Anxiety disorders and suicidality in the National Comorbidity Survey-Replication

Department of Psychology, Florida State University, P.O. Box 3064301 Tallahassee, FL 32306, United States.
Journal of Psychiatric Research (Impact Factor: 4.09). 02/2009; 43(9):825-9. DOI: 10.1016/j.jpsychires.2008.12.004
Source: PubMed

ABSTRACT The current study sought to examine the unique associations between anxiety disorders and suicidality using a large nationally representative sample and controlling for a number of established risk factors for suicide.
Data from the National Comorbidity Survey-Replication were used for analyses. Lifetime diagnostic history and demographics were obtained in this survey through a structured interview. Lifetime suicidal ideation and attempts were also assessed.
Multivariate analyses covarying for psychiatric comorbidity and demographic variables found social anxiety disorder (SAD), posttraumatic stress disorder (PTSD), generalized anxiety disorder (GAD), and panic disorder (PD) to be unique predictors of suicidal ideation, while only SAD, PTSD, and GAD were predictive of suicide attempts. Analyses by gender indicated that each of these four disorders were predictive of suicidal ideation or suicide attempts among women, while only PTSD and PD acted as risk factors among men.
Findings provide further evidence of the negative impact of anxiety disorders, suggest efforts should be made towards their early detection and treatment, and emphasize the importance of suicide risk assessment in treating individuals with anxiety disorders.

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    • "an independent risk factor for suicide ideation and attempt for both sexes [ 45 , 46 ] . Cougle et al . ( 2009 ) report that for women all four anxiety disorders ( social anxiety disorder , posttraumatic stress disorder , generalized anxiety disorder , panic disorder ) were predictive of suicidality , while for men only posttraumatic stress disorder and panic disorder were identified as risk factors ."
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