Prospective study of risk factors for suicidal behavior in individuals with anxiety disorders.

Abstract:

BACKGROUND:Anxiety disorders are very common and increase risk for suicide attempts. Little is known about predictors of increased risk specifically among individuals with anxiety disorders. The purpose of this study was to investigate whether specific anxiety disorders and other co-morbid psychiatric disorders, physical health, or work or social functioning increased the future likelihood of a suicide attempts among individuals with anxiety disorders. Method In this prospective study, 676 individuals with an anxiety disorder were followed for an average of 12 years. RESULTS:As hypothesized, we found that post-traumatic stress disorder, major depressive disorder (MDD), intermittent depressive disorder (IDD), epilepsy, pain, and poor work and social functioning all predicted a shorter time to a suicide attempt in univariate analyses. In multivariate analyses, baseline MDD and IDD were independent predictors of time to suicide attempt, even when controlling for a past history of suicide attempt. No specific anxiety disorder was an independent predictor of time to attempt in this anxiety-disordered sample. Adding baseline physical health variables and social functioning did not improve the ability of the model to predict time to suicide attempt. CONCLUSIONS:Mood disorders and past history of suicide attempts are the most powerful predictors of a future suicide attempt in this sample of individuals, all of whom have an anxiety disorder.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Uebelacker LA,Weisberg R,Millman M,Yen S,Keller M

doi

10.1017/S0033291712002504

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

1465-74

issue

7

eissn

0033-2917

issn

1469-8978

pii

S0033291712002504

journal_volume

43

pub_type

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