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Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide

OBJECTIVE: Population-based suicidal screening can be an important intervention method to reduce suicidal attempt rate in community. However, directly asking about suicidal behavior may be burdensome to non-mental health workers. This study aimed to evaluate the clinical usefulness of the Geriatric...

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Autores principales: Jeong, Hyunsuk, Nam, Beomwoo, Jo, Sun-Jin, Lee, Won-Chul, Yim, Hyeon Woo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265027/
https://www.ncbi.nlm.nih.gov/pubmed/32403208
http://dx.doi.org/10.30773/pi.2019.0299
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author Jeong, Hyunsuk
Nam, Beomwoo
Jo, Sun-Jin
Lee, Won-Chul
Yim, Hyeon Woo
author_facet Jeong, Hyunsuk
Nam, Beomwoo
Jo, Sun-Jin
Lee, Won-Chul
Yim, Hyeon Woo
author_sort Jeong, Hyunsuk
collection PubMed
description OBJECTIVE: Population-based suicidal screening can be an important intervention method to reduce suicidal attempt rate in community. However, directly asking about suicidal behavior may be burdensome to non-mental health workers. This study aimed to evaluate the clinical usefulness of the Geriatric Depression Scale-15 (GDS-15) in identifying the elderly at risk of suicide in community. METHODS: Nine hundred forty-eight over 60 years of age participated in this study. All participants completed the GDS-15. A trained interviewer interviewed each participant for suicidality including suicidal ideation, plan, and prior attempt using the Structured Clinical Interview for DSM-IV. RESULTS: When the cut-off score of 10 in the GDS-15 was applied to identify the elderly at risk of suicide, the proportion of directly asking about suicidal behavior by non-mental health workers was reduced by 33.1%; however, 19.5% at risk of suicide were missed. When the cut-off was changed to 6, 100% at risk of suicide were covered by the GDS-15. CONCLUSION: Screening for suicidality using GDS-15 is a promising way to reduce the proportion of directly asking about suicidal behavior by non-mental health workers among the high-risk suicidal elderly in a community setting.
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spelling pubmed-72650272020-06-10 Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide Jeong, Hyunsuk Nam, Beomwoo Jo, Sun-Jin Lee, Won-Chul Yim, Hyeon Woo Psychiatry Investig Original Article OBJECTIVE: Population-based suicidal screening can be an important intervention method to reduce suicidal attempt rate in community. However, directly asking about suicidal behavior may be burdensome to non-mental health workers. This study aimed to evaluate the clinical usefulness of the Geriatric Depression Scale-15 (GDS-15) in identifying the elderly at risk of suicide in community. METHODS: Nine hundred forty-eight over 60 years of age participated in this study. All participants completed the GDS-15. A trained interviewer interviewed each participant for suicidality including suicidal ideation, plan, and prior attempt using the Structured Clinical Interview for DSM-IV. RESULTS: When the cut-off score of 10 in the GDS-15 was applied to identify the elderly at risk of suicide, the proportion of directly asking about suicidal behavior by non-mental health workers was reduced by 33.1%; however, 19.5% at risk of suicide were missed. When the cut-off was changed to 6, 100% at risk of suicide were covered by the GDS-15. CONCLUSION: Screening for suicidality using GDS-15 is a promising way to reduce the proportion of directly asking about suicidal behavior by non-mental health workers among the high-risk suicidal elderly in a community setting. Korean Neuropsychiatric Association 2020-05 2020-05-15 /pmc/articles/PMC7265027/ /pubmed/32403208 http://dx.doi.org/10.30773/pi.2019.0299 Text en Copyright © 2020 Korean Neuropsychiatric Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jeong, Hyunsuk
Nam, Beomwoo
Jo, Sun-Jin
Lee, Won-Chul
Yim, Hyeon Woo
Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title_full Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title_fullStr Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title_full_unstemmed Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title_short Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide
title_sort clinical usefulness of the geriatric depression scale to identify the elderly at risk of suicide
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265027/
https://www.ncbi.nlm.nih.gov/pubmed/32403208
http://dx.doi.org/10.30773/pi.2019.0299
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