ArticleBMC psychiatry2016
Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study.
Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 13 citations in OpenAlex.
- Predictors of depression among Chinese college students: a machine learning approach.BMC public health · 2025Article
- The mediating role of the big five personality traits in the relationship between self-efficacy and depressive symptoms among Chinese university students.Frontiers in psychiatry · 2025Article
- Épidémiologie descriptive du risque suicidaire dans le système médical français de médecine générale.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
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Authors and funding
15 authors at 11 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSadness and anhedonia (loss of interest in activities) are central symptoms of major depression. However, not all people with these symptoms meet diagnostic criteria for major depression. We aimed to assess the importance of suicidality in the outcomes for primary care patients who present with sadness and anhedonia.
methodCohort study of 2,599 unselected primary care attenders in six European countries followed up at 6 and 12 months.
results1) In patients with sadness and/or anhedonia who were not depressed at entry to the study, suicide plans (OR = 3.05; 95 % CI = 1.50-6.24; p = 0.0022) and suicide attempts (OR = 9.08; 95 % CI = 2.57-32.03; p = 0.0006) were significant predictors of developing new onset depression at 6 or 12 months. 2) In patients with sadness and/or anhedonia who met CIDI criteria for major depression at entry, suicidal ideation (OR = 2.93; 95 % CI = 1.70-5.07; p = 0.0001), suicide plans (OR = 3.70; 95 % CI = 2.08-6.57; p < 0.0001), and suicide attempts (OR = 3.33; 95 % CI = 1.47-7.54; p = 0.0040) were significant predictors of persistent depression at 6 or 12 months.
conclusionsThree questions on suicidality could help primary care professionals to assess such patients more closely without necessarily establishing whether they meet criteria for major depression.
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