Abstract
This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5-99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6-104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.
| Original language | English |
|---|---|
| Pages (from-to) | 85-92 |
| Number of pages | 8 |
| Journal | Comprehensive Psychiatry |
| Volume | 56 |
| DOIs | |
| Publication status | Published - 2015 Jan 1 |
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ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
Cite this
Age-related differences in suicidality between young people and older adults with depression : Data from a nationwide depression cohort study in Korea (the CRESCEND study). / Seo, Ho Jun; Song, Hoo Rim; Yim, Hyeon Woo; Kim, Jung Bum; Lee, Min-Soo; Kim, Jae Min; Jun, Tae Youn.
In: Comprehensive Psychiatry, Vol. 56, 01.01.2015, p. 85-92.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Age-related differences in suicidality between young people and older adults with depression
T2 - Data from a nationwide depression cohort study in Korea (the CRESCEND study)
AU - Seo, Ho Jun
AU - Song, Hoo Rim
AU - Yim, Hyeon Woo
AU - Kim, Jung Bum
AU - Lee, Min-Soo
AU - Kim, Jae Min
AU - Jun, Tae Youn
PY - 2015/1/1
Y1 - 2015/1/1
N2 - This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5-99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6-104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.
AB - This study compared young people and older adults with depression to identify differences in suicidality between these groups. A total of 1003 patients with moderate to severe depression (Hamilton Depression Rating Scale [HDRS] score ≥14) were recruited from a national sample of 18 hospitals. Of the patients included in this study, 103 (10.3%) were placed in the younger group (age <25 years) and 900 (89.7%) were placed in the older group (age ≥25 years). Suicide-related variables and predictive factors associated with significant suicidal ideation were compared between the two groups. Regardless of the severity of depression, subjects in the younger group were more likely than were those in the older group to report significant suicidal ideation (scores ≥6 on the Beck Scale for Suicide Ideation [SSI-B], 79.6 vs. 53.7%, respectively; p < 0.001), have had a suicide attempt at the current episode (4.9 vs. 1.6%, respectively; p = 0.037), and have a history of suicide attempts (43.7 vs. 19.4%, respectively; p < 0.001). Logistic regression models revealed that, in contrast to the predictive factors in the older group, subjects in the younger group were more affected by their history of suicide attempts (OR [95% CI]: 12.4, [1.5-99.1]; p = 0.018) and depressive episodes (OR [95% CI]: 13.0, [1.6-104.0]; p = 0.016). Also in contrast to the older group, an increase in HDRS score was not identified as a possible precipitating factor of significant suicidal ideation in younger subjects. The present findings demonstrate that suicidality in depressed young people was more severe than in older adults, but that suicidality was not correlated with the severity of depression. These data suggest that close attention should be paid to young people even in mild or moderate depression.
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UR - http://www.scopus.com/inward/citedby.url?scp=84920719380&partnerID=8YFLogxK
U2 - 10.1016/j.comppsych.2014.10.003
DO - 10.1016/j.comppsych.2014.10.003
M3 - Article
VL - 56
SP - 85
EP - 92
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
SN - 0010-440X
ER -