Research Article

Depression Symptoms and Risk Factors in Adult Emergency Department Patients: A Multisite Cross-Sectional Prevalence Survey

Table 5

Association of clinical and demographic factors to the outcome of the PHQ-9 (data are number and percentage unless otherwise specified).

Negative screenPositive screen value

Variable
Age, median (IQR)51.0 (33.0–69.0)42.0 (30.5–60.0)0.066
Gender (male) 158 (52.7%)26 (52.0%)1.000
Country of birth (Australia)208 (69.3%)40 (80.0%)0.552
Marital status
 Married117 (39.0%)17 (34.0%)0.293
 Single/never married107 (35.7%)24 (48.0%)
 Widowed32 (10.7%)1 (2.0%)
 Separated/divorced27 (9.0%)5 (10.0%)
 De facto14 (4.7%)3 (6.0%)
 Unknown3 (1.0%)0 (0.0%)
Concession card holder106 (35.3%)15 (30.0%)0.523
Arrival mode (ambulance)129 (43.0%)21 (42.0%)1.000
Triage category
 19 (3.0%)1 (2.0%)0.545
 236 (12.0%)8 (16.0%)
 3122 (40.7%)17 (34.0%)
 4115 (38.3%)23 (46.0%)
 518 (6.0%)1 (2.0%)
Presenting complaint (abdominal pain)43 (14.3%)5 (10.0%)0.410
Diagnosis (musculoskeletal)67 (22.3%)9 (18.0%)<0.001
ED length of stay, median (IQR)296.0 (189.3–450.8)301.5 (211.0–487.5)0.440
Further admission222 (74.0%)35 (70.0%)0.604

SCQ
Heart disease61 (20.3%)9 (18.0%)0.849
High blood pressure89 (29.7%)13 (26.0%)0.737
Lung disease68 (22.7%)14 (28.0%)0.470
Diabetes33 (11.0%)5 (10.0%)1.000
Ulcer or stomach disease79 (26.3%)16 (32.0%)0.396
Kidney disease37 (12.3%)7 (14.0%)0.817
Liver disease10 (3.3%)10 (20.0%)<0.001
Anaemia or other blood conditions44 (14.7%)12 (24.0%)0.099
Cancer44 (14.7%)5 (10.0%)0.510
Depression77 (25.7%)42 (84.0%)<0.001
Osteo/degenerative arthritis96 (32.0%)14 (28.0%)0.625
Back pain143 (47.7%)30 (60.0%)0.127
Rheumatoid arthritis15 (5.0%)2 (4.0%)1.000
Other medical problems178 (59.3%)32 (64.0%)0.640

Personal and family history survey
Depression diagnosis73 (24.3%)41 (82.0%)<0.001
Other mood disorder diagnoses3 (1.0%)3 (6.0%)0.040
Anxiety diagnosis88 (29.3%)35 (70.0%)<0.001
Other mental illness diagnoses3 (1.0%)4 (8.0%)0.009
Use of antidepressant33 (11.0%)21 (42.0%)<0.001
Discuss mental health with local doctor97 (32.3%)39 (78.0%)<0.001
Seen mental health service provider in past 6 months32 (10.7%)28 (56.0%)<0.001
Smoking
 Current61 (20.3%)22 (44.0%)0.001
 Former56 (18.7%)3 (6.0%)
Alcohol use182 (60.7%)30 (60.0%)1.000
Family history of depression98 (32.7%)23 (46.0%)0.091
Family history of anxiety63 (21.0%)20 (40.0%)<0.001
Family history of other mood disorders26 (8.7%)9 (18.0%)0.056
Family history of other mental illnesses31 (10.3%)8 (16.0%)0.164