Fatigue on Waking, Insomnia, and Workplace Relationship Problems May Help to Detect Suicidal Ideation among New Middle-Aged Primary Care Patients: A 6-Month Prospective Study in Japan

Megumi Fujieda (), Katsuhisa Uchida, Shinichiro Ikebe, Akihiro Kimura, Masashi Kimura, Toshiaki Watanabe, Hisako Sakamoto, Teruaki Matsumoto and Naohisa Uchimura
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Megumi Fujieda: Department of Neuropsychiatry, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Fukuoka, Japan
Katsuhisa Uchida: Mental Health and Welfare Center of Shizuoka Prefectural Government, 2-20 Ariake-cho, Suruga-ku, Shizuoka-shi 422-8031, Shizuoka, Japan
Shinichiro Ikebe: Fuji Medical Association, 2850 Denbo, Fuji 417-0061, Shizuoka, Japan
Akihiro Kimura: Fuji Medical Association, 2850 Denbo, Fuji 417-0061, Shizuoka, Japan
Masashi Kimura: Fuji Medical Association, 2850 Denbo, Fuji 417-0061, Shizuoka, Japan
Toshiaki Watanabe: Fuji Medical Association, 2850 Denbo, Fuji 417-0061, Shizuoka, Japan
Hisako Sakamoto: Mental Health and Welfare Center of Shizuoka Prefectural Government, 2-20 Ariake-cho, Suruga-ku, Shizuoka-shi 422-8031, Shizuoka, Japan
Teruaki Matsumoto: Shizuoka General Hospital, 4-27-1 Kitaando, Aoi-ku, Shizuoka-shi 420-8527, Shizuoka, Japan
Naohisa Uchimura: Department of Neuropsychiatry, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Fukuoka, Japan

IJERPH, 2023, vol. 20, issue 8, 1-17

Abstract: Signs of suicidal depression often go undetected in primary care settings. This study explored predictive factors for depression with suicidal ideation (DSI) among middle-aged primary care patients at 6 months after an initial clinic visit. New patients aged 35–64 years were recruited from internal medicine clinics in Japan. Baseline characteristics were elicited using self-administered and physician questionnaires. DSI was evaluated using the Zung Self-Rating Depression Scale and the Profile of Mood States at enrollment and 6 months later. Multiple logistic regression analysis was conducted to calculate adjusted odds ratios for DSI. Sensitivity, specificity, and likelihood ratios for associated factors were calculated. Among 387 patients, 13 (3.4%) were assessed as having DSI at 6 months. Adjusted for sex, age, and related factors, significant odds ratios for DSI were observed for “fatigue on waking ≥1/month” (7.90, 95% confidence intervals: 1.06–58.7), “fatigue on waking ≥1/week” (6.79, 1.02–45.1), “poor sleep status” (8.19, 1.05–63.8), and “relationship problems in the workplace” (4.24, 1.00–17.9). Fatigue on waking, sleep status, and workplace relationship problems may help predict DSI in primary care. Because the sample size in this investigation was small, further studies with larger samples are needed to confirm our findings.

Keywords: diagnosis; epidemiology; fatigue; insomnia; internal medicine; suicide prevention campaign (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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