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Journal of Affective Disorders
Article . 2025
License: taverne
Data sources: Pure Amsterdam UMC
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Journal of Affective Disorders
Article . 2025 . Peer-reviewed
License: Elsevier TDM
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Six-year course over time and predictors of suicidal ideation in depressed older patients

Authors: Zuidersma, Marij; de Vries, Ymkje Anna; Bogers, Ista C. H. M.; Rhebergen, Didi; Oude Voshaar, Richard C.;

Six-year course over time and predictors of suicidal ideation in depressed older patients

Abstract

It is important to know predictors of long-term course over time of suicidal thoughts and ideation in depressed older persons.In this study, 378 depressed older persons were interviewed at baseline, and after 2 and 6 years to evaluate the presence of depressive disorder. The Inventory of Depressive Symptomatology (IDS) was administered every 6 months for 6 years. Latent Class Growth Analysis was performed on the IDS item on suicidal ideation to identify subgroups with different trajectories.Five subgroups with suicidal ideation trajectories were identified: 1) severe, transient (10.9 %), 2) severe, persisting (8.0 %), 3) mild, but increasing (14.9 %), 4) moderate, persisting (35.6 %), and 5) no thoughts (30.6 %). Mixed model analysis showed that trajectories were related to 6-year course of depressive symptoms. Yet, suicidal ideation or thoughts of loss of meaning of life were still present in 22.7 % and 17.4 % of those who remitted after 2 and 6 years. Independent of baseline depressive symptom severity, loneliness, childhood trauma, history of suicidal ideation or attempt, openness to experience, earlier age of depression onset, anxiety symptom severity and worse mastery predicted worse trajectories.47 % dropped out at 6-years follow-up, we did not distinguish between thoughts of death and suicide, we did not assess death by suicide.Although trajectories of suicidal ideation and thoughts of loss of meaning of life were strongly related to the course of depression severity, they also appear after remission. Clinicians should be vigilant for suicidal ideation or death wish, even after remission of depression.

Keywords

Male, Psychiatric Status Rating Scales, Aged, 80 and over, Depressive Disorder, Depressive Disorder, Major, Depression, Old age psychiatry, Suicide, Attempted, Middle Aged, Severity of Illness Index, Latent class growth analysis, Thoughts of death, Trajectories, Suicidal Ideation, Risk Factors, Humans, Female, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
hybrid
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