ArticlePloS one2017
Major depressive disorder and suicide risk among adult outpatients at several general hospitals in a Chinese Han population.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Prevalence of Suicidality in Major Depressive Disorder: A Systematic Review and Meta-Analysis of Comparative Studies.Frontiers in psychiatry · 2021Pooled it
- Suicidal Ideation and Attempt among Homeless People: a Systematic Review and Meta-Analysis.The Psychiatric quarterly · 2019Pooled it
- Systematic review and meta-analysis of the relationship between sleep disorders and suicidal behaviour in patients with depression.BMC psychiatry · 2019Pooled it
- Religious affiliation and suicidality among college students in China: A cross-sectional study across six provinces.PloS one · 2021Trial
- Subthreshold depression prevalence and influencing factors among nursing students in vocational schools: A cross-sectional study.PloS one · 2026Article
- Bibliometric and visual analysis of suicide in aged people over the past 20 years.Frontiers in psychiatry · 2025Article
- Using Machine Learning and the HAMD-24 Scale to Predict Suicide Ideation in Depressed Patients.Psychology research and behavior management · 2025Article
- The association between intergenerational support and depressive symptoms in older adults: a chain mediation analysis of life satisfaction and well-being.Frontiers in public health · 2025Article
- Individualized identification value of stress-related network structural-functional properties and HPA axis reactivity for subthreshold depression.Translational psychiatry · 2024Article
- U-shaped association between fasting blood glucose and suicide attempts in Chinese patients with first-episode drug-naïve major depressive disorder.BMC psychiatry · 2024Article
- Clinical effects of nonconvulsive electrotherapy combined with mindfulness-based stress reduction and changes of serum inflammatory factors in depression.World journal of psychiatry · 2024Article
- Article
- The Inter-Relationships Between Depressive Symptoms and Suicidality Among Macau Residents After the "Relatively Static Management" COVID-19 Strategy: A Perspective of Network Analysis.Neuropsychiatric disease and treatment · 2024Article
- Suicide-specific mortality among patients with treatment-resistant major depressive disorder, major depressive disorder with prior suicidal ideation or suicide attempts, or major depressive disorder alone.Brain and behavior · 2023Observational
- Vitamin D in Depression: A Potential Bioactive Agent to Reduce Suicide and Suicide Attempt Risk.Nutrients · 2023Review
- The mediating effect of distress tolerance on the relationship between stressful life events and suicide risk in patients with major depressive disorder.BMC psychiatry · 2023Article
- Metabolic parameters and thyroid hormones in relation to suicide attempts in patients with first-episode and drug-naive major depressive disorder with comorbid glucose disturbances: a large cross-sectional study.European archives of psychiatry and clinical neuroscience · 2023Article
- Clinical Characteristics, Metabolic Parameters, and Risk Factors for Suicide Attempts Vary with Untreated Major Depressive Disorder Duration.Depression and anxiety · 2023Article
- How Impulsivity is Associated with Adolescent Depression: The Role of Substance Use, Gender and Social Support.Psychology research and behavior management · 2023Article
- Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic.Journal of affective disorders · 2022Observational
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSomatic complaints are often the presenting symptoms of major depressive disorder (MDD) in the outpatient context, because this may go unrecognized. It is well understood that MDD carries an increased risk of suicide. This study aimed to identify the risk factors and association with both MDD and suicidality among Han Chinese outpatients.
methodsA multicenter study was carried out in 5189 outpatient adults (≥18 years old) in four general hospitals in Guangzhou, China. The 1392 patients who had the Patient Health Questionnaire-9 (PHQ-9) score ≥ 5, indicating depressive symptoms were offered an interview with a psychiatrist by the Mini International Neuropsychiatric Interview (MINI); 819 patients consented and completed the MINI interview. MINI module B was used to assess suicidality. Stepwise binary logistic models were used to estimate the relationship between a significant risk factor and suicide or MDD. According to with or without MDD, the secondary analysis was performed using the logistic regression model for the risk of suicidility.
resultsThe current prevalence of MDD and the one month prevalence of suicidality were 3.7% and 2.3% respectively. The odds ratio of suicidality in women was more than twice that in men (OR = 2.62; 95% CI 1.45-4.76). Other risk factors which were significantly associated with suicidality were: living alone, higher education, self-reported depression, getting psychiatric diagnoses (MDD, anxiety disorders, and bipolar disorders). Significant risk factors for MDD were also noticed, such as comorbid anxiety disorders, self-reported anxiety, insomnia, suicidal ideation. LIMITATION: It's a cross-sectional study in outpatient clinics using self-report questionnaires.
conclusionThis study provides valuable data about the risk factors and association of MDD and suicide risk in adult outpatients in Han Chinese. Those factors allow better the employment of preventative measures.
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