Anxiety disorders and risk for suicide attempts: Findings from the Baltimore epidemiologic catchment area follow-up study

Anxiety disorders and risk for suicide attempts: Findings from the Baltimore epidemiologic catchment area follow-up study
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DOI:
10.1002/da.20314
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发表时间:
2008-01-01
影响因子:
7.4
通讯作者:
Sareen, Jitender
Sareen, Jitender
中科院分区:
医学1区
文献类型:
--
作者:
Bolton, James M.;Cox, Brian J.;Sareen, Jitender

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我们的目的是确定焦虑症的存在是否是未来自杀企图的危险因素。数据来自13年随访的巴尔的摩流行病学集水区调查(n = 1,920)。采用多元logistic回归分析确定基线焦虑症(社交恐惧症、单纯恐惧症、强迫症、惊恐发作或广场恐惧症)与随后发作的自杀企图之间的关系。在控制了社会人口学变量和调查中评估的所有基线精神障碍后,基线时存在一种或多种焦虑症与随后发生的自杀企图显著相关(调整优势比2.20,95%置信区间1.04-4.64)。这些发现表明,焦虑症是自杀企图的独立危险因素,并强调了焦虑症作为一个严重公共卫生问题的重要性。
Our objective was to determine whether the presence of an anxiety disorder was a risk factor for future suicide attempts. Data were drawn from the 13-year follow-up Baltimore Epidemiological Catchment Area survey (n = 1,920). Multiple logistic regression analysis was used to determine the association between baseline anxiety disorders (social phobia, simple phobia, obsessive-compulsive disorder, panic attacks, or agoraphobia) and subsequent onset suicide attempts. The presence of one or more anxiety disorders at baseline was significantly associated with subsequent onset suicide attempts (adjusted odds ratio 2.20, 95% confidence interval 1.04-4.64) after controlling for sociodemographic variables and all baseline mental disorders assessed in the survey. These findings suggest that anxiety disorders are independent risk factors for suicide attempts, and underscore the importance of anxiety disorders as a serious public health problem.