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Original study| Volume 8, ISSUE 5, P318-321, June 2007

Depression and Mortality in Elders Referred for Geriatric Psychiatry Consultation

  • Donald R. Royall
    Correspondence
    Address correspondence to Donald R. Royall, MD, Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.
    Affiliations
    Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, TX

    Department of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX

    Department of Pharmacology, The University of Texas Health Science Center at San Antonio, San Antonio, TX

    South Texas Veterans Audie L. Murphy Division Geriatric Research Education and Clinical Center (GRECC) San Antonio, TX.
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  • Jason E. Schillerstrom
    Affiliations
    Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, TX
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  • Paul K. Piper
    Affiliations
    Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, TX
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  • Laura K. Chiodo
    Affiliations
    Department of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX
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      Objective

      The association between depressive symptoms and mortality was assessed in a 7-year longitudinal follow-up of subjects referred for geropsychiatric consultation.

      Methods

      The medical records of 89 referrals were reviewed. Survival analysis was performed on subjects stratified by Geriatric Depression Scale (GDS) and residential status.

      Results

      Fifty percent of subjects with GDS > 6 (n = 28) died by 19 months versus 54 months for subjects with GDS < 7 (n = 61) (χ2 = 13.2, df = 1, P < .001). GDS, medical burden, age, and gender were independently associated with survival.

      Conclusions

      GDS scores greater than 6 are associated with increased risk of mortality in elders referred for geropsychiatric consultation.

      Keywords

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