ERIC Number: EJ1020587
Record Type: Journal
Publication Date: 2014-Jan
Abstractor: As Provided
Reference Count: 56
Uncomplicated Depression, Suicide Attempt, and the DSM-5 Bereavement Exclusion Debate: An Empirical Evaluation
Wakefield, Jerome C.; Schmitz, Mark F.
Research on Social Work Practice, v24 n1 p37-49 Jan 2014
Purpose: To evaluate the claim, made repeatedly during "Diagnostic and Statistical Manual of Mental Disorders", Fifth Edition debates over eliminating the bereavement exclusion (BE), that ''uncomplicated'' depressive reactions have elevated suicidality like other major depressive disorder (MDD), so exclusions risk missing suicidal cases. Method:We found no published evidence assessing suicide risk specifically in uncomplicated depression. Using data from four epidemiological surveys, we calculated suicide attempt rates both concurrently and predictively for those with histories of no MDD, uncomplicated MDD, and standard MDD. Results: Both concurrently and predictively, uncomplicated MDD suicide attempt rates were no greater than no-MDD history rates and less than standard MDD rates. Discussion: Excluding uncomplicated cases from MDD poses no risk of missing elevated suicidal rates typical of depression. The ''suicide'' argument used to support BE elimination was spurious.
Descriptors: Mental Disorders, Depression (Psychology), At Risk Persons, Suicide, Epidemiology, Surveys, Self Destructive Behavior, Grief, Correlation, Psychological Patterns, Validity, Comorbidity, Longitudinal Studies, Clinical Diagnosis, Gender Differences, Age Differences
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
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