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3.
Med Clin North Am ; 104(3): 561-572, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32312415

RESUMEN

Burnout is common in physicians who care for patients with serious illness, with rates greater than 60% in some studies. Risk factors for burnout include working on small teams and/or in small organizations, working longer hours and weekends, being younger than 50 years, burdensome documentation requirements, and regulatory issues. Personal factors that can protect against burnout include mindfulness, exercise, healthy sleep patterns, avoiding substance abuse, and having adequate leisure time. Institutional and work factors that can buffer against burnout include working on adequately staffed teams, having a manageable workload, and minimally burdensome electronic health record documentation.


Asunto(s)
Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Médicos/psicología , Adulto , Agotamiento Profesional/economía , Agotamiento Profesional/epidemiología , Depresión/etiología , Empatía/fisiología , Ejercicio Físico/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena/métodos , Cuidados Paliativos/métodos , Cuidados Paliativos/estadística & datos numéricos , Calidad de Vida , Factores de Riesgo , Autocuidado/métodos , Sueño/fisiología , Trastornos Relacionados con Sustancias/etiología , Suicidio/psicología , Suicidio/estadística & datos numéricos , Estados Unidos/epidemiología , Carga de Trabajo
4.
Medicina (B Aires) ; 80 Suppl 2: 12-16, 2020.
Artículo en Español | MEDLINE | ID: mdl-32150706

RESUMEN

Autism is a neurodevelopmental disorder characterized by a qualitative alteration in social interaction and communication, associated with restricted interests and stereotyped behaviors. People with autism are four times more likely to develop depression, than the general population, it is even considered as the most common mental health condition in people with autism spectrum disorders (ASD). One of the challenges is to recognize the manifestations related to depression in people with ASD, in whom, in general, it is expressed differently in relation to those with typical development. Depression in people with autism can manifest itself with restlessness and insomnia and not with feelings of sadness, so it is essential to be attentive and not justify all behavioral problems to autism. Young adults with ASD have higher baseline levels of almost all the depression characteristics listed in the DSM-5, which can lead to overdiagnosis or underreporting of depression. On the other hand, adults with autism have an increased risk of experiencing suicidal thoughts, planning suicide, carrying it out and even dying from suicide. Many of them have a history of depression, harassment and loneliness. It is essential the early detection of depression, develop appropriate tools for diagnosis in autism as well as generate awareness of the risk of ideation or suicide, a problem that only in recent years has been addressed with greater depth. In this paper I analyze depression in autism, the risk of suicidal ideation and suicide, prioritizing clinical aspects, their evaluation and risk factors.


Asunto(s)
Trastorno del Espectro Autista/psicología , Trastorno Depresivo/psicología , Ideación Suicida , Suicidio/psicología , Femenino , Humanos , Masculino , Factores de Riesgo
5.
Psychiatr Hung ; 35(2): 126-135, 2020.
Artículo en Húngaro | MEDLINE | ID: mdl-32191218

RESUMEN

Although more and more data is now available on the background of suicidal behaviour, classical suicidal risk factors have only limited clinical predictive value because they provide little reliable information on the acute psychological processes leading to suicidal behaviour. As the lack of recognition of acute suicidal risk limits the ability to provide adequate care, intense research has begun to develop validated methods for risk analysis and risk assessment that provide more accurate predictions of suicidal behaviour. In recent years, two specific syndromes have been described that may assist in the more accurate assessment of presuicidal psychopathology and thus in the prediction of suicidal behaviour. Researchers from the United States suggest the introduction and the clinical use of two suicide-specific syndromes, the Acute Suicidal Affective Disorder (ASAD) and Suicidal Crisis Syndrome (SCS). In this paper, we present the most important features of these newly described suicide-specific syndromes, the experience with their clinical application, and the major research findings about them. Then these syndromes are compared with the classical psychological features of pre-suicidal crisis to find out whether these are really new transdiagnostic interpretations of the symptoms of suicidal behaviour or those are merely the well-known classical symptoms with new terminology.


