No CrossRef data available.
Article contents
¿Puede un mejor reconocimiento y tratamiento de la depresión reducir las tasas de suicidio? Una revisión breve
Published online by Cambridge University Press: 12 May 2020
Resumen
La depresión, la causa principal de suicidio, es una enfermedad prevalente pero infradetectada, infradiagnosticada e infratratada, y ello es particularmente cierto para los deprimidos víctimas de suicidio. Sin embargo, varios estudios muestran de manera uniforme que el tratamiento acertado de la depresión no sólo alivia los síntomas depresivos, sino que también disminuye y hace desvanecerse la suicidalidad. Si la tasa de depresiones tratadas en la población aumenta gradualmente, en un punto dado ello aparecerá en la disminución de las tasas de suicidio. Aunque en la actualidad faltan datos absolutos, informes recientes de algunos países europeos indican vigorosamente que aumentar la utilización de antidepresivos es uno de los factores más importantes que contribuyen a la disminución en las tasas de suicidio.
- Type
- Artículo Original
- Information
- Copyright
- Copyright © European Psychiatric Association 2002
References
Bibliografía
Ahrens, BMüller-Oerlinghausen, BSchou, MWolf, TAlda, MGrof, Eet al.Excess cardiovascular and suicide mortality of affective disorders may be reduced by lit-hium prophylaxis. J Affect Disord 1999;33:67–75.CrossRefGoogle Scholar
Andersen, UAAndersen, MRosholm, JUGram, LF.Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug pres-criptions. Acta Psychiat Scand 2000;102:126–34.CrossRefGoogle Scholar
Angst, JSellara, RAngst, F.Long-term outcome and mortality of treated versus untreated bipolar and depressed patients: A preliminary report. Int J Psychiatr Clin Pract 1998;2:115–9.CrossRefGoogle ScholarPubMed
Baldessarini, RJTondo, LHennen, J.Effects of lithium treatment and its discontinuation on suicidal behaviour in bipolar manic-depressive disorders. J Clin Psychiatry 1999;60(Suppl 2):77–84.Google ScholarPubMed
Brodersen, ALicht, RWVestergaard, POlesen, AVMortensen, PB.Sixteen-year mortality in patienes with affective disorder commenced on lithium. Br J Psychiatry 2000;176:429–33.CrossRefGoogle ScholarPubMed
Cheng, AT.Mental illness and suicide: a case-control study in East-Taiwan. Arch Gen Psychiatry 1995;52:594–603.CrossRefGoogle ScholarPubMed
Cheng, ATA.Psychosocial and psychiatric risk factors for suicide. Case-control psychological autopsy study. Br J Psychiatry 2000;177:160–5.CrossRefGoogle ScholarPubMed
Coppen, A.Depression as a lethal disease: prevention strategies. J Clin Psychiatry 1994;55(Suppl 4):37–45.Google ScholarPubMed
Druss, BGHoff, RARosenheck, RA.Underuse of anti-depressants in major depression: prevalence and correlates in a national sample of young adults. J Clin Psychiatry 2000;61:234–7.CrossRefGoogle Scholar
Hakko, HRasanen, PTiihonen, J.Secular trends in the rates and seasonality of violent and nonviolent suicide occurrences in Finland during 1980-1995. J Affective Disord 1998;50:49–54.CrossRefGoogle Scholar
Harris, ECBarraclough, B.Suicide as an outcome for mental disorders. Br J Psychiatry 1997;170:205–20.CrossRefGoogle ScholarPubMed
Henriksson, MMAro, HMMarttunen, MJHeikkinen, MEIsometsa, ETKuoppasalmi, KIet al.Mental disorders and comorbidity in suicide. Am J Psychiatry 1993;150:935–40.Google ScholarPubMed
Inskip, HMHarris, ECBarraclough, B.Lifetime risk of suicide for affective disorder, alcoholism and schizophrenia. Br J Psychiatry 1998;172:35–7.CrossRefGoogle Scholar
