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Death by suicide long after electroconvulsive therapy : is the sense of coherence test of Antonovsky a predictor of mortality from depression?

Berg, John Erik
Journal article, Peer reviewed
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URI
https://hdl.handle.net/10642/623
Date
2010-02-11
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  • HV - Institutt for rehabiliteringsvitenskap og helseteknologi [465]
Original version
Berg, J.E. (2010). Death by suicide long after electroconvulsive therapy : is the sense of coherence test of Antonovsky a predictor of mortality from depression?. Mental Illness, 2 (3), 11-15   http://dx.doi.org/10.4081/mi.2010.e3
Abstract
Prediction of increased risk of suicide is difficult.

We had the opportunity to follow up 20

patients receiving electroconvulsive therapy

(ECT) because of severe depression. They

filled in the Antonovsky sense of coherence

test (SOC) and Beck depression inventory

(BDI) before and after a series of ECT treatments.

Seventeen surviving patients had a

mean observation time of 20.6 months, whereas

the three deceased patients had 11.3

months. There was a lower mean age at onset

of illness and a longer mean duration of disease

in the deceased. Other clinical parameters

did not differ. The surviving patients had a

significant decrease on the BDI from 35 to 18

(P<0.001) and an increase on the SOC test

after ECT from 2.45 to 3.19 (P<0.001), indicating

both less depression and better functioning

in life. The deceased had a larger change

on the BDI from 32 to 13, not attaining significance

because of the low number of deceased.

The SOC test, however, did not increase to a

purported normal level; that is, from 2.43 to

2.87. Although the SOC scale has been shown

to predict mortality in substance abusers, the

SOC test has not been part of earlier reviews of

predictive power. Tentatively, a low pathological

score on the SOC test may indicate low

sense of coherence in life that might increase

the propensity for suicide. These preliminary

results need replication in larger studies.
Publisher
PAGEpress
Series
Mental Illness;2 (3)

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