From the Weill Medical College, Cornell University, White Plains, NY.
Probability of suicidal ideation as a function of depression (N = 354). Fitted values are shown for low (10th percentile), moderate (50th percentile), and high (90th percentile) levels of social support and seriousness of suicidal intent during previous suicide attempts. Suicidal ideation was rated with the Hamilton Depression Rating Scale suicide item (present vs absent); severity of depression was assessed by the Hamilton Depression Rating Scale total score minus the suicide item. Social support was assessed with a multiphasic assessment instrument. Suicidal intent was assessed with the Schedule for Affective Disorders and Schizophrenia.
Mean level of suicidal ideation, observed vs predicted (N = 308). Suicidal ideation was rated with the Hamilton Depression Rating Scale suicide item; severity of depression was assessed by the Hamilton Depression Rating Scale total score minus the suicide item. Disability, medical burden, and social support were assessed with the Philadelphia Multiphasic Assessment Instrument. The concordance correlation (C) measure evaluated the goodness of fit estimated by predicative models to fluctuations of observed suicidal ideation.
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The Rational Clinical Examination
Make the Diagnosis: Depression
The Rational Clinical Examination
Original Article: Is This Patient Clinically Depressed?
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