Suicidal ideation and risk factors in primary care patients with anxiety disorders
Open accessAbstract
The presence of an anxiety disorder is associated with greater frequency of suicidal thoughts and behaviors. Given the high personal and societal costs of suicidal behaviors, suicide prevention is a priority. Understanding factors present within individuals with anxiety disorders that increase suicide risk may inform prevention efforts. The aims of the present study were to examine the prevalence of suicidal ideation and behaviors, as well as factors associated with suicide risk in patients with anxiety disorders in primary care. Data from a large scale randomized controlled study were analyzed to assess prevalence of suicidal thoughts and behaviors, as well as factors associated with suicide risk. Results revealed that suicidal ideation and behaviors were relatively common in this group. When examining mental and physical health factors jointly, presence of depression, mental health-related impairment, and social support each uniquely accounted for variance in suicide risk score. Methodological limitations include cross-sectional data collection and lack of information on comorbid personality disorders. Moreover, patients included were from a clinical trial with exclusion criteria that may limit generalizability. Results highlight the complex determinants of suicidal behavior and the need for more nuanced suicide assessment in this population, including evaluation of comorbidity and general functioning.
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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 Bomyea et al., 2013
Results §3.1 reports that 16% had thoughts of suicide in the previous month and 18% had a history of suicide attempts. Those figures describe the study’s overall sample of primary-care patients with anxiety disorders, not individuals with SAD specifically; the Discussion (§4) likewise describes them as sample-wide figures. (LLM, conf=0.90)
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“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).”
Background
- Authors
- Bomyea, J., Lang, A. J., Craske, M. G., Chavira, D., Sherbourne, C. D., Rose, R. D., Golinelli, D., Campbell-Sills, L., Welch, S. S., Sullivan, G., Bystritsky, A., Roy-Byrne, P., & Stein, M. B.
- Affiliations
- San Diego State University (US)
- University of California San Diego (US)
- University of California, Los Angeles (US)
- RAND Corporation (US)
- University of Washington (US)
- Corresponding author
- Bomyea, Jessica
- ORCID
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 209
- Issue
- 1
- Pages
- 60-65
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3745797
- OpenAlex
- W1981937730
- Cited by
- 47
- References
- 65
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 5 · 2016: 2 · 2015: 5 · 2014: 6
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Foundation for Suicide Prevention
- National Institutes of Health
- National Institute of Mental Health (U01MH057835, K24MH065324, F31MH088170, K24MH064122, K24MH64122, U01MH070022, U01MH070018, U01MH057858, U01MH058915)
- 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
- suicidal ideation, suicide risk factors, anxiety disorders, primary care patients, suicide prevention, depression, social support, suicide assessment, comorbidities
- MeSH terms
- Adult, Anxiety Disorders, Female, Humans, Male, Middle Aged, Primary Health Care, Psychiatric Status Rating Scales, Psychological Tests, Regression Analysis, Retrospective Studies, Risk Factors, Social Support, Suicidal Ideation
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