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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The disproportionately high suicide rate among the elderly is examined in this review. As opposed to younger age groups, a close association exists between suicide and parasuicide in old age. Factors associated with these events include a high incidence of depression, serious physical illness, as well as social factors that serve to isolate the individual and deprive him of positive support and therapeutic intervention. A high risk profile and integrative model are proposed.
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PMID:Suicide and parasuicide in old age: a review. 72 70

Women have been deeply involved in the social changes that have taken place in Western society during the last 30 years; the most significant transformers have been 'the pill' and television. As a result of an accelerated emancipation, women have become more assertive; pari passu men have become less dominant, more children have been deprived and the elderly have been increasingly extruded. Mature women have been adversely affected by the loss of charisma of fertility and motherhood, by changes in female reproductive physiology, by the uncertainty of marriage and its alternatives, by increased work and by the emphasis now placed on youth and sexuality. These stresses have been accompanied by a rise among women of 'male' behavior and 'male' diseases, as well as by an increase in self-poisoning, completed suicide and the 'female' disease of depression.
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PMID:'Men must work and...'. 74 43

Suicidal patients are common in family practice. Risk factors can alert the family physician to persons at unusual risk. Demographic factors, especially those revealing changing social status, recent loss, intentionality, lethality, past history, and high-risk groups, can be rapidly assessed. Viewing suicide as a final common pathway of system dysfunction at any or all major levels-biologic, psychologic, sociocultural-leads to an appreciation of the ubiquitous nature of passive or active "self murder" impulses. Persons depressed for any significant length of time for whatever reasons are potentially suicidal. Thus, the "typical" depression is suicidal but so are persons whose depression is related to drug side effects, primary illness effects, to living in a dysfunctional family system, or to normal grief. Diagnosis requires inquiry about the depth of the patient's depression pain. Treatment takes into account the aforementioned risk factors, plus interventions appropriate to the malfunctioning system.
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PMID:Problems in family practice: the suicidal patient. 74 93

This paper examines the relationship between drug abuse and suicide. It attempts to assess the extent of suicidal thoughts or behaviors among a group of drug abusers. The research examines variables related to self-destructive or self-endangering behaviors, such as accidental overdoses, arrests for driving under the influence, and auto accidents in which the subject was the driver. These data were examined in relation to reports of suicidal thoughts and actual suicide attempts. The results indicate a suicide attempt rate at least 12 times greater than expected for the general population. The results also indicate significant correlations between suicidal thoughts and suicide attempts, suicidal thoughts and nonsuicidal overdoses, and arrests for driving under the influece of drugs or alcohol and nonsuicidal overdoses. The implications of these results along with the role of depression as discussed.
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PMID:Drug abuse and suicide. 75 87

Depression in the elderly is difficult to classify and may be more of a symptom than a disease entity. The core problem with the elderly is inability to handle multiple losses. Feelings of helplessness and reduced self-esteem are significant. The resultant depression often appears mild but the risk of suicide cannot be ignored. The family physician is the key person in the diagnosis of depression. The close relationship between physical factors and depression may make differentiation difficult. Treatment involves a sympathetic but firm approach, particularly when dealing with the hypochondriacal patient. Regression in the elderly is a serious problem that requires staff teamwork. Reactivation techniques which combat feelings of helplessness and hopelessness are of particular importance. When the patient no longer responds well to appropriate drugs, electroconvulsive treatment may be of value. Family and marital therapy should not be overlooked. The nihilist has no place in geriatric medicine.
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PMID:Depression in the elderly. 75 71

Several authors have described a severe depression in patients emerging from psychotic states. The clinical picture usually resembles that of a retarded depression with strong neurasthenic and schizoid components. It frequently emerges after a patient has been discharged from the hospital and may often go unnoticed. When manifest, the syndrome is usually stable phenomenologically, is often lengthy, and may be resistant to all modalities of treatment. Postpsychotic depression is a relatively neglected clinical area despite the risk of suicide and prolonged suffering. Therapeutic perseverence purportedly can improve the patient's long-term prognosis, and the phenomenon itself may be favorable prognostic sign. We present here a review and reformulation of this syndrome.
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PMID:Postpsychotic depression in schizophrenia. 76 20

The suicide rate is higher among those who suffer from a physically based psychosis than among the average population. The proportion of endogenous psychoses in suicides is assessed at about one third, and in attempted suicide about 15 per cent. Of the endogenous psychoses, schizophrenia and depression are the principal diseases causing suicidal actions, of the physically based psychoses, all diseases which cause disturbances of this kind, cerebral vascular sclerosis and epilepsy being particularly frequently represented.
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PMID:[Psychotic acts of suicide (author's transl)]. 80 94

Four examples of family murder followed by suicide are presented with relevant clinical data from the coroners' reports. In retrospect it would appear that three of the offenders were suffering from severe depression, and the fourth showed features of morbid jealousy. In each case there were factors suggestive of mental illness apparent before the tragedy. This is consistent with recent studies of murder followed by suicide and of suicide alone, and raises the possibility that psychiatric intervention may have altered the course of events. Though such tragedies may never be totally eliminated it is considered that close co-operation between coroner, forensic pathologist and psychiatrist may promote greater professional understanding of these tragedies, and provide the impetus for the detection and treatment of potentially remediable psychiatric illness.
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PMID:Family murder followed by suicide. 86 54

A 36-year-old pilot took his plane on a brief, unauthorized flight that ended in a high-speed vertical crash next to the runway. A retrospective "psychological autopsy" yielded strong presumptive evidence of an unrecognized depression in a man with manipulative and mildly antisocial characteristics. His withdrawal from his usual patterns of behavior was, instead, regarded as a desirable return to "normal" behavior. This case report includes comments on the role of the psychological autopsy in aircraft accident investigation, anniversary reactions, the use of psychiatric diagnosis to support the agreed-upon decision on the desired disposition, some aspects of subintentional suicidal behavior, a brief review of the literature on suicide by aircraft, and consideration of the role of the flight surgeon in preventing such occurrences through early recognition of depression.
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PMID:Suicide by aircraft: a case report. 88 Jan 84

The sparse psychiatric literature concerning religious conversions is reviewed. Four case histories of diagnosed depressive illness followed by religious conversion are presented. In two obsessive-compulsive patients, the religious experience failed to resolve the depression, and both ended in suicide. Two hysterical personalities had a resolution of depressive symptoms following the religious experience. The authors suggest that religious conversion dynamically strengthens repression in hysterical persons, but in some cases fails to resolve obsessive isolation of affect and ambivalence.
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PMID:Depressive disorders and religious conversions. 89 74


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