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The Depressed Suicidal Patient
Author(s) -
Nemeroff Charles B.,
Compton Michael T.,
Berger Joseph
Publication year - 2001
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2001.tb05795.x
Subject(s) - depression (economics) , psychiatry , psychosocial , personality disorders , electroconvulsive therapy , pharmacotherapy , comorbidity , substance abuse , medicine , borderline personality disorder , major depressive disorder , clinical psychology , suicidal ideation , poison control , psychology , suicide prevention , personality , schizophrenia (object oriented programming) , mood , medical emergency , social psychology , economics , macroeconomics
A bstract : Depressive disorders are associated with significant psychosocial impairment and disability. Depression should be thoroughly evaluated, as should current and past suicidality and potential risk factors for suicide. Mortality by suicide characterizes the course of major affective disorders in approximately 15% of those suffering from these illnesses. Several neurobiological correlates of suicidality have been discovered. Treatment of depression with suicidality may involve hospitalization, pharmacotherapy, electroconvulsive therapy, and psychotherapy. Special populations include children and adolescents, the elderly, medically ill patients, patients with comorbid personality disorders, and patients with comorbid substance abuse disorders. Clinicians encountering patients with depressive disorders should be proficient in the assessment and treatment of depression with suicidality.