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Cited by 253Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Anxiety disorders and suicidality in the National Comorbidity Survey-Replication

Cougle, Jesse R., Keough, Meghan E., Riccardi, Christina J., Sachs-Ericsson, Natalie·2009·Journal of Psychiatric Research
DOI 10.1016/j.jpsychires.2008.12.004
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Abstract

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.

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  • PTSD and GAD are significant predictors for suicidal ideation and attempts in a large sample of adults from the general population.

    “Survey results indicate both PTSD and GAD to be significant predictors for suicidal ideation and attempts [83] in a large sample of adults from the general population.”

    From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [83]

  • SAD is associated with increased reports of suicidal ideation and attempts when compared to other anxiety disorders.

    “SAD is further associated with increased reports of suicidal ideation (SI) and attempts when compared to other anxiety disorders (Sareen et al., 2005; Cougle et al., 2009; De La Vega et al., 2018).”

    From Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review (2024) · cites this paper as Cougle et al., 2009

  • Individuals with SAD endorse SI, with 16% reporting SI in the previous month and 18% reporting a history of suicide attempts.

    “Research highlights individuals with SAD endorse SI, with 16% of individuals with SAD reporting SI in the previous month and 18% reporting a history of suicide attempts (Cougle et al., 2009; Bomyea et al., 2013).”

    From Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review (2024) · cites this paper as Cougle et al., 2009

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Authors
Cougle, J. R., Keough, M. E., Riccardi, C. J., & Sachs-Ericsson, N.
Affiliations
Florida State University (US)
Corresponding author
Cougle, Jesse R.
ORCID
Cougle, Jesse R.
Venue
Journal of Psychiatric Research
Publisher
Elsevier BV
Published
2009-06
Volume
43
Issue
9
Pages
825-829
ISSN
0022-3956 (ISSN-L)
DOI
10.1016/j.jpsychires.2008.12.004
OpenAlex
W1998269363
Cited by
253
References
17
Citations by year
2026: 1 · 2025: 5 · 2024: 8 · 2023: 14 · 2022: 7 · 2021: 13 · 2020: 12 · 2019: 17 · 2018: 16 · 2017: 12 · 2016: 14 · 2015: 18 · 2014: 28 · 2013: 21 · 2012: 26
FWCI
23.00
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Psychiatric Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Centers for Disease Control and Prevention
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
anxiety disorders, suicidality, suicidal ideation, suicide attempts, social anxiety disorder, post-traumatic stress disorder, generalized anxiety disorder, panic disorder, gender differences, suicide risk assessment, psychiatric comorbidity
MeSH terms
Adult, Anxiety Disorders, Female, Health Surveys, Humans, Interpersonal Relations, Interview, Psychological, Male, Middle Aged, Phobic Disorders, Psychiatric Status Rating Scales, Risk Factors, Social Perception, Stress Disorders, Post-Traumatic, Suicide, Suicide, Attempted, United States, Comorbidity, Multivariate Analysis, Panic Disorder

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