Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Treatment-resistant depression and risk of all-cause mortality and suicidality in Danish patients with major depression

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Polygenic risk for psychiatric disorder and singleness in patients with severe mental illness and controls

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Anterior cingulate serotonin 1B receptor binding is associated with emotional response inhibition

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. State-related differences in heart rate variability in bipolar disorder

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

OBJECTIVE: Treatment-resistant depression (TRD) has been associated with higher mortality and risk of suicide, but this has mainly been showed in few studies which did not include self-harm. The aim was to investigate the association of TRD with all-cause mortality, suicide and self-harm in a nationwide cohort of patients with major depression and explore any differences in relation to patient characteristics.

METHODS: First-time hospital contacts for major depression between January 1, 1996 and December 31, 2014 were identified in Danish patient registers (ICD-10: F32 and F33). TRD was defined as two shifts in antidepressant treatment, assessed from one year prior depression diagnosis until one year after. Information on mortality, suicide and self-harm was obtained from Danish registers and associations between TRD and the three prognostic outcomes were analyzed using Cox Proportional Hazard Regression.

RESULTS: TRD was not associated with all-cause mortality the first year of follow-up (adjusted HR (aHR) 1.04, 95% confidence interval (CI) [0.98-1.11]), and the HR for mortality was lower the following 1-5 years. However, TRD was associated with higher rates of suicide (0-1 year: aHR 2.20, 95% CI [1.77-2.74]; 1-5 years: aHR 1.70, 95% CI [1.42-2.03]) and self-harming behavior (0-1 year: aHR 1.51, 95% CI [1.36-1.66]; 1-5 years: aHR 1.59, 95% CI [1.48-1.70]). The above risk estimates varied only slightly across sociodemographic and clinical patient characteristics.

CONCLUSIONS: Patients with TRD have higher rates of suicide and self-harm compared with non-TRD patients, whereas there seems to be no increase overall in all-cause mortality - in fact, there was a lower rate at follow-up after 1 year. We found only a few differences in HRs for mortality or suicidality across patient characteristics.

OriginalsprogEngelsk
TidsskriftJournal of Psychiatric Research
Vol/bind135
Sider (fra-til)197-202
Antal sider6
ISSN0022-3956
DOI
StatusUdgivet - 19 jan. 2021

Bibliografisk note

Copyright © 2021 Elsevier Ltd. All rights reserved.

ID: 62020143