Suicide attempts versus nonsuicidal self-injury among individuals with anxiety disorders in a nationally representative sample: Suicide Attempts and NSSI With Anxiety
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BACKGROUND: This study is aimed to determine whether anxiety disorders are associated with suicide attempts with intent to die and to further investigate the characteristics of deliberate self-harm (DSH) among anxiety disorders. METHOD: Data came from the Collaborative Psychiatric Epidemiological Surveys (N = 20,130; age 18 years and older; response rate = 72.3%). DSM-IV anxiety disorders were assessed using the World Mental Health Composite International Diagnostic Interview. People with an anxiety disorder endorsing a history of DSH were subcategorized as those who made suicide attempts (n = 159; individuals who intended to die), versus those who made nonsuicidal self-injuries (n = 85; individuals who did not intend to die). RESULTS: Anxiety disorders were associated with both suicide attempts and nonsuicidal self-injury (NSSI). People with generalized anxiety disorder and social phobia who engaged in DSH were more likely to have made a suicide attempt than a NSSI, independent of the effects of mood and substance use disorders. In addition, individuals with generalized anxiety disorder and social phobia who engaged in DSH were more likely to engage in this behavior multiple times, and at least one of those times was a suicide attempt. CONCLUSION: This study suggests that anxiety disorders are associated with suicide attempts with intent to die. Social phobia and generalized anxiety disorder appear to be associated with the more worrisome patterns of DSH including multiple suicide attempts.
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The data corroborates the association between depression, anxiety and self-injury.
“the data corroborates the association between depression, anxiety and self-injury [73, 93–101]”
From A 'choice', an 'addiction', a way 'out of the lost': Exploring self-injury in autistic people without intellectual disability (2019) · cites this paper as [101]
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- Authors
- Chartrand, H., Sareen, J., Toews, M., & Bolton, J. M.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Bolton, James M.
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2011-09-21
- Volume
- 29
- Issue
- 3
- Pages
- 172-179
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1954291143
- Cited by
- 86
- References
- 54
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 3 · 2023: 11 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 7 · 2017: 1 · 2016: 3 · 2015: 9 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 6.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Manitoba Health Research Council
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- suicide attempts, non-suicidal self-injury, anxiety disorders, generalized anxiety disorder, social anxiety disorder, self-harm, repeated suicide attempts, mood disorders, substance use disorders
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Female, Health Surveys, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Suicide, Attempted, United States, Self-Injurious Behavior, Young Adult
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