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. 2021 Mar:135:197-202.
doi: 10.1016/j.jpsychires.2021.01.014. Epub 2021 Jan 19.

Treatment-resistant depression and risk of all-cause mortality and suicidality in Danish patients with major depression

Frederikke Hørdam Gronemann  1 , Martin Balslev Jørgensen  2 , Merete Nordentoft  3 , Per Kragh Andersen  4 , Merete Osler  5
Affiliations

Treatment-resistant depression and risk of all-cause mortality and suicidality in Danish patients with major depression

Frederikke Hørdam Gronemann et al. J Psychiatr Res. 2021 Mar.

Abstract

Objective: Treatment-resistant depression (TRD) has been associated with higher mortality and risk of suicide, but this has mainly been showed in few studies which did not include self-harm. The aim was to investigate the association of TRD with all-cause mortality, suicide and self-harm in a nationwide cohort of patients with major depression and explore any differences in relation to patient characteristics.

Methods: First-time hospital contacts for major depression between January 1, 1996 and December 31, 2014 were identified in Danish patient registers (ICD-10: F32 and F33). TRD was defined as two shifts in antidepressant treatment, assessed from one year prior depression diagnosis until one year after. Information on mortality, suicide and self-harm was obtained from Danish registers and associations between TRD and the three prognostic outcomes were analyzed using Cox Proportional Hazard Regression.

Results: TRD was not associated with all-cause mortality the first year of follow-up (adjusted HR (aHR) 1.04, 95% confidence interval (CI) [0.98-1.11]), and the HR for mortality was lower the following 1-5 years. However, TRD was associated with higher rates of suicide (0-1 year: aHR 2.20, 95% CI [1.77-2.74]; 1-5 years: aHR 1.70, 95% CI [1.42-2.03]) and self-harming behavior (0-1 year: aHR 1.51, 95% CI [1.36-1.66]; 1-5 years: aHR 1.59, 95% CI [1.48-1.70]). The above risk estimates varied only slightly across sociodemographic and clinical patient characteristics.

Conclusions: Patients with TRD have higher rates of suicide and self-harm compared with non-TRD patients, whereas there seems to be no increase overall in all-cause mortality - in fact, there was a lower rate at follow-up after 1 year. We found only a few differences in HRs for mortality or suicidality across patient characteristics.

Keywords: Major depressive disorder; Mortality; Self-harm; Suicide; Treatment-resistant depression.

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