title: Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania.
abstract: OBJECTIVE
  The aim of this study was to establish prevalence, recognition, and risk factors for mental disorders and suicidal ideation in PC patients.
  
  
  METHODS
  A cross-sectional survey based on standard mental health evaluation.
  
  
  METHODS
  Lithuanian primary care.
  
  
  METHODS
  998 patients from four urban PC clinics.
  
  
  METHODS
  Current mental disorders and suicidal ideation assessed using the Mini International Neuropsychiatric Interview (MINI).
  
  
  RESULTS
  According to the MINI, 27% of patients were diagnosed with at least one current mental disorder. The most common mental disorders were generalized anxiety disorder (18%) and major depressive episode (MDE) (15%), followed by social phobia (3%), panic disorder (3%), and post-traumatic stress disorder (2%). Some 6% of patients reported suicidal ideation. About 70% of patients with current mental disorder had no documented psychiatric diagnosis and about 60% received no psychiatric treatment. Greater adjusted odds for current MDE were associated with being widowed or divorced patients (odds ratio, OR = 1.8, 95% CI 1.2-2.8) and with lower education (OR = 1.6, 95% CI 1.1-2.3), while greater adjusted odds for any current anxiety disorder were found for women (OR = 1.9, 95% CI 1.3-2.8) and for patients with documented insomnia (OR = 2.2, 95% CI 1.2-4.2). Suicidal ideation was independently associated with use of antidepressants (OR = 5.4, 95% CI 1.7-16.9), with current MDE (OR = 2.9, 95% CI 1.5-5.8), and with excessive alcohol consumption (OR = 2.0, 95% CI 1.1-3.8).
  
  
  CONCLUSIONS
  Depression, anxiety disorders, and suicidal ideation are prevalent but poorly recognized among PC patients. The presence of current MDE is independently associated with marital status and with lower education, while current anxiety disorder is associated with female gender and insomnia. Suicidal ideation is associated with current MDE, and with antidepressants and alcohol use.
authors.affiliation: Behavioral Medicine Institute of the Lithuanian University of Health Sciences , Palanga , Lithuania.
authors.forename: Robertas
authors.initials: R
authors.lastname: Bunevicius
authors.forename: Vilma
authors.initials: V
authors.lastname: Liaugaudaite
authors.forename: Jurate
authors.initials: J
authors.lastname: Peceliuniene
authors.forename: Nijole
authors.initials: N
authors.lastname: Raskauskiene
authors.forename: Adomas
authors.initials: A
authors.lastname: Bunevicius
authors.forename: Narseta
authors.initials: N
authors.lastname: Mickuviene
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008097:Lithuania / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D059020:Suicidal Ideation; D014505:Urban Population; D055815:Young Adult