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Psychotic (delusional) depression and completed suicide: a systematic review and meta-analysis

Overview of attention for article published in Annals of General Psychiatry, September 2018
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (80th percentile)

Mentioned by

blogs
1 blog
twitter
4 tweeters

Citations

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14 Dimensions

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34 Mendeley
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Title
Psychotic (delusional) depression and completed suicide: a systematic review and meta-analysis
Published in
Annals of General Psychiatry, September 2018
DOI 10.1186/s12991-018-0207-1
Pubmed ID
Authors

Rossetos Gournellis, Kalliopi Tournikioti, Giota Touloumi, Christos Thomadakis, Panayiota G. Michalopoulou, Ioannis Michopoulos, Christos Christodoulou, Athanasia Papadopoulou, Athanasios Douzenis

Abstract

It remains unclear whether psychotic features increase the risk of completed suicides in unipolar depression. The present systematic review coupled with a meta-analysis attempts to elucidate whether unipolar psychotic major depression (PMD) compared to non-PMD presents higher rates of suicides. A systematic search was conducted in Scopus, PubMed, and "gray literature" for all studies providing data on completed suicides in PMD compared to non-PMD, and the findings were then subjected to meta-analysis. All articles were independently extracted by two authors using predefined data fields. Nine studies with 33,873 patients, among them 828 suicides, met our inclusion criteria. PMD compared to non-PMD presented a higher lifetime risk of completed suicides with fixed-effect pooled OR 1.21 (95% CI 1.04-1.40). In a sub-analysis excluding a very large study (weight = 86.62%), and comparing 681 PMD to 2106 non-PMD patients, an even higher pooled OR was found [fixed-effect OR 1.69 (95% CI 1.16-2.45)]. Our meta-analysis may provide evidence that the presence of psychosis increases the risk of suicide in patients suffering from severe depression. The data are inconclusive on the contribution of age, mood congruence, comorbidity, and suicide method on PMD's suicide risk. The lack of accurate diagnosis at the time of suicide, PMD's diagnostic instability, and the use of ICD-10 criteria constitute the main study limitations. The presence of psychosis in major depression should alert clinicians for the increased risk of completed suicide. Thus, the implementation of an effective treatment both for psychotic depression and patients' suicidality constitutes a supreme priority.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 32%
Student > Bachelor 5 15%
Other 3 9%
Student > Postgraduate 2 6%
Student > Doctoral Student 2 6%
Other 4 12%
Unknown 7 21%
Readers by discipline Count As %
Nursing and Health Professions 7 21%
Psychology 6 18%
Medicine and Dentistry 6 18%
Computer Science 2 6%
Social Sciences 2 6%
Other 4 12%
Unknown 7 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 March 2019.
All research outputs
#1,796,510
of 14,561,844 outputs
Outputs from Annals of General Psychiatry
#54
of 356 outputs
Outputs of similar age
#52,884
of 274,312 outputs
Outputs of similar age from Annals of General Psychiatry
#1
of 1 outputs
Altmetric has tracked 14,561,844 research outputs across all sources so far. Compared to these this one has done well and is in the 87th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 356 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one has done well, scoring higher than 84% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 274,312 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 80% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them