This 6-month, naturalistic cohort study examines male and female inpatients aged 18 to 75 years i) with any form of unipolar depressive episode (cohort 1); ii) clinical diagnosis of a moderate or severe unipolar depressive episode and suicidal tendencies who agree to participate in a prospective study (cohort 2); and moderate or severe unipolar depressive episodes validated by research interviews and and suicidal tendencies that persist for at least 48 hours after admission who are followed up for 6 months (cohort 3).
Epidemiological cross-sectional study in over 3000 inpatients with a clinical diagnosis of major depressive disorder, validation of the clinical diagnosis in 520 patients, and prospective naturalistic 6-month follow-up study of 260 adults with a research interview-confirmed major depressive disorder, with data collection at the following points: at T0 = time of hospitalization (epidemiological study population 1 with data from clinical routine practice), at time T1 of baseline survey in patients with persistent suicidal tendencies, i.e. at least 48 hours after T0 (study population 2 as a subgroup of study population 1, with study information and consent), and in study population 3 (subgroup of study population 2, with study information and consent) at the time of discharge (T2), 3 months after admission to hospital (T3/ by telephone) and 6 months after inpatient admission (T4). The aim of the study is to characterize the remission or recurrence of suicidal symptoms in the context of a depressive episode. It is expected that the results will help to improve the understanding of the disease process and the further development of effective intervention options.
Study Type
OBSERVATIONAL
Enrollment
3,331
Charité
Mitte, Germany
RECRUITINGSheehan Suicidality Tracking Scale (S-STS)
Interview for Suicidality, Suicidal Behavior and Suicide Attempts, the higher the value the worse the outcome, the values can range from 0- 156
Time frame: 20 min
Mini-International Neuropsychiatric Interview (M.I.N.I.)
Semi-structured interview for research diagnosis
Time frame: 40 min
Clinical Global Impression of Resolution Suicide Risk (CGI-SR-R)
One Question rated by an interviewer
Time frame: 1 min
Clinical Global Impression of Imminent Suicide Risk (CGI-SR-I)
One Question rated by an interviewer
Time frame: 1 min
Clinical Global Impression - Severity (CGI-S)
One Question about severity of illness, rated by an interviewer
Time frame: 1 min
Clinical Global Impression - Change (CGI-C)
One Question about change of the symptoms rated by an interviewer
Time frame: 1 min
Young Mania Rating Scale (YMRS)
Structured Interview for Mania Symptoms
Time frame: 20 min
Montgomery-Asberg Depression Rating Scale (MADRS)
Structured Interview for Symptoms of Depression
Time frame: 20 min
Service Use and Resource Form (SURF)
Structured Interview for Service Use of the health care system
Time frame: 30 min
Adherence Questions
Semi Structured Interview for Adherence of Antipsychotics
Time frame: 5 min
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