Suicidal ideation and risk factors in primary care patients with anxiety disorders

PSYCHIATRY RESEARCH

卷:209

Article

Bomyea, Jessica¹  Lang, Ariel J.^2,3  Craske, Michelle G.⁴  Chavira, Denise²  Sherbourne, Cathy D.⁵  Rose, Raphael D.⁴  Golinelli, Daniela⁵  Campbell-Sills, Laura²  Welch, Stacy S.^6,7  Sullivan, Greer^5,8,9  Bystritsky, Alexander¹⁰  Roy-Byrne, Peter^6,7  Stein, Murray B.^2,11 

[1] SDSU UCSD Joint Doctoral Program Clin Psychol, San Diego, CA 92037 USA

[2] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92037 USA

[3] VA San Diego Hlth Care Syst, Ctr Excellence Stress & Mental Hlth, San Diego, CA USA

[4] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA

[5] RAND Corp, Santa Monica, CA USA

[6] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[7] Harborview Ctr Healthcare Improvement Addict Ment, Seattle, WA USA

[8] Univ Arkansas Med Sci, Dept Psychiat, Little Rock, AR 72205 USA

[9] Univ Arkansas Med Sci, VA South Cent Mental Illness Res Educ & Clin Ctr, Little Rock, AR 72205 USA

[10] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[11] Univ Calif San Diego, San Diego, CA 92103 USA

关键词: Suicidality;    Depression;    Functional impairment;    Posttraumatic stress disorder (PTSD);    Generalized anxiety disorder (GAD);    Social anxiety;    Panic disorder;   

DOI  :  10.1016/j.psychres.2013.03.017

来源: Elsevier

【 摘 要 】

The presence of an anxiety disorder is associated with greater frequency of suicidal thoughts and behaviors. Given the high personal and societal costs of suicidal behaviors, suicide prevention is a priority. Understanding factors present within individuals with anxiety disorders that increase suicide risk may inform prevention efforts. The aims of the present study were to examine the prevalence of suicidal ideation and behaviors, as well as factors associated with suicide risk in patients with anxiety disorders in primary care. Data from a large scale randomized controlled study were analyzed to assess prevalence of suicidal thoughts and behaviors, as well as factors associated with suicide risk. Results revealed that suicidal ideation and behaviors were relatively common in this group. When examining mental and physical health factors jointly, presence of depression, mental health-related impairment, and social support each uniquely accounted for variance in suicide risk score. Methodological limitations include cross-sectional data collection and lack of information on comorbid personality disorders. Moreover, patients included were from a clinical trial with exclusion criteria that may limit generalizability. Results highlight the complex determinants of suicidal behavior and the need for more nuanced suicide assessment in this population, including evaluation of comorbidity and general functioning. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free