title: [Screening of depression in primary care in Hungary and its importance in suicide prevention].
abstract: The current prevalence of DSM-IV depressive disorders were surveyed among 984 primary care attendees in 6 PCPs in Hungary, using the Beck Depression Inventory (BDI) and the PRIME-MD screening instrument. The current prevalence rate of any DSM-IV depressive disorders, including symptomatic major depressive episode (MDE) were 18.5% and 7.3% respectively. BDI identified any current depressive disorders with 95% sensitivity and 56% specificity and the same figures for MDE were 83% and 23%, respectively. Current MDE was found 50% of patients with positive family history of suicide, comparing to the 14.3% of those without. The BDI and the PRIME-MD are useful screening tools for detecting depressive disorders in PCPs. Family history of completed suicide as a clinical marker could improve suicide prevention through the more effective management of MDE in primary care.
authors.affiliation: Semmelweis Egyetem AOK, Klinikai es Kutatasi Mentalhigienes Osztaly, Budapest, Hungary. rihmerz@kut.sote.hu
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Rihmer
authors.forename: Xénia
authors.initials: X
authors.lastname: Gonda
authors.forename: Ajándék
authors.initials: A
authors.lastname: Eôry
authors.forename: László
authors.initials: L
authors.lastname: Kalabay
authors.forename: Péter
authors.initials: P
authors.lastname: Torzsa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology*; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000379:methods / Q000592:standards / Q000639:trends; D011322:Primary Prevention / Q000379:methods; D011569:Psychiatric Status Rating Scales; D012680:Sensitivity and Specificity; D000092864:Suicide Prevention