Asunto(s)
Medición de Riesgo , Suicidio/estadística & datos numéricos , Humanos , Factores de Riesgo , Ideación Suicida , Suicidio/psicología , Síndrome
6.
Artículo en Alemán | MEDLINE | ID: mdl-32039646

RESUMEN

Are suicidal young people reached by online-counselling? Evaluation of the target group outreach of [U25] online suicide prevention Abstract. Objective: "[U25] Germany" is an online-counselling platform designed to help adolescents and young adults suffering from suicidal ideation or emotional crisis. The online approach and anonymous counselling by peers (young voluntary workers) instead of professionals were initiated to lower the threshold for those seeking help. This study examines characteristics of people seeking help from [U25] and estimates the outreach of the program. Method: Data from n = 1062 counselling protocols dating from 2017 were obtained. In addition, we conducted n = 13 problem-focused interviews with peer counsellors. Results: Our data indicate a good target group outreach concerning age, suicidality, and psychological burden of the clients. However, young men seek counselling by [U25] less frequently than young women. Additionally, preliminary data indicate that young people with lower educational background consult [U25] less often. Conclusions: [U25] offers a promising approach to helping young people suffering from suicidal ideation or a personal crisis. New approaches should be developed and evaluated to better reach young men and persons with a lower education background.


Asunto(s)
Consejo , Internet , Grupo Paritario , Suicidio/prevención & control , Suicidio/psicología , Adolescente , Femenino , Alemania , Humanos , Masculino , Ideación Suicida , Adulto Joven
7.
JAMA ; 323(5): 444-454, 2020 02 04.
Artículo en Inglés | MEDLINE | ID: mdl-32016308

RESUMEN

Importance: Neurological disorders have been linked to suicide, but the risk across a broad spectrum of neurological disorders remains to be assessed. Objectives: To examine whether people with neurological disorders die by suicide more often than other people and to assess for temporal associations. Design, Setting, and Participants: Nationwide, retrospective cohort study on all persons 15 years or older living in Denmark, from 1980 through 2016 (N = 7 300 395). Exposures: Medical contact for head injury, stroke, epilepsy, polyneuropathy, diseases of myoneural junction, Parkinson disease, multiple sclerosis, central nervous system infections, meningitis, encephalitis, amyotrophic lateral sclerosis, Huntington disease, dementia, intellectual disability, and other brain diseases from 1977 through 2016 (n = 1 248 252). Main Outcomes and Measures: Death by suicide during 1980-2016. Adjusted incidence rate ratio (IRRs) were estimated using Poisson regressions, adjusted for sociodemographics, comorbidity, psychiatric diagnoses, and self-harm. Results: Of the more than 7.3 million individuals observed over 161 935 233 person-years (49.1% males), 35 483 died by suicide (median duration of follow-up, 23.6 years; interquartile range, 10.0-37.0 years; mean age, 51.9 years; SD, 17.9 years). Of those, 77.4% were males, and 14.7% (n = 5141) were diagnosed with a neurological disorder, equivalent to a suicide rate of 44.0 per 100 000 person-years compared with 20.1 per 100 000 person-years among individuals not diagnosed with a neurological disorder. People diagnosed with a neurological disorder had an adjusted IRR of 1.8 (95% CI, 1.7-1.8) compared with those not diagnosed. The excess adjusted IRRs were 4.9 (95% CI, 3.5-6.9) for amyotrophic lateral sclerosis, 4.9 (95% CI, 3.1-7.7) for Huntington disease, 2.2 (95% CI, 1.9-2.6) for multiple sclerosis, 1.7 (95% CI, 1.6-1.7) for head injury, 1.3 (95% CI, 1.2-1.3) for stroke, and 1.7 (95% CI, 1.6-1.8) for epilepsy. The association varied according to time since diagnosis with an adjusted IRR for 1 to 3 months of 3.1 (95% CI, 2.7-3.6) and for 10 or more years, 1.5 (95% CI, 1.4 to 1.6, P < .001). Compared with those who were not diagnosed with a neurological disorder, those with dementia had a lower overall adjusted IRR of 0.8 (95% CI, 0.7-0.9), which was elevated during the first month after diagnosis to 3.0 (95% CI, 1.9-4.6; P < .001). The absolute risk of suicide for people with Huntington disease was 1.6% (95% CI, 1.0%-2.5%). Conclusions and Relevance: In Denmark from 1980 through 2016, there was a significantly higher rate of suicide among those with a diagnosed neurological disorder than persons not diagnosed with a neurological disorder. However, the absolute risk difference was small.


