR01MH059381 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F · 1998 to 2002
$1.1M
Adherence to Depression Treatment Among Older PatientsK23MH067671 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BOGNER, HILLARY R · 2003 to 2007
$862k
Insurance Effects on Primary Care for Depressed PatientsK23MH001879 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI POST, EDWARD P · 2001 to 2005
$821k
Patient Preference in Primary Care Depression TreatmentK23MH069784 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI RAUE, PATRICK J · 2004 to 2008
$736k
Measurement Error in Latent Class Models of AdherenceK01MH073903 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MORALES, KNASHAWN HODGE · 2007 to 2011
$689k
SPIRAL OF DEPRESSION AND DISABILITY IN LATE LIFEK02MH001634 · NIMH · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI BRUCE, MARTHA L. · 1998 to 2002
$323k
NIMH NIH HHS K01 MH073903NIMH NIH HHS K02 MH001634NIMH NIH HHS K02 MH01634NIMH NIH HHS K23 MH001879NIMH NIH HHS K23 MH01879NIMH NIH HHS K23 MH067671NIMH NIH HHS K23 MH069784NIMH NIH HHS K23 MH67671NIMH NIH HHS P30 MH052129NIMH NIH HHS P30 MH052247NIMH NIH HHS P30 MH068638NIMH NIH HHS P30 MH52129NIMH NIH HHS P30 MH52247NIMH NIH HHS P30 MH68638NIMH NIH HHS R01 MH059366NIMH NIH HHS R01 MH059380NIMH NIH HHS R01 MH059381NIMH NIH HHS R01 MH065539NIMH NIH HHS R01 MH59366NIMH NIH HHS R01 MH59380NIMH NIH HHS R01 MH59381
6 · The paper itself

Abstract

objectivesThe authors examined the impact of the wish to die on mortality over a 5-year period, stratified by baseline depressive status (i.e., major, minor, and no depression diagnosis). The authors also examined whether a depression care management intervention would minimize these relationships.

designLongitudinal analyses of the practice-randomized Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT).

settingTwenty primary care practices from New York City, Philadelphia, and Pittsburgh.

participantsOne thousand two hundred two participants were identified through two-stage, age-stratified (60-74 years; 75 years and older) depression screening of randomly sampled participants.

interventionPractices randomized to Care Management Intervention or Usual Care conditions. MEASUREMENTS: Vital status at 5 years using the National Death Index.

resultsRates of the wish to die were 29% (major depression), 11% (minor depression), and 7% (no depression). In Usual Care, the wish to die was associated with an increased risk of 5-year mortality across depressive status (adjusted hazard ratios ranging from 1.62 to 1.71). In intervention practices, this association was greater among the no depression (adjusted hazard ratio 1.64) compared with major depression group (adjusted hazard ratio 0.68).

conclusionsThe wish to die was associated with mortality in the usual care of elderly primary care patients, suggesting that the wish to die has clinical significance and may be worth assessing even in patients without other evidence of depression. This association was not observed among depressed patients located in primary care practices that implemented the PROSPECT intervention, suggesting potential long-term benefits of treatment and management of depression.

Indexed as

Attitude to DeathAgedCitalopramDepressionFemaleGeriatric AssessmentHealth Services for the AgedHumansMaleMiddle AgedPrimary Health CarePsychotherapyRisk FactorsCitalopram

Identifiers

PMID19910882
PMCPMC2838995

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.