Isacsson, GBergman, URich, CL.Epidemiological data suggest antidepressants reduce suicide risk among depressives. J Affective Disord 1996;41:1–8.CrossRefGoogle ScholarPubMed
Isacsson, GHolmgren, PDruid, HBergman, U.The uti-lisation of antidepressants -a key issue in the prevention of suicide: an analysis of 5281 suicides in Sweden during the period 1992-1994. Acta Psychiatr Scand 1997;96:94–100.CrossRefGoogle ScholarPubMed
Isacsson, G.Suicide prevention -a medical breakth-rough? Acta Psychiatr Scand 2000;102:113–7.CrossRefGoogle Scholar
Isometsa, EHenriksson, MMAro, HMHeikkinen, MEKouppasalmi, KILonnqvist, JK.Suicide in major depression. Am J Psychiatry 1994;151:530–6.Google ScholarPubMed
Kallner, GLindelius, RPetterson, UStockman, OTham, A.Mortality in 497 patients with affective disorders attending a lithium clinic or after having left it. Pharmacopsychiatry 2000;33:8–13.CrossRefGoogle ScholarPubMed
Kasper, SSchindler, SNeumeister, A.Risk of suicide in depression and its implication for psychopharmacol ogi-cal treatment. Int Clin Psychopharmacol 1996;11:71–9.Google ScholarPubMed
Lecrubier, Y.Is depression under-recognised and under-treated? Int Clin Psychopharmacol 1998;13(Suppl 5):s3–s6.CrossRefGoogle Scholar
McClure, GMG.Changes in suicide in England and Wales, 1960-1997. Br J Psychiatry 2000;176:64–7.CrossRefGoogle ScholarPubMed
Möller, H-J.Antidepressants -Do they decrease or increase suicidality? Pharmacopsychiatry 1992;25:249–53.CrossRefGoogle ScholarPubMed
Müller-Oerlinghause, BBerghofer, A.Antidepressants and suicidal risk. J Clin Psychiatry 1999;60(Suppl 2):94–9.Google Scholar
Pihlgren, H.Depression and suicide on Gotland. An intensive study of all suicides before and after a depres-sion-training programme for general practitioners. J Affective Disord 1995;35:147–52.Google Scholar
Pirkis, JBurgess, P.Suicide and recency of health care contacts. A systematic review. Br J Psychiatry 1998;173:462–74.CrossRefGoogle ScholarPubMed
Rich, CLIsacsson, G.Suicide and antidepressants in South Alabama: evidence for impro ved treatment of depression. J Affective Disord 1997;45:135–42.CrossRefGoogle Scholar
Rihmer, ZAppleby, LRihmer, ABelsó, N.Decreasing suicide in Hungary [letter]. Br J Psychiatry 2000;177:84.CrossRefGoogle Scholar
Rihmer, ZBarsi, J Arató M, Demeter, E.Suicide in subty-pes of primary major depression. J Affective Disord 1990;18:221–5.CrossRefGoogle ScholarPubMed
Rihmer, ZRutz, WBarsi, J.Suicide rate, prevalence of diagnosed depression and prevalence of working phy-sicians in Hungary. Acta Psychiatr Stand 1993;88:391–4.CrossRefGoogle Scholar
Rihmer, ZRutz, WPihlgren, H.Decreasing tendency of seasonality in suicide may indicate lowering rafe of depressive suicides in the population. Psychiatry Res 1998;81:233–40.CrossRefGoogle Scholar
Rihmer, Z.Strategies of suicide prevention: Focus on health care. J Affective Disord 1996;39:83–91.CrossRefGoogle ScholarPubMed
Rutz, WWalinder, JEberhard, GHolmberg, G Von Knorring A-L, Wistedt, Bet al.An educational program on depressive disorders for general practitioners on Gotland: background and evaluation. Acta Psychiatr Scand 1989;79:19–26.CrossRefGoogle ScholarPubMed
Sartorius, N.Recent changas in suicide rates in selected Eastern European and other European countries. Int Psychogeriatrics 1995;7:301–8.CrossRefGoogle Scholar
Szádóczky, EPapp, ZSVitral, JRihmer, ZFüredi, J.The prevalence of major depressive and bipolar disorders in Hungary. J Affective Disord 1998;50:153–62.CrossRefGoogle ScholarPubMed
Wittchen, H-UKnauper, BKessler, RDC.Lifetime risk of depression. Br J Psychiatry 1994;165(Suppl 26):16–22.CrossRefGoogle Scholar