Asunto(s)
Enfermedades del Sistema Nervioso/psicología , Suicidio/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Esclerosis Amiotrófica Lateral/psicología , Traumatismos Craneocerebrales/psicología , Dinamarca/epidemiología , Femenino , Humanos , Enfermedad de Huntington/psicología , Masculino , Persona de Mediana Edad , Sistema de Registros , Estudios Retrospectivos , Factores de Riesgo , Accidente Cerebrovascular/psicología , Suicidio/psicología , Adulto Joven
8.
Rev Med Suisse ; 16(681): 314-317, 2020 Feb 12.
Artículo en Francés | MEDLINE | ID: mdl-32049453

RESUMEN

Suicide is a common cause of death in Switzerland. It often occurs during a period of crisis marked by a disruption of the subject's intrapsychic, interpersonal or social balance. The management of this crisis is crucial and essentially psychotherapeutic. Drug therapy may be necessary for the management of acute symptoms or for the prevention of long-term suicidal risk. Benzodiazepines and atypical antipsychotics are often used for acute symptoms such as anxiety or sleep disorders while other molecules are recognized in reducing long-term suicidal risk. Some disorders, such as borderline personality disorder, account for more frequent suicidal behaviors. The pharmacological management of these specific situations is discussed.


Asunto(s)
Antipsicóticos/farmacología , Suicidio/prevención & control , Suicidio/psicología , Benzodiazepinas/farmacología , Trastorno de Personalidad Limítrofe/psicología , Humanos , Factores de Riesgo , Ideación Suicida , Suiza
9.
Rev Med Suisse ; 16(681): 334-335, 2020 Feb 12.
Artículo en Francés | MEDLINE | ID: mdl-32049458
12.
Crim Behav Ment Health ; 30(1): 28-37, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32067295

RESUMEN

BACKGROUND: Familicide is defined as the killing of a whole family and, numerically, a form of "mass murder" (more-or-less three simultaneous killings). Switzerland has a lower rate of homicide than most other countries but a comparatively high share of homicides within the family. AIM: The aim of this study is to describe a complete national sample of familicides and compare them with other types of mass murders in the country over the same period. METHODS: All cases of three or more unlawful homicides in one event in Switzerland between 1972 and 2015 were identified from court records and socio-demographic, criminological, and psychological variables were extracted. Given small numbers, we rely on narrative comparisons. RESULTS: There were 20 familicides in the 43-year study, with 82 victims between them as well as six felony-associated mass murders accounting for 19 victims and nine public mass murders with 44 victims. Only one familicide was a woman; mean age was 39.5 years (range 19-57 years). Most were in employment. Only four had a prior psychiatric history. Nine had a history of violent or intrusive behaviour, but a prior criminal conviction was rare. In all but one case there was evidence of psychosocial stressors; eight men were facing separation from a spouse. Just over half used guns, but only three used army weapons. The main difference between the familicides and the other mass killers was the much higher rate of suicide among the familicides. CONCLUSIONS: Familicides in Switzerland appear to be rare suicidal acts, generally carried out by previously successful and apparently stable middle-aged men with often an inconspicuous psychiatric history or criminal record, differing considerably from other groups of mass killers. Expert responses, like the recently established multidisciplinary "threat management boards" in Switzerland, should bear in mind that the likely competent men involved may be good at covering their intent even from themselves.


Asunto(s)
Agresión , Víctimas de Crimen , Homicidio/psicología , Trastornos Mentales/epidemiología , Núcleo Familiar , Suicidio/psicología , Adulto , Estudios de Cohortes , Víctimas de Crimen/estadística & datos numéricos , Femenino , Homicidio/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Motivación , Padres , Esposos , Suiza/epidemiología , Armas , Adulto Joven
14.
Epidemiol Psychiatr Sci ; 29: e94, 2020 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-31973775

