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Anxiety disorders increase risk of suicidal thoughts and attempts
November 08, 2005CHICAGO - A pre-existing anxiety disorder significantly increases the risk of a subsequent onset of suicidal thoughts and suicide attempts, according to a study in the November issue of Archives of General Psychiatry, one of the JAMA/Archives journals.
Suicidal thoughts and suicide attempts are strong risk factors for completed suicides, according to background information in the article. Mood disorders such as depression, substance abuse disorders and schizophrenia are well established risk factors for suicidal thoughts and suicide attempts but, the authors suggest, because anxiety disorders often co-exist with these mental disorders, the impact of anxiety disorders on risk for suicidal thoughts and suicide attempts has been difficult to assess.
Jitender Sareen, M.D., F.R.C.P.C., of the University of Manitoba, Winnipeg, and colleagues analyzed data from interviews of a random sampling of people from the Netherlands to determine whether anxiety disorders are risk factors for subsequent suicidal thoughts or attempts. In two follow up assessments, one year and three years following the baseline interview, the researchers examined whether anxiety disorders at baseline were associated with incidence of suicidal thoughts or suicide attempts.
At the first (one-year) and second (three-year) follow-up periods, there were 41 and 44 new cases of suicidal ideation, respectively (total of 85 new cases at either assessment), and 24 and 15 news cases of suicide attempts, respectively, (total of 39 new cases). After adjusting for other mental disorders and other social factors, the researchers found that presence of anxiety disorder more than doubled the risk of suicidal thoughts or attempts for the 7,076 participants in the baseline interview. For the 4,796 people who participated in all three interviews, the presence of anxiety disorders at baseline more than doubled the risk of subsequent suicidal thoughts and more than tripled the risk of subsequent suicide attempts. "Further analysis demonstrated that the presence of any anxiety disorder in combination with a mood disorder was associated with a higher likelihood of suicide attempts in comparison with a mood disorder alone," the authors report.
"This is the first study to demonstrate that a pre-existing anxiety disorder is an independent risk factor for subsequent onset of suicidal ideation [thoughts] and attempts," the authors conclude. "Moreover, the data clearly demonstrate that co-morbid anxiety disorders amplify the risk of suicide attempts in persons with mood disorders. Clinicians and policymakers need to be aware of these findings, and further research is required to delineate whether treatment of anxiety disorders reduces the risk of subsequent suicidal behavior."
JAMA and Archives Journals
At the first (one-year) and second (three-year) follow-up periods, there were 41 and 44 new cases of suicidal ideation, respectively (total of 85 new cases at either assessment), and 24 and 15 news cases of suicide attempts, respectively, (total of 39 new cases). After adjusting for other mental disorders and other social factors, the researchers found that presence of anxiety disorder more than doubled the risk of suicidal thoughts or attempts for the 7,076 participants in the baseline interview. For the 4,796 people who participated in all three interviews, the presence of anxiety disorders at baseline more than doubled the risk of subsequent suicidal thoughts and more than tripled the risk of subsequent suicide attempts. "Further analysis demonstrated that the presence of any anxiety disorder in combination with a mood disorder was associated with a higher likelihood of suicide attempts in comparison with a mood disorder alone," the authors report.
"This is the first study to demonstrate that a pre-existing anxiety disorder is an independent risk factor for subsequent onset of suicidal ideation [thoughts] and attempts," the authors conclude. "Moreover, the data clearly demonstrate that co-morbid anxiety disorders amplify the risk of suicide attempts in persons with mood disorders. Clinicians and policymakers need to be aware of these findings, and further research is required to delineate whether treatment of anxiety disorders reduces the risk of subsequent suicidal behavior."
JAMA and Archives Journals
Anxiety Disorder Current Events and Anxiety Disorder News RSSFamily history predicts presence and course of psychiatric disorders
A family history of depression, anxiety, alcohol dependence or drug dependence is associated with the presence of each condition and also may predict its course and prognosis.
To predict the severity of mental disease, consider the family
We've all been asked at routine visits to the doctor to record our family's history with medical problems like cancer, diabetes or heart disease. But when it comes to mental disorders, usually mum's the word.
Postpartum anxiety delays puberty in offspring
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Hopkins study: When adult patients have anxiety disorder, their children need help too
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Medication may provide some benefit for older adults with anxiety disorder
Preliminary research suggests that use of the drug escitalopram provided some improvement in symptoms for older adults with generalized anxiety disorder, although the overall benefits were diminished because of nonadherence to the drug by some patients.
Anxious older adults may benefit from antidepressants
Many older adults worry - a lot. Almost one in 10 Americans over age 60 suffer from an anxiety disorder that causes them to worry excessively about normal things - like health, finances, disability and family.
Expectant brains help predict anxiety treatment success
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Childhood anxiety disorders can and should be treated, according to UT Southwestern national expert
Anxiety disorders in children and adolescents should be recognized and treated to prevent educational underachievement and adult substance abuse, anxiety disorders and depression, says a nationally recognized child psychiatrist from UT Southwestern Medical Center.
Siblings of mentally disabled face own lifelong challenges, according to researchers
People who have a sibling with a mental illness are more likely to suffer episodes of depression at some point in their lives, say researchers who analyzed four decades of data.
Stress-related disorders affect brain's processing of memory
Researchers using functional MRI (fMRI) have determined that the circuitry in the area of the brain responsible for suppressing memory is dysfunctional in patients suffering from stress-related psychiatric disorders. Results of the study will be presented today at the annual meeting of the Radiological Society of North America (RSNA).
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