Journal Article


Noel Kennedy
Declan M McLoughlin
Matt Murphy
Barkat Masood
Elizabeth A Heron
Thekiso B Thekiso



suicide risk celtic ireland celtic tiger economic recession depression follow up mood disorders suicidal ideation

Mauling of the "Celtic Tiger": clinical characteristics and outcome of first-episode depression secondary to the economic recession in Ireland. (2013)

Abstract There is a dearth of studies describing clinical characteristics and outcome of patients who present with mood disorders related to economic recession. To describe a cohort of patients admitted with first-episode depression related to the Irish economic recession and compare this cohort with all other first-episode depressives admitted during the same time period (2009-2010). A cohort of 137 patients admitted with first-episode depression to an independent university teaching hospital was prospectively identified and followed up from admission over 2 years (mean follow-up 430 days, s.d. 176 days). The cohort was divided into "Celtic Tiger" (patients with first-episode depression secondary to the economic recession) and non-Celtic Tiger control patients (other first-episode depressed patients). Both groups were compared in terms of clinical characteristics at baseline and outcome over follow-up. The number of admissions due to first depressive episodes were higher in recession years 2009/10 than in pre-recession years 2008/9. Celtic Tiger patients were predominantly male and more severely depressed with more marked suicidal ideation (χ(2), p<0.001) than control patients. They were more likely to recover (χ(2), p=0.013), less likely to recur (χ(2), p<0.001) and had faster time to recovery (log rank, p<0.001) and slower time to full recurrence (log rank, p=0.001). The Celtic Tiger patients spent more time asymptomatic and less time at full and subthreshold depression levels over follow-up. Study setting of centre specializing in affective disorders treatment, retrospective nature of follow-up after initial prospective interview and lack of patient follow-up interview. The study describes a subgroup of patients with severe depression associated with economic recession with likely high suicide risk but very favourable outcome.
Collections Ireland -> Trinity College Dublin -> PubMed

Full list of authors on original publication

Noel Kennedy, Declan M McLoughlin, Matt Murphy, Barkat Masood, Elizabeth A Heron, Thekiso B Thekiso

Experts in our system

Declan Mcloughlin
Trinity College Dublin
Total Publications: 54
Elizabeth Heron
Trinity College Dublin
Total Publications: 15