RESUMEN

AIMS: Previous studies analysing blood alcohol concentration (BAC) at the time of suicide have primarily focused on sociodemographic factors. Limited research has focused on psychosocial factors and co-ingestion of other substances to understand the mechanisms of how alcohol contributes to death by suicide. The aim was to examine time trends, psychosocial factors related to acute alcohol use and co-ingestion of alcohol and other substances before suicide. METHODS: The Queensland Suicide Register in 2004-2015 was utilised and analysed in 2019. The cut-off point for positive BAC was set at ⩾0.05 g/dl. Substances were categorised as medicines, illegal drugs and other. Medicines were coded by the Anatomical Therapeutic Chemical (ATC) classification system. Joinpoint regression, univariate odds ratios, age and sex-adjusted odds ratios and Forward Stepwise logistic regression were performed. RESULTS: BAC information was available for 6744 suicides, 92% of all cases in 2004-2015. The final model showed that independent factors distinguishing BAC+ from BAC- were: age group 25-44 years, Australian Indigenous background, being separated or divorced, hanging, diagnosis of substance use, lifetime suicidal ideation, relationship and interpersonal conflict, not having psychotic and other psychiatric disorder, and no nervous system drugs or any other substances in blood at the time of suicide. CONCLUSIONS: Our findings suggest that people who die by suicide while under the influence of alcohol are more likely to be under acute stress (e.g. separation) and not have earlier psychiatric conditions, except substance use. This highlights the importance of more strict alcohol policies, but also the need to improve substance use treatment.


Asunto(s)
Consumo de Bebidas Alcohólicas/sangre , Nivel de Alcohol en Sangre , Sistema de Registros/estadística & datos numéricos , Suicidio/estadística & datos numéricos , Adulto , Anciano , Consumo de Bebidas Alcohólicas/epidemiología , Australia/epidemiología , Femenino , Humanos , Masculino , Trastornos Mentales/epidemiología , Persona de Mediana Edad , Prevalencia , Factores de Riesgo , Trastornos Relacionados con Sustancias/epidemiología , Suicidio/psicología
15.
JAMA Netw Open ; 3(1): e1919935, 2020 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-31995212

RESUMEN

Importance: Understanding suicide ideation (SI) during combat deployment can inform prevention and treatment during and after deployment. Objective: To examine associations of sociodemographic characteristics, lifetime and past-year stressors, and mental disorders with 30-day SI among a representative sample of US Army soldiers deployed in Afghanistan. Design, Setting, and Participants: In this survey study, soldiers deployed to Afghanistan completed self-administered questionnaires in July 2012. The sample was weighted to represent all 87 032 soldiers serving in Afghanistan. Prevalence of lifetime, past-year, and 30-day SI and mental disorders was determined. Logistic regression analyses examined risk factors associated with SI. Data analyses for this study were conducted between August 2018 and August 2019. Main Outcomes and Measures: Suicide ideation, lifetime and 12-month stressors, and mental disorders were assessed with questionnaires. Administrative records identified sociodemographic characteristics and suicide attempts. Results: A total of 3957 soldiers (3473 [weighted 87.5%] male; 2135 [weighted 52.6%] aged ≤29 years) completed self-administered questionnaires during their deployment in Afghanistan. Lifetime, past-year, and 30-day SI prevalence estimates were 11.7%, 3.0%, and 1.9%, respectively. Among soldiers with SI, 44.2% had major depressive disorder (MDD) and 19.3% had posttraumatic stress disorder in the past 30-day period. A series of analyses of the 23 grouped variables potentially associated with SI resulted in a final model of sex; race/ethnicity; lifetime noncombat trauma; past 12-month relationship problems, legal problems, and death or illness of a friend or family member; and MDD. In this final multivariable model, white race/ethnicity (odds ratio [OR], 3.1 [95% CI, 1.8-5.1]), lifetime noncombat trauma (OR, 2.1 [95% CI, 1.1-4.0]), and MDD (past 30 days: OR, 31.8 [95% CI, 15.0-67.7]; before past 30 days: OR, 4.9 [95% CI, 2.5-9.6]) were associated with SI. Among the 85 soldiers with past 30-day SI, from survey administration through 12 months after returning from deployment, 6% (5 participants) had a documented suicide attempt vs 0.14% (6 participants) of the 3872 soldiers without SI. Conclusions and Relevance: This study suggests that major depressive disorder and noncombat trauma are important factors in identifying SI risk during combat deployment.


