Major Depression: Does a Gender-Based Down-Rating of Suicide Risk Challenge Its Diagnostic Validity?

@article{BlairWest2001MajorDD,
  title={Major Depression: Does a Gender-Based Down-Rating of Suicide Risk Challenge Its Diagnostic Validity?},
  author={G W Blair-West and Graham W. Mellsop},
  journal={Australian and New Zealand Journal of Psychiatry},
  year={2001},
  volume={35},
  pages={322 - 328}
}
Objective: This paper will summarize the authors' research that disproved the accepted lifetime suicide risk in major depression. It will then explore the pivotal issue of gender in understanding suicide risk in depression and raise questions as to whether this is adequately reflected in the current diagnostic construct of this condition. Method: The methods of two recent papers published by the authors are briefly recounted. In the first of these papers, an age-specific algorithm was developed… 

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References

SHOWING 1-10 OF 22 REFERENCES
Lifetime suicide risk in major depression: sex and age determinants.
Down‐rating lifetime suicide risk in major depression
TLDR
It is demonstrated that the lifetime suicide risk in major depressive disorder cannot be so high, and the small subgroup of patients who have experienced hospital admission do experience a much greater lifetime Suicide risk.
Suicide in major depression.
TLDR
Examination of suicide victims with current unipolar DSM-III-R major depression in Finland found there were significant sex differences in current and previous treatment and suicide methods, and it would seem crucial to improve treatment and follow-up, for males with major depression, in particular.
Mental disorders and comorbidity in suicide.
TLDR
The majority of suicide victims suffered from comorbid mental disorders, and needs to be taken into account when analyzing the relationship between suicide and mental disorders and in planning treatment strategies for suicide prevention in clinical practice.
Prevention of depression and suicide by education and medication: impact on male suicidality. An update from the Gotland study.
TLDR
One conclusion is that males are as often depressed as females, but in different ways, and that one of the reasons behind the dramatic over-representation of males amongst suicide victims may be found in the low rate of diagnosis and treatment of the male depressive syndrome.
Lifetime risk of suicide for affective disorder, alcoholism and schizophrenia
TLDR
The lifetime suicide risk figures often quoted in the literature appear to be too high, based on data from 1921–1975 and calculations performed before computerised modelling techniques became available.
The Harvard Medical School Guide to Suicide Assessment and Intervention. First Edition.
TLDR
This work focuses on the assessment and management of suicide risk in children and adolescents in the Primary Care Setting and the literature on suicide and manic-Depressive Illness.
Suicide mortality among patients treated for depression in an insured population.
TLDR
Overall suicide risk among patients treated for depression is considerably lower than previous estimates based on specialty and inpatient samples, and risk is strongly related to treatment history--a likely indicator of illness severity.
Suicide in a psychiatric practice population.
  • J. Morrison
  • Psychology, Medicine
    The Journal of clinical psychiatry
  • 1982
Suicide occurred in 48 of 12,500 adult private psychiatric patients, representing 40,100 years of follow-up. Suicide rates (per 100,000 patients per year), computed from the diagnostic profile of all
...
...