Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand

Background: Depression is a common mental illness among elderly Thais, but little is known about the occurrence of major depressive disorders (MDD) in long-term care (LTC) facilities. This study investigated the prevalence of MDD and suicide risk among residents in an LTC facility in northern Thaila...

Full description

Saved in:
Bibliographic Details
Main Authors: Nahathai Wongpakaran, Tinakon Wongpakaran
Format: Journal
Published: 2018
Subjects:
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84858383285&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/51931
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-51931
record_format dspace
spelling th-cmuir.6653943832-519312018-09-04T06:12:57Z Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand Nahathai Wongpakaran Tinakon Wongpakaran Medicine Nursing Background: Depression is a common mental illness among elderly Thais, but little is known about the occurrence of major depressive disorders (MDD) in long-term care (LTC) facilities. This study investigated the prevalence of MDD and suicide risk among residents in an LTC facility in northern Thailand. Methods: For this cross-sectional study, a care team conducted a screening program for MDD and suicide risk among LTC residents in 2011. The screening process used the Mini International Neuropsychiatric Interview, the Geriatric Depression Scale-15, the patient and caregiver versions of the Cornell Scale for Depression in Dementia, the Core Symptom Index and the Mini Mental State Examination. Results: In total, 81 (of 113) residents participated in the study. The mean age was 76.96 ± 7.17years old (range, 63-94), and 55.6% of participants were women. With the Mini Mental State Examination, 40.7% were found to have cognitive impairment, and with the Mini International Neuropsychiatric Interview, 23.5% met the criteria for current major depressive episodes. Though the majority was in the low-risk group, 26 residents (32.1%) were reported as being at risk of suicide. The patient and caregiver versions of the Cornell Scale for Depression in Dementia, the Geriatric Depression Scale-15 and the Core Symptom Index proved useful for predicting major depressive episodes among the residents (P < 0.001, P= 0.004, P= 0.001 and P < 0.001, respectively), including those with cognitive impairment (P= 0.006, P= 0.020, P= 0.049 and P= 0.012, respectively). Conclusions: Nearly one-quarter of LTC facility residents were found to suffer from MDD, and a suicide risk was reported for one-third, though most of the cases were in the low-risk category. Further studies with a larger sample size are recommended to make these findings more precise and universally applicable. © 2012 The Authors. Psychogeriatrics © 2012 Japanese Psychogeriatric Society. 2018-09-04T06:11:50Z 2018-09-04T06:11:50Z 2012-03-01 Journal 14798301 13463500 2-s2.0-84858383285 10.1111/j.1479-8301.2011.00383.x https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84858383285&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/51931
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
Nursing
spellingShingle Medicine
Nursing
Nahathai Wongpakaran
Tinakon Wongpakaran
Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
description Background: Depression is a common mental illness among elderly Thais, but little is known about the occurrence of major depressive disorders (MDD) in long-term care (LTC) facilities. This study investigated the prevalence of MDD and suicide risk among residents in an LTC facility in northern Thailand. Methods: For this cross-sectional study, a care team conducted a screening program for MDD and suicide risk among LTC residents in 2011. The screening process used the Mini International Neuropsychiatric Interview, the Geriatric Depression Scale-15, the patient and caregiver versions of the Cornell Scale for Depression in Dementia, the Core Symptom Index and the Mini Mental State Examination. Results: In total, 81 (of 113) residents participated in the study. The mean age was 76.96 ± 7.17years old (range, 63-94), and 55.6% of participants were women. With the Mini Mental State Examination, 40.7% were found to have cognitive impairment, and with the Mini International Neuropsychiatric Interview, 23.5% met the criteria for current major depressive episodes. Though the majority was in the low-risk group, 26 residents (32.1%) were reported as being at risk of suicide. The patient and caregiver versions of the Cornell Scale for Depression in Dementia, the Geriatric Depression Scale-15 and the Core Symptom Index proved useful for predicting major depressive episodes among the residents (P < 0.001, P= 0.004, P= 0.001 and P < 0.001, respectively), including those with cognitive impairment (P= 0.006, P= 0.020, P= 0.049 and P= 0.012, respectively). Conclusions: Nearly one-quarter of LTC facility residents were found to suffer from MDD, and a suicide risk was reported for one-third, though most of the cases were in the low-risk category. Further studies with a larger sample size are recommended to make these findings more precise and universally applicable. © 2012 The Authors. Psychogeriatrics © 2012 Japanese Psychogeriatric Society.
format Journal
author Nahathai Wongpakaran
Tinakon Wongpakaran
author_facet Nahathai Wongpakaran
Tinakon Wongpakaran
author_sort Nahathai Wongpakaran
title Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
title_short Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
title_full Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
title_fullStr Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
title_full_unstemmed Prevalence of major depressive disorders and suicide in long-term care facilities: A report from northern Thailand
title_sort prevalence of major depressive disorders and suicide in long-term care facilities: a report from northern thailand
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84858383285&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/51931
_version_ 1681423858844827648