Asunto(s)
Personal Militar/psicología , Trastornos por Estrés Postraumático/psicología , Ideación Suicida , Suicidio/psicología , Adaptación Psicológica , Adulto , Campaña Afgana 2001- , Factores de Edad , Femenino , Humanos , Masculino , Personal Militar/estadística & datos numéricos , Resiliencia Psicológica , Medición de Riesgo/estadística & datos numéricos , Factores de Riesgo , Trastornos por Estrés Postraumático/epidemiología , Suicidio/estadística & datos numéricos , Adulto Joven
16.
Lancet Psychiatry ; 7(3): 282-290, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31982031

RESUMEN

Individuals with chronic pain are at an elevated risk of suicide, yet psychosocial factors that might be involved in increasing or decreasing vulnerability for suicidal ideation and behaviour have received little attention. Extant literature on the topic of suicide in individuals with chronic pain incorporates only a few of the wide array of known vulnerability and protective factors. This Review focuses on transdiagnostic psychological processes, (ie, those of relevance for both chronic pain and suicide). We reviewed a selection of published literature on chronic pain and suicide, concentrating on previously unexplored and underexplored lines of research, including future orientation, mental imagery, and psychological flexibility. A greater degree of crosspollination between the fields of chronic pain and suicide research is required to progress our understanding of why some people with chronic pain become suicidal and others do not.


Asunto(s)
Síntomas Conductuales/fisiopatología , Dolor Crónico/psicología , Ideación Suicida , Suicidio , Humanos , Psicología , Suicidio/prevención & control , Suicidio/psicología
17.
J Abnorm Psychol ; 129(1): 64-69, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31868389

RESUMEN

It is essential that investigators in clinical research settings follow ethical guidelines for monitoring, assessing, and responding to suicide risk. Given the unique considerations associated with suicide risk assessment in a research context, resources informing the development of research-specific suicide risk management procedures are needed. With decades of collective experience across heterogeneous contexts, we discuss approaches to monitoring, assessing, and responding to suicide risk as a function of study sample (e.g., students, psychiatric inpatients), data collection methodologies (e.g., interview, self-report, or ecological momentary assessment), and study design (e.g., treatment research). Additional considerations include training and supervision of staff to identify suicide risk, coordination of others to respond to risk, and documentation of procedures. Finally, we attend to the impact of these procedures on the external validity of outcome data. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Asunto(s)
Proyectos de Investigación , Intento de Suicidio/psicología , Suicidio/psicología , Evaluación Ecológica Momentánea , Humanos , Investigación , Medición de Riesgo , Factores de Riesgo , Autoinforme
18.
Interface (Botucatu, Online) ; 24: e190116, 2020.
Artículo en Portugués | LILACS | ID: biblio-1040194

RESUMEN

O suicídio é um sério problema de saúde pública, causa um elevado custo emocional, social e econômico para o paciente, familiares e serviços de saúde. Este trabalho objetivou realizar uma revisão narrativa da literatura sobre integralidade, intersetorialidade e cuidado em saúde, buscando articular esses termos à prevenção do suicídio e ao tratamento de pessoas com comportamento suicida. Embora esses termos sejam utilizados com consenso nas políticas públicas brasileiras de saúde, há, ainda, uma grande distância entre a teoria e práticas que ainda reforçam um modelo hospitalocêntrico, biologista, verticalizado e longe de rotinas que garantam a autonomia e construção de vínculos responsáveis entre usuários e trabalhadores e entre diferentes setores. Rever, criticamente, essas ações e espelhar em planos com bons resultados podem ser saídas para a prevenção do suicídio.(AU)


Suicide is a serious public health problem that causes high emotional, social and economic costs to the patient, the family and the health services. This study aimed to conduct a narrative review of the literature on comprehensive care, intersectoral action and healthcare, attempting to articulate these terms to suicide prevention and to the treatment of people with suicidal behavior. Although these terms are consensually used in Brazilian public health policies, there still is a large distance between theory and practices that continue to reinforce a hospital-centered, biologist and verticalized model, far from routines that guarantee autonomy and from the construction of responsible bonds between users and workers and among different sectors. Reviewing these actions critically and mirroring plans that have had good results may be a way out for suicide prevention.(AU)


