Anxiety disorders and suicidality in the National Comorbidity Survey-Replication
Anxiety disorders and suicidality in the National Comorbidity Survey-Replication
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DOI：
10.1016/j.jpsychires.2008.12.004
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发表时间：
2009-06-01
影响因子：
4.8
通讯作者：
Sachs-Ericsson, Natalie
中科院分区：
文献类型：
--
作者：
Cougle, Jesse R.;Keough, Meghan E.;Sachs-Ericsson, Natalie
目的：目前的研究试图通过一个具有全国代表性的大样本来检验焦虑症和自杀之间的独特联系，并控制了一些已确定的自杀风险因素。方法：采用全国合并症调查资料进行分析。本调查通过结构化访谈获得终生诊断史和人口统计数据。终生自杀意念和企图也被评估。结果：对精神疾病合并症和人口学变量的多变量共变分析发现，社交焦虑障碍（SAD）、创伤后应激障碍（PTSD）、广泛性焦虑障碍（GAD）和恐慌障碍（PD）是自杀意念的独特预测因子，而只有SAD、PTSD和GAD是自杀企图的预测因子。性别分析表明，这四种疾病中的每一种都能预测女性的自杀意念或自杀企图，而在男性中，只有PTSD和PD是危险因素。结论：研究结果为焦虑症的负面影响提供了进一步的证据，建议应努力早期发现和治疗焦虑症，并强调自杀风险评估在治疗焦虑症患者中的重要性。(C) 2008 Elsevier Ltd版权所有。
Objective: 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.Method: 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.Results: 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.Conclusions: 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. (C) 2008 Elsevier Ltd. All rights reserved.