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      Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis.

      1 ,
      The British journal of dermatology
      Wiley

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          Abstract

          We examined the prevalence of depression (measured by the Carroll Rating Scale for Depression, CRSD), wishes to be dead and acute suicidal ideation among 480 patients with dermatological disorders that may be cosmetically disfiguring, i.e. non-cystic facial acne (n = 72; 5.6% suicidal ideation), alopecia areata (n = 45; 0% suicidal ideation), atopic dermatitis (n = 146; 2.1% suicidal ideation) and psoriasis (79 outpatients, 2.5% suicidal ideation and 138 inpatients, 7.2% suicidal ideation). Analysis of variance revealed that the severely affected psoriasis inpatients (mean +/- SD total body surface area affected: 52 +/- 23.4%) had the highest (P < 0.05) CRSD score, followed by the patients with mild to moderate acne; both scores were in the range for clinical depression (CRSD score > 10). The 5.6-7.2% prevalence of active suicidal ideation among the psoriasis and acne patients was higher than the 2.4-3.3% prevalence reported among general medical patients. Our findings highlight the importance of recognizing psychiatric comorbidity, especially depression, among dermatology patients and indicate that in some instances even clinically mild to moderate disease such as non-cystic facial acne can be associated with significant depression and suicidal ideation.

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          Author and article information

          Journal
          Br J Dermatol
          The British journal of dermatology
          Wiley
          0007-0963
          0007-0963
          Nov 1998
          : 139
          : 5
          Affiliations
          [1 ] Department of Psychiatry, University of Western Ontario, London, Ontario, Canada.magupta@julian.uwo.ca
          Article
          10.1046/j.1365-2133.1998.02511.x
          9892952
          99cd9d26-b563-477b-a292-f1c5d6cc76f6
          History

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