Biomedical subjects

L Brådvik

Publications and source records attributed to L Brådvik.

4 recordsLinked to original sources

PubMed2001

Late mortality in severe depression.

OBJECTIVE: To assess late mortality among psychiatric in-patients with severe depression/melancholia. METHOD: 1,206 in-patients rated at discharge on a multidimensional diagnostic schedule had received the diagnosis severe depression/ melancholia between 1956 and 1969. A first follow-up was made in 1984. The present follow-up constitutes 675 survivors 15-42 years after the first admission. They were followed-up by means of the general population register and local parish registers to January 1st 1998. RESULTS: At this second follow-up another 279 patients were deceased, standardized mortality ratio 1.3, indicating a continuous increased mortality late in the course of depression. Eleven suicides (4%) were included, eight men and three women, which was less than the 22% found in the first investigation. Male patients showed a higher suicide rate than female patients late in the course. CONCLUSION: The general mortality and suicide rate remain increased late in the course.

Adolescent↗

PubMed2000

Suidical ideation in severe depression.

Suicidal ideation and communication were investigated for 89 suicide victims with a primary severe depression and matched controls. The selection of patients was based on multiaxial ratings of all hospitalised patients between 1956 and 1969. A blind record evaluation was performed, including scores on Beck's Scale for Suicidal Ideation and additional items apart from that scale. There was no relation between high scores on the Beck's scale and completed suicide. In the male group, suicidal ideation "beyond one's own will" was related to suicide. Female suicides that had made an attempt showed higher suicidal ideation than female suicides who had not. A substantial minority of the women (22%) committed suicide without showing any previous intent. Only 5% of the male suicides had shown no previous intent to commit suicide.

Depressive Disorder↗

PubMed2000

Treatment and suicide in severe depression: a case-control study of antidepressant therapy at last contact before suicide.

Treatment at last contact in 89 persons with severe depression who committed suicide was compared with treatment at a corresponding date in 89 matched persons who did not commit suicide. No difference in electroconvulsive therapy use or prescription of antidepressant medication could be shown between those who committed suicide and those who did not. Neither was there a difference in response to treatment as measured in rates of improvement with treatment. However, continued treatment with antidepressant medication after electroconvulsive therapy was more common in the persons who did not commit suicide than in those who did (46% versus 13%, p < 0.025). None of the persons who committed suicide who were followed during the 6 months before death had received continued treatment after electroconvulsive therapy. This study lends statistical support to the importance of continuing treatment after electroconvulsive therapy to prevent suicide.

Adult↗

PubMed1993

Risk factors for suicide in melancholia. A case-record evaluation of 89 suicides and their controls.

Eighty-nine inpatients with a primary severe depression and melancholia who had committed suicide were investigated. They were admitted to the Department of Psychiatry, Lund, Sweden between 1956-1969 and died before 1984. Matched controls were selected. Case records were evaluated at index admission to find suicidal risk factors in melancholia. Prospective ratings were compared. Women committing suicide had higher scores than their controls on the items unmarried, non-compliance and suicide attempt but lower ratings on disharmonic childhood and non-severe physical disease. Men committing suicide had higher scores on the items heredity for psychosis and a brittle or sensitive personality. For the latter item suicide was related to life-weariness. Suicide attempt was related to acute onset and lack of psychomotor retardation. Two suicidal processes were proposed for men: one related to aggression and one not. Social factors seem less important in the prediction of suicide in melancholia than in depression in general.

Depressive Disorder↗