{"id":6769,"date":"2014-07-14T00:47:00","date_gmt":"2014-07-14T00:47:00","guid":{"rendered":"http:\/\/dwarkaparichay.com\/blog\/2014\/07\/all-about-depression\/"},"modified":"2018-06-04T16:31:40","modified_gmt":"2018-06-04T16:31:40","slug":"all-about-depression","status":"publish","type":"post","link":"https:\/\/dwarkaparichay.com\/blog\/all-about-depression\/","title":{"rendered":"All about depression"},"content":{"rendered":"
\n<\/p>\n
\n<\/a><\/div>\n

Dr KK Aggarwal  <\/i><\/b>
\nPadma Shri and Dr B C Roy National Awardee
President, Heart Care Foundation of India<\/b><\/p>\n

Depression is a major public health problem as a leading predictor of functional disability and mortality.
\nOptimal depression treatment improves outcome for most patients.
\nMost adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
\nA non\u2013psychiatrist physician misses the diagnosis of the depression 50% of times.
\nAll depressed patients must be enquired specifically about suicidal ideations.
\nSuicidal ideation is a medical emergency
\nRisk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts, or family history of attempted suicide.
\nDemographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
\nWorld over about 1 million people commit suicide every year.
\nSeventy\u2013nine percent of patients who commit suicide contact their primary care provider in the last one year before their death and only one\u2013third contact their mental health service provider.
\nTwice as many suicidal victims had contacted with their primary care provider as against the mental health provider in the last month before suicide.
\nSuicide is the 10th leading cause of death worldwide and account for 1.2% of all deaths.
\nIn US suicidal rate is 10.5 per 100,000 people.
\nIn America suicide is increasing in middle aged adults.
\nThere are 10\u201340 non\u2013fatal suicide attempts for every one completed suicide.
\nThe majority of suicides completed in US are accomplished with fire arm (57%); the second leading method of suicide in US is hanging for men and poisoning in women.
\nPatients with prior history of attempted suicide are 5\u20136 times more likely to make another attempt.
\nFifty percent of successful victims have made prior attempts.
\nOne of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
\nThe risk of suicide increases with increase in age; however, younger and adolescents attempt suicide more than the older.
\nFemales attempt suicide more frequently than males but males are successful three times more often.
\nThe highest suicidal rate is amongst those individuals who are unmarried followed by widowed, separated, divorced, married without children and married with children in descending order.
\nLiving alone increases the risk of suicide.
\nUnemployed and unskilled patients are at higher risk of suicide than those who are employed.
\nA recent sense of failure may lead to higher risk.
\nClinicians are at higher risk of suicide.
\nThe suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
\nAdverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
\nThe first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
\nManagement of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
\nMajor risk for suicidal attempts is in psychiatric disorders, hopelessness and prior suicidal attempts or threats.
\nHigh impulsivity or alcohol or other substance abuse increase the risk.<\/div>\n","protected":false},"excerpt":{"rendered":"

Dr KK Aggarwal   Padma Shri and Dr B C Roy National AwardeePresident, Heart Care Foundation of India Depression is a major public health problem as a leading predictor of functional disability and mortality. Optimal depression treatment improves outcome for most patients. Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician. A non\u2013psychiatrist physician misses the diagnosis of the depression 50% of times. All depressed patients must be enquired specifically about suicidal ideations. Suicidal ideation is a medical emergency Risk factors for suicide are psychiatric known disorders, medical illness, <\/p>\n","protected":false},"author":1,"featured_media":32768,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[80,1879],"class_list":["post-6769","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-update","tag-health","tag-update","has_thumb"],"_links":{"self":[{"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/posts\/6769","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/comments?post=6769"}],"version-history":[{"count":1,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/posts\/6769\/revisions"}],"predecessor-version":[{"id":32769,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/posts\/6769\/revisions\/32769"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/media\/32768"}],"wp:attachment":[{"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/media?parent=6769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/categories?post=6769"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dwarkaparichay.com\/blog\/wp-json\/wp\/v2\/tags?post=6769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}