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Eudor-a: a Naturalistic, European Multi-centre Clinical Study of Edor Test in Adult Patients with Primary Depression

Published online by Cambridge University Press:  15 April 2020

M. Sarchiapone
Affiliation:
Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
M. Iosue
Affiliation:
Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
M. Amore
Affiliation:
Department of Neuroscience DINOGMI, University of Genoa, Genoa, Italy
E. Baca-Garcia
Affiliation:
Department of Psychiatry, Fundacion Jimenez Diaz University Hospital, Madrid, Spain
A. Batra
Affiliation:
Department of Psychiatry and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany
S. Bauer
Affiliation:
Department of Psychiatry, Landeskrankenhaus Rankweil, Rankweil, Austria
D. Cosman
Affiliation:
Department of Clinical Psychology and Mental Health, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
P. Courtet
Affiliation:
Department of Psychiatry and Medical Psychology, University Hospital of Montpellier, Montpellier, France
G. Di Sciascio
Affiliation:
Department of Psychiatry, University of Bari, Bari, Italy
P. Girardi
Affiliation:
Department of Psychiatry, Sapienza University, Rome, Italy
R. Gusmão
Affiliation:
Department of Psychiatry, Egas Moniz Hospital, Lisbon, Portugal
W. Kaschka
Affiliation:
Zentrum für Psychiatrie Südwürttemberg, Zentrum für Psychiatrie Südwürttemberg, Ravensburg, Germany
T. Parnowski
Affiliation:
II Klinika Psychiatryczna, Instytut Psychiatrii i Neurologii, Warsaw, Poland
Z. Rihmer
Affiliation:
National Institute of Psychiatry and Addictions, National Institute of Psychiatry and Addictions, Budapest, Hungary
P. Saiz
Affiliation:
Department of Psychiatry, University of Oviedo, Oviedo, Spain
J. Thome
Affiliation:
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsmedizin Rostock, Rostock, Germany
A. Tingström
Affiliation:
Department of Psychiatry, Lund University, Lund, Sweden
M. Wojnar
Affiliation:
First Psychiatric Clinic, Medical University of Warsaw, Warsaw, Poland
P. Zeppegno
Affiliation:
Department of Psychiatry, “Amedeo Avogadro” Piemonte Orientale University, Novara, Italy
L.H. Thorell
Affiliation:
EMOTRA AB, EMOTRA AB, Götheborg, Sweden
C. Holmberg
Affiliation:
EMOTRA AB, EMOTRA AB, Götheborg, Sweden

Abstract

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Introduction

Previous findings suggested that electrodermal hyporeactivity has a high sensitivity (up to 97%) and high raw specificity (up to 98%) for suicide.

Aim

To evaluate prevalence, sensitivity and specificity of electrodermal hyporeactivity for suicide and suicide attempt, with and without death intent and with violent method or not, in adult patients with a primary diagnosis of depression.

Methods

At each study site at least 100 patients with a primary diagnosis of depression, also in remission, will be recruited. Depressive symptomatology will be evaluated through the Montgomery-Asberg Depression Scale. Previous suicide attempts will be registered and the death intent of the worst attempt will be rated according to the first eight items of the Beck Suicide Intent Scale. The risk of suicide will be assessed according to rules and traditions at the centre. The EDOR Test (ElectroDermal Orienting Reactivity) will be performed. Two fingers are put on gold electrodes. Through headphones a moderately strong tone is presented now and then during the test. Sensors located within the electrodes are able to register the electrodermal response to those tones, measuring the skin conductance (i.e. electrodermal activity from sweat gland activity). Each patient will be followed up for one year for actions of intentional self-harm that require medical care and for suicide. The death intent will also be rated.

Expected results

It is expected that the EDOR test detects a previously unknown neuropsychological dysfunction that is independent of the depressive state and can predict suicidality with a high sensitivity and specificity.

Type
Article: 1817
Copyright
Copyright © European Psychiatric Association 2015
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