Journal article
Anxiety Symptom Severity and Long-term Risk for Suicidal Behavior in Depressive Disorders
Suicide & life-threatening behavior, Vol.49(6), pp.1621-1629
12/2019
DOI: 10.1111/sltb.12555
PMID: 31131922
Abstract
We have previously shown that the severity of anxiety symptoms during major depressive episodes is associated in a linear fashion with the proportion of weeks in depressive episodes during a subsequent 25 years of follow-up. Here, we test whether the negative prognostic implications of anxiety comorbidity extend to higher likelihoods of suicidal behavior.
We used the NIMH Collaborative Depression Study (CDS) cohort to test both the severity of eight anxiety symptoms and the presence or absence of four anxiety disorders as risk factors for suicide attempts or completions over a mean (SD) follow-up of 16.6 (8.5) years. Separate analyses tested potential predictors of events that occurred within 2 years and those that occurred later.
None of the baseline anxiety manifestations were significantly associated with overall risks for past or future suicide attempts. Only the diagnosis of phobic disorder was overrepresented in the 36 who committed suicide. Psychic anxiety was a risk factor for suicide attempts beyond 2 years of follow-up, and phobic anxiety was protective of suicides within this period.
These results did not show anxiety comorbidity to be an important risk factor for suicide attempts or completions.
Details
- Title: Subtitle
- Anxiety Symptom Severity and Long-term Risk for Suicidal Behavior in Depressive Disorders
- Creators
- William Coryell - Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USAJess Fiedorowicz - Department of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, IA, USADavid Solomon - Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI, USAJean Endicott - Department of Psychiatry, Columbia University, New York, NY, USAMartin Keller - Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI, USA
- Resource Type
- Journal article
- Publication Details
- Suicide & life-threatening behavior, Vol.49(6), pp.1621-1629
- Publisher
- England
- DOI
- 10.1111/sltb.12555
- PMID
- 31131922
- ISSN
- 0363-0234
- eISSN
- 1943-278X
- Language
- English
- Date published
- 12/2019
- Academic Unit
- Psychiatry; Epidemiology; Iowa Neuroscience Institute; Internal Medicine
- Record Identifier
- 9984004075302771
Metrics
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