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Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression

INTRODUCTION: Treatment-resistant depression (TRD) is one of the primary causes of disability and a major risk for suicide among patients living in the community. However, the suicide risks and care needs for safety among patients with TRD during the community reintegration process appear to be unde...

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Autores principales: Huong, Pham Thi Thu, Wu, Chia-Yi, Lee, Ming-Been, Chen, I-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8924132/
https://www.ncbi.nlm.nih.gov/pubmed/35308876
http://dx.doi.org/10.3389/fpsyt.2022.806291
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author Huong, Pham Thi Thu
Wu, Chia-Yi
Lee, Ming-Been
Chen, I-Ming
author_facet Huong, Pham Thi Thu
Wu, Chia-Yi
Lee, Ming-Been
Chen, I-Ming
author_sort Huong, Pham Thi Thu
collection PubMed
description INTRODUCTION: Treatment-resistant depression (TRD) is one of the primary causes of disability and a major risk for suicide among patients living in the community. However, the suicide risks and care needs for safety among patients with TRD during the community reintegration process appear to be underestimated. This study aimed to investigate the association between community integration and suicide risks among patients with treatment-resistant depression (TRD) with sub-analysis by gender. METHODS: Patients diagnosed with major depressive disorder were recruited upon psychiatrists' referral in two general hospitals in northern Taiwan during 2018–2019. The participants who experienced more than two failed treatments of antidepressants with partial remission were defined as TRD. A structured questionnaire was used to collect socio-demographic, suicidality, and psychosocial information. RESULTS: In a total of 125 participants, gender difference was identified in certain community integration aspects such as home integration, productivity, and electronic social networking. The male participants appeared to have better involvement in social contact with internet but slightly less video link than women, while women had higher level of home integration in the past month. The participants who performed worse in the social integration and better home-based activity or productivity levels had higher suicide risks including suicide ideation and overall suicide risks. CONCLUSIONS: Community integration levels of home, social, and productivity were associated with suicidality in terms of overall suicide risk and recent suicide ideation. Facilitation of community integration at home and life arrangements might reduce suicide risks in TRD patients.
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spelling pubmed-89241322022-03-17 Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression Huong, Pham Thi Thu Wu, Chia-Yi Lee, Ming-Been Chen, I-Ming Front Psychiatry Psychiatry INTRODUCTION: Treatment-resistant depression (TRD) is one of the primary causes of disability and a major risk for suicide among patients living in the community. However, the suicide risks and care needs for safety among patients with TRD during the community reintegration process appear to be underestimated. This study aimed to investigate the association between community integration and suicide risks among patients with treatment-resistant depression (TRD) with sub-analysis by gender. METHODS: Patients diagnosed with major depressive disorder were recruited upon psychiatrists' referral in two general hospitals in northern Taiwan during 2018–2019. The participants who experienced more than two failed treatments of antidepressants with partial remission were defined as TRD. A structured questionnaire was used to collect socio-demographic, suicidality, and psychosocial information. RESULTS: In a total of 125 participants, gender difference was identified in certain community integration aspects such as home integration, productivity, and electronic social networking. The male participants appeared to have better involvement in social contact with internet but slightly less video link than women, while women had higher level of home integration in the past month. The participants who performed worse in the social integration and better home-based activity or productivity levels had higher suicide risks including suicide ideation and overall suicide risks. CONCLUSIONS: Community integration levels of home, social, and productivity were associated with suicidality in terms of overall suicide risk and recent suicide ideation. Facilitation of community integration at home and life arrangements might reduce suicide risks in TRD patients. Frontiers Media S.A. 2022-03-02 /pmc/articles/PMC8924132/ /pubmed/35308876 http://dx.doi.org/10.3389/fpsyt.2022.806291 Text en Copyright © 2022 Huong, Wu, Lee and Chen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Huong, Pham Thi Thu
Wu, Chia-Yi
Lee, Ming-Been
Chen, I-Ming
Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title_full Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title_fullStr Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title_full_unstemmed Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title_short Associations of Suicide Risk and Community Integration Among Patients With Treatment-Resistant Depression
title_sort associations of suicide risk and community integration among patients with treatment-resistant depression
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8924132/
https://www.ncbi.nlm.nih.gov/pubmed/35308876
http://dx.doi.org/10.3389/fpsyt.2022.806291
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