Evidence map›Paper›PMID 22948560›Full record

ArticleSocial psychiatry and psychiatric epidemiology2013

Social inequalities in depression and suicidal ideation among older primary care patients.

Stephen E Gilman, Martha L Bruce, Thomas Ten Have, George S Alexopoulos, Benoit H Mulsant, Charles F Reynolds, Alex Cohen

Open access · greenAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% of its field
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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Social inequalities in antidepressant treatment outcomes: a systematic review.Social psychiatry and psychiatric epidemiology · 2020
    Pooled it
  3. Perceived discrimination and psychosis: a systematic review of the literature.Social psychiatry and psychiatric epidemiology · 2019
    Pooled it
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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

7 authors at 6 institutions in 3 countries.

Stephen E GilmanDepartment of Society, Human Development and Health, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA. sgilman@hsph.harvard.edu
Martha L Bruce
Thomas Ten Have
George S Alexopoulos
Benoit H Mulsant
Charles F Reynolds
Alex Cohen
Cornell University · USCentre for Addiction and Mental Health · CAHarvard University · USLondon School of Hygiene & Tropical Medicine · GBUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

Research Methods CoreP30MH085943 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 2009 to 2013
$9.2M
PREVENTION OF SUICIDE IN THE ELDERLYR01MH059366 · NIMH · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI ALEXOPOULOS, GEORGE S · 1998 to 2002
$1.7M
Cross Region Neural Computation Subserving AttentionR00MH085944 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI HAN, XUE · 2010 to 2012
$739k
Cross Region Neural Computation Subserving AttentionK99MH085944 · NIMH · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI HAN, XUE · 2009 to 2010
$171k
Social Inequalities in Outcomes for Treatment of Late-Life DepressionR03MH083335 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI GILMAN, STEPHEN E · 2008 to 2009
$164k
NIMH NIH HHS K99 MH085944NIMH NIH HHS MH059366NIMH NIH HHS MH085944NIMH NIH HHS MH83335NIMH NIH HHS P30 MH085943NIMH NIH HHS R00 MH085944NIMH NIH HHS R01 MH059366NIMH NIH HHS R03 MH083335
6 · The paper itself

Abstract

purposeDepression and suicide are major public health concerns, and are often unrecognized among the elderly. This study investigated social inequalities in depressive symptoms and suicidal ideation among older adults.

methodsData come from 1,226 participants in PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial), a large primary care-based intervention trial for late-life depression. Linear and logistic regressions were used to analyze depressive symptoms and suicidal ideation over the 2-year follow-up period.

resultsMean Hamilton Depression Rating Scale (HDRS) scores were significantly higher among participants in financial strain [regression coefficient (b) = 1.78, 95 % confidence interval (CI) = 0.67-2.89] and with annual incomes below $20,000 (b = 1.67, CI = 0.34-3.00). Financial strain was also associated with a higher risk of suicidal ideation (odds ratio = 2.35, CI = 1.38-3.98).

conclusionsThere exist marked social inequalities in depressive symptoms and suicidal ideation among older adults attending primary care practices, the setting in which depression is most commonly treated. Our results justify continued efforts to understand the mechanisms generating such inequalities and to recognize and provide effective treatments for depression among high-risk populations.

Indexed as

Suicidal IdeationAgedAge FactorsAgingDepressionFemaleHumansLogistic ModelsMalePatientsPrevalencePrimary Health CareRisk FactorsSocial SupportSocioeconomic FactorsUnited States

Identifiers

PMID22948560
PMCPMC3543515
OpenAlexW2080213848

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.