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Depression in Self-Harm Patients

Published online by Cambridge University Press:  02 January 2018

Jon Ennis ,
Rosemary A. Barnes ,
Sidney Kennedy  and
Dvora D. Trachtenberg
Jon Ennis*
Affiliation:
Toronto General Hospital; University of Toronto
Rosemary A. Barnes
Affiliation:
Women's College Hospital; Toronto, University of Toronto
Sidney Kennedy
Affiliation:
Toronto General Hospital; University of Toronto
Dvora D. Trachtenberg
Affiliation:
Women's College Hospital, Toronto
*
∗Department of Psychiatry, Toronto General Hospital, Eaton Building, Eighth Floor, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada
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Abstract

DSM-III diagnoses and responses to the Beck Depression Inventory (BDI) were examined in 71 consecutive admissions to an inpatient psychiatric crisis service following deliberate self-harm. Although 80% of the admitted patients were moderately or severely depressed according to BDI scores, only 31 % were diagnosed with a major depressive episode. While all of the self-harm patients may be viewed as experiencing severe subjective distress, only a minority were shown to suffer from DSM-III depressive illness. The high depression scores on the BDI may be related to the patients' extreme distress preceding a crisis admission and to the high prevalence of personality disorders in this group of patients.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 1 , January 1989 , pp. 41 - 47
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Washington DC: APA.Google Scholar
Barraclough, B., Bunch, J., Nelson, B. & Sainsbury, P. (1974) A hundred cases of suicide: clinical aspects. British Journal of Psychiatry, 125, 355–373.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.Google Scholar
Beck, A. T., & Beamesderfer, A. (1974) Assessment of depression: the depression inventory. Modern Problems in Pharmacopsychiatry, 7, 151–169.CrossRefGoogle ScholarPubMed
Beck, A. T., Kovacs, M. & Weissman, A. (1975) Hopelessness and suicidal behavior. Journal of the American Medical Association, 234, 1146–1149.CrossRefGoogle ScholarPubMed
Birtchnell, J. (1970) The relationship between attempted suicide, depression and parent death. British Journal of Psychiatry, 116, 307–313.Google Scholar
Birtchnell, J. & Alarcon, J. (1971) Depression and attempted suicide: a study of 91 cases seen in a casualty department. British Journal of Psychiatry, 118, 289–296.Google Scholar
Bridges, P. K. & Koller, K. M. (1966) Attempted suicide: a comparative study. Comprehensive Psychiatry, 7, 240–247.CrossRefGoogle Scholar
Clarkin, J. F., Friedman, R. C., Hurt, S. W., Corn, R. & Aronoff, M. (1984) Affective and character pathology of suicidal adolescent and young adult inpatients. Journal of Clinical Psychiatry, 45, 19–22.Google ScholarPubMed
Coyne, J. C. & Gotlib, I. H. (1983) The role of cognition in depression: a critical appraisal. Psychological Bulletin, 94, 475–505.Google Scholar
Davies, B., Burrows, G., Poynton, C. (1975) A comparative study of four depression rating scales. Australian and New Zealand Journal of Psychiatry, 9, 21–24.CrossRefGoogle ScholarPubMed
Depue, R. A. & Monroe, S. M. (1978) Learned helplessness in the perspective of the depressive disorders: conceptual and definitional issues. Journal of Abnormal Psychology, 87, 3–20.Google Scholar
Dorpat, T. L. & Ripley, H. S. (1970) A study of suicide in the Seattle area. Comprehensive Psychiatry, 1, 349–359.CrossRefGoogle Scholar
Dyer, J. A. T. & Kreitman, N. (1984) Hopelessness, depression and suicidal intent in parasiticide. British Journal of Psychiatry, 144, 127–133.CrossRefGoogle Scholar
