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Anxiety Symptom Severity and Long‐term Risk for Suicidal Behavior in Depressive Disorders
Author(s) -
Coryell William,
Fiedorowicz Jess,
Solomon David,
Endicott Jean,
Keller Martin
Publication year - 2019
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/sltb.12555
Subject(s) - anxiety , comorbidity , psychiatry , anxiety disorder , poison control , clinical psychology , depression (economics) , suicide prevention , risk factor , psychology , injury prevention , cohort , medicine , medical emergency , economics , macroeconomics
Objective 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. Methods 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. Results 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. Conclusions These results did not show anxiety comorbidity to be an important risk factor for suicide attempts or completions.