ness, impaired concentration or indecision, an d suicidal thoughts should be assessed with
particular care in such cases. Definitions of  major depressive episodes that have been mod-
ified to include only these nonvegetative sympto ms appear to identify nearly the same in-
dividuals as do the full criteria.
Associated Features Supporting Diagnosis 
Major depressive disorder is a ssociated with high mortality,  much of which is accounted