Edwards, J. E. & Whitlock, F. A. (1968) Suicide and attempted suicide in Brisbane. Medical Journal of Australia, 55, 932–938.Google Scholar
Ennis, J., Barnes, R. A. & Kennedy, S. (1985) The dexamethasone suppression test and suicidal patients. British Journal of Psychiatry, 147, 419–423.CrossRefGoogle ScholarPubMed
Farberow, N. L. & Schneidman, E. S. (1961) The Cry for Help. Toronto: McGraw.Google Scholar
Gallagher, D., Breckenbridge, J., Steinmetz, J. & Thompson, L. (1983) The Beck depression inventory and research diagnostic criteria: congruence in an older population. Journal of Consulting & Clinical Psychology, 6, 945–946.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. Toronto: Oxford University Press.Google Scholar
Goldney, R. D., Adam, K. S., O'Brien, J. C. & Termansen, P. (1981) Depression in young women who have attempted suicide: an international replication study. Journal of Affective Disorders, 3, 327–337.CrossRefGoogle ScholarPubMed
Gotlib, I. H. (1984) Depression and general psychopathology in university students. Journal of Abnormal Psychology, 93, 19–30.Google Scholar
Hammen, C. L. (1980) Depression in college students: beyond the Beck depression inventory. Journal of Consulting & Clinical Psychology, 48, 126–128.Google Scholar
Holding, T. A., Buglass, D. B., Duffy, J. C. & Kreitman, N. (1977) Parasuicide in Edinburgh – a seven-year review 1968–1974. British Journal of Psychiatry, 130, 534–543.Google Scholar
Kessel, N. (1965) Self-poisoning – part I. British Medical Journal, ii, 1265–1270.Google Scholar
Kessler, R. C. & McRae, J. A. (1983) Trends in the relationship between sex and attempted suicide. Journal of Health & Social Behaviour, 24, 98–110.Google Scholar
Kreitman, N. (1977) Parasuicide. Toronto: John Wiley.Google Scholar
Minkoff, K., Bergman, E., Beck, A. T. & Beck, R. (1973) Hopelessness, depression, and attempted suicide. American Journal of Psychiatry, 130, 455–459.Google Scholar
Morgan, H. (1975) Death Wishes? The Understanding and Management of Deliberate Self-harm. Toronto: John Wiley.Google Scholar
Newson-Smith, J. G. B. & Hirsch, S. R. (1979) Psychiatric symptoms in self-poisoning patients. Psychological Medicine, 9, 493–500.CrossRefGoogle ScholarPubMed
Praag, H. Van & Plutchik, R. (1985) An empirical study on the ‘cathartic effect’ of attempted suicide. Psychiatry Research, 16, 123–130.Google Scholar
Robins, E. (1981) The Final Months: a Study of the Lives of 134 Persons who Committed Suicide. New York: Oxford University Press.Google Scholar
Roy, A. (1982) Risk factors for suicide in psychiatric patients. Archives of General Psychiatry, 39, 1089–1095.CrossRefGoogle ScholarPubMed
Sacco, W. P. (1981) Invalid use of the Beck depression inventory to identify depressed college-student subjects: a methodological comment. Cognitive Therapy Research, 49, 143–147.Google Scholar
Scott, N. A., Hannum, T. E. & Ghrist, S. L. (1982) Assessment of depression among incarcerated females. Journal of Personality Assessment, 46, 372–389.Google Scholar
Silver, M. A., Bohnert, M., Beck, A. T. & Marcus, D. (1971) Relation of depression of attempted suicide and seriousness of intent. Archives of General Psychiatry, 25, 573–576.Google Scholar
Stengel, E. (1973) Suicide and Attempted Suicide. New York: Penguin.Google Scholar
Urwin, P. & Gibbons, J. L. (1979) Psychiatric diagnosis in self-poisoning patients. Psychological Medicine, 9, 501–507.Google Scholar
Weissman, M. M. (1974) The epidemiology of suicide attempts, 1960–1971. Archives of General Psychiatry, 30, 737–746.CrossRefGoogle Scholar
Woodruff, R. A., Clayton, P. A. & Guze, S. B. (1972) Suicide attempts and psychiatric diagnosis. Diseases of the Nervous System, 33, 617–621.Google ScholarPubMed
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