El suicidio es un serio problema de salud pública, causa un alto costo emocional, social y económico para el paciente, familiares y servicios de salud. El objetivo de este trabajo fue realizar una revisión narrativa de la literatura sobre integralidad, intersectorialidad y cuidado de salud, tratando de articular esos términos para la prevención del suicidio y el tratamiento de personas con comportamiento suicida. Aunque esos términos se utilicen con consenso en las políticas públicas brasileñas de salud, hay aún una gran distancia entre la teoría y prácticas que todavía refuerzan un modelo centrado en el hospital, biologista y verticalizado, alejado de rutinas que aseguren la autonomía y la construcción de vínculos responsables entre usuarios y trabajadores y entre diferentes sectores. Revisar, críticamente, esas acciones y espejarlas en planes con buenos resultados puede ser una salida para la prevención del suicidio.(AU)


Asunto(s)
Suicidio/prevención & control , Colaboración Intersectorial , Integralidad en Salud , Suicidio/psicología
19.
Anaesthesia ; 75(1): 96-108, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31729019

RESUMEN

Anaesthetists are thought to be at increased risk of suicide amongst the medical profession. The aims of the following guidelines are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues working alongside them; and to support individuals, departments and organisations in coping with a suicide.


Asunto(s)
Anestesistas/psicología , Anestesistas/estadística & datos numéricos , Trastornos Mentales/diagnóstico , Estrés Psicológico/diagnóstico , Suicidio/prevención & control , Suicidio/psicología , Guías como Asunto , Humanos , Trastornos Mentales/complicaciones , Trastornos Mentales/psicología , Factores de Riesgo , Estrés Psicológico/complicaciones , Estrés Psicológico/psicología , Suicidio/estadística & datos numéricos , Reino Unido
20.
Drug Saf ; 43(2): 135-145, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31848933

RESUMEN

INTRODUCTION: This post-authorization safety study (PASS) was a commitment to the European Medicines Agency. OBJECTIVE: This PASS investigated quetiapine as antidepressant treatment in Swedish registers with regard to the risk for all-cause mortality, self-harm and suicide, acute myocardial infarction, stroke, diabetes mellitus, extrapyramidal disorders, and somnolence. METHODS: Users of quetiapine and antidepressants (2011‒2014) who had changed treatment in the past year were included. Conditional logistic regression models were used to calculate odds ratios (ORs) and their 95% confidence intervals (CIs) for each outcome in nested case-control studies for quetiapine as combination therapy and monotherapy, monotherapy with antidepressants, and no medication, versus the use of combinations of antidepressants (reference group). RESULTS: Overall, 7421 quetiapine users and 281,303 antidepressant users were included. For quetiapine in combination, risks were increased for all-cause mortality [adjusted OR (aOR) 1.31, 95% CI 1.12-1.54] compared with combinations of antidepressants; however, when stratified by age, only patients ≥ 65 years of age had an increased mortality, and, in a post hoc analysis excluding patients with Parkinson's disease, no mortality increase remained. Furthermore, the risk for self-harm and suicide was increased (aOR 1.53, 95% CI 1.31-1.79), but when stratified by age, the risk increase was found only among patients aged 18-64 years. Risks were also increased for stroke among patients ≥ 65 years of age (aOR 1.47, 95% CI 1.01-2.12), for extrapyramidal disorder (aOR 6.15, 95% CI 3.57-10.58), and for somnolence (aOR 2.41, 95% CI 1.42-4.11). CONCLUSION: Risks for all-cause mortality, self-harm and suicide, and stroke in older patients may be higher among patients treated with quetiapine and antidepressant combination therapy.


Asunto(s)
Antidepresivos/administración & dosificación , Trastorno Depresivo/tratamiento farmacológico , Fumarato de Quetiapina/administración & dosificación , Conducta Autodestructiva/epidemiología , Suicidio/estadística & datos numéricos , Adolescente , Adulto , Anciano , Antidepresivos/efectos adversos , Estudios de Casos y Controles , Trastorno Depresivo/mortalidad , Trastorno Depresivo/psicología , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Fumarato de Quetiapina/efectos adversos , Estudios Retrospectivos , Conducta Autodestructiva/inducido químicamente , Conducta Autodestructiva/mortalidad , Conducta Autodestructiva/psicología , Suicidio/psicología , Suecia/epidemiología , Resultado del Tratamiento , Adulto Joven
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