Suicidal ideation and anxiety disorders: Elevated risk or artifact of comorbid depression?

被引:73
作者
Norton, Peter J. [1 ]
Temple, Samuel R. [1 ]
Pettit, Jeremy W. [1 ]
机构
[1] Univ Houston, Dept Psychol, Houston, TX 77096 USA
关键词
Suicide; Anxiety disorder; Depression; Negative affect;
D O I
10.1016/j.jbtep.2007.10.010
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Research into the possible relationship between anxiety disorders and suicidal ideation has yielded mixed results, leading some to suggest that the positive findings between anxiety and suicidal ideation might simply be a by-product of comorbid depression. Recent work has suggested that having an anxiety disorder without history of mood disorder does convey increased risk for suicidal ideation, although the study could not assess for the possible impact of subsyndromal depressiveness. This current study, therefore. examined the relationship between anxiety disorder symptoms and suicidality using continuous scales and controlling for depressiveness. Data regarding the severity of panic, social anxiety, generalized anxiety, and obsessive-compulsive symptoms were obtained from a sample of 166 college students. Results generally supported the conclusions that anxiety disorders convey risk for suicidal ideation above and beyond any co-occurring depressiveness, and anxiety and depression together conveyed an additional interactive risk. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:515 / 525
页数:11
相关论文
共 47 条
[11]   TRIPARTITE MODEL OF ANXIETY AND DEPRESSION - PSYCHOMETRIC EVIDENCE AND TAXONOMIC IMPLICATIONS [J].
CLARK, LA ;
WATSON, D .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1991, 100 (03) :316-336
[12]  
COX BJ, 1994, AM J PSYCHIAT, V151, P882
[13]  
Di Nardo P.A., 1994, Anxiety Disorders Interview Schedule for DSM-IV
[14]  
FAWCETT J, 1992, J CLIN PSYCHIAT, V53, P9
[15]  
GOODMAN WK, 1989, ARCH GEN PSYCHIAT, V46, P1006
[16]   PANIC DISORDER AND SUICIDE ATTEMPT - A REANALYSIS OF DATA FROM THE EPIDEMIOLOGIC CATCHMENT-AREA STUDY [J].
HORNIG, CD ;
MCNALLY, RJ .
BRITISH JOURNAL OF PSYCHIATRY, 1995, 167 :76-79
[17]   Reliability of the self-report version of the Panic Disorder Severity Scale [J].
Houck, PR ;
Spiegel, DA ;
Shear, MK ;
Rucci, P .
DEPRESSION AND ANXIETY, 2002, 15 (04) :183-185
[18]   Scientizing and routinizing the assessment of suicidality in outpatient practice [J].
Joiner, TE ;
Walker, RL ;
Rudd, MD ;
Jobes, DA .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 1999, 30 (05) :447-453
[19]   Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey [J].
Kessler, RC ;
Borges, G ;
Walters, EE .
ARCHIVES OF GENERAL PSYCHIATRY, 1999, 56 (07) :617-626
[20]  
KESSLER RC, 1994, ARCH GEN PSYCHIAT, V51, P8