The Dexamethasone Suppression Test and Suicidal Patients

1985 ◽  
Vol 147 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Jon Ennis ◽  
Rosemary A. Barnes ◽  
Sidney Kennedy

The dexamethasone suppression test (DST) was used in an in-patient crisis unit to determine whether the test could identify suicidal patients who might benefit from tricyclic antidepressants. DST results, DSM-III diagnoses, and measures of symptom levels were obtained for 72 patients admitted for a 3–5 day period; 31 were non-suppressors. Abnormal DST results were not related to DSM-III diagnosis or to scores on measures of depression and symptom levels. Only three patients met DSM-III criteria for major depression with melancholia; 26 patients had a diagnosis of alcohol or substance abuse. The poor specificity of the DST in this patient population suggests that its routine use in such patients could be highly misleading.

1992 ◽  
Vol 44 (1) ◽  
pp. 9-20 ◽  
Author(s):  
Gabor I. Keitner ◽  
Christine E. Ryan ◽  
Robert Kohn ◽  
Ivan W. Miller ◽  
William H. Norman ◽  
...  

Depression ◽  
1993 ◽  
Vol 1 (3) ◽  
pp. 133-136 ◽  
Author(s):  
K. Ranga R. Krishnan ◽  
Krishnaiah Rayasam ◽  
Deborah Reed ◽  
Mark Smith ◽  
Phillip Chapell ◽  
...  

1993 ◽  
Vol 3 (3) ◽  
pp. 338-339
Author(s):  
Ph.P. Hubain ◽  
L. Staner ◽  
M. Dramaix ◽  
M. Kerkhofs ◽  
C. Van Veeren ◽  
...  

1989 ◽  
Vol 34 (7) ◽  
pp. 707-709 ◽  
Author(s):  
Sidney H. Kennedy ◽  
Paul E. Garfinkel ◽  
Stephen Stokl ◽  
Carrol A. Whynot

In a prospective study of 28 subjects with major depression, weight was significantly related to nonsuppression in the dexamethasone suppression test (DST) on admission and seven days later. However, changes in weight between these two times did not alter the DST status.


1984 ◽  
Vol 18 (4) ◽  
pp. 374-377 ◽  
Author(s):  
H. A. Whiteford ◽  
Larry Evans

The tricyclic antidepressants and the monoamine oxidase inhibitors have been shown to be effective in the treatment of some patients with phobic and panic disorders. To explain this action it has been suggested that a number of these patients may have an atypical biological depression. In an attempt to test this hypothesis we used the dexamethasone suppression test (DST), which has been proposed as a state dependent biological marker of depression. We compared the non-suppression rate of agoraphobic patients suffering panic attacks with controls and with patients suffering major depression. Twenty-nine per cent of the agoraphobics showed non-suppression compared with 12% of the control group and 64% of the depressives.


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