A Study on Correlation between Anxiety Symptoms and Suicidal Ideation
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Objective In South Korea, the number of deaths from suicide has increased in the last two decades, and suicide has become both a social and political problem. In this study, after controlling the variables influencing suicidal ideation, it was expected that it would be determined if anxiety symptoms are independently related to suicidal ideation. Methods Data were obtained from 327 psychiatric outpatients accomplished a self-reported questionnaire that included sociodemographic characteristics and clinical variables as well as self-rating scales for measuring the severity of one’s anxiety, depression, and suicidal ideation. Logistic-regression analyses were used to determine the correlation between anxiety symptoms and significant suicidal ideation, adjusting for covariates. Results The patients with significant suicidal ideation were shown to be less educated, unemployed, never married, divorced, or separated by death, or living alone, and were shown to have a lower income, a drinking habit, a higher number of past suicide attempts, and more family members who committed suicide, than the patients without significant suicidal ideation. After adjusting the covariates influencing significant suicidal ideation, anxiety symptoms were associated with significant suicidal ideation. However, after adjusting for depressive symptoms, only the trait anxiety was associated with significant suicidal ideation. Conclusion These findings suggest that anxiety symptoms are an independent risk factor for suicidal ideation. Clinicians may thus use anxiety symptoms for the screening examination when evaluating suicidal ideation and risk, and will have to actively evaluate and treat the anxiety symptoms of patients with suicidal tendencies.
Abstract
Objective In South Korea, the number of deaths from suicide has increased in the last two decades, and suicide has become both a social and political problem. In this study, after controlling the variables influencing suicidal ideation, it was expected that it would be determined if anxiety symptoms are independently related to suicidal ideation. Methods Data were obtained from 327 psychiatric outpatients accomplished a self-reported questionnaire that included sociodemographic characteristics and clinical variables as well as self-rating scales for measuring the severity of one’s anxiety, depression, and suicidal ideation. Logistic-regression analyses were used to determine the correlation between anxiety symptoms and significant suicidal ideation, adjusting for covariates. Results The patients with significant suicidal ideation were shown to be less educated, unemployed, never married, divorced, or separated by death, or living alone, and were shown to have a lower income, a drinking habit, a higher number of past suicide attempts, and more family members who committed suicide, than the patients without significant suicidal ideation. After adjusting the covariates influencing significant suicidal ideation, anxiety symptoms were associated with significant suicidal ideation. However, after adjusting for depressive symptoms, only the trait anxiety was associated with significant suicidal ideation. Conclusion These findings suggest that anxiety symptoms are an independent risk factor for suicidal ideation. Clinicians may thus use anxiety symptoms for the screening examination when evaluating suicidal ideation and risk, and will have to actively evaluate and treat the anxiety symptoms of patients with suicidal tendencies.
참고문헌 (53)
- "Change in Populations, Statistics 2009"[URL]
- Jeon HJ, "Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean Nationwide Study", J Nerv Ment Dis, 198, pp.643~646 (2010)
- Murray CJ, "Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study", Lancet, 349, pp.1498~1504 (1997)
- Mathers CD, "Projections of global mortality and burden of disease from 2002 to 2030", PLoS Med, 3, pp.e442~ (2006)
- Phillips DP, "Adequacy of official suicide statistics for scientific research and public policy", Suicide Life Treat Behav, 23, pp.307~319 (1993)
- Morgan HG, "Suicide among psychiatric in-patients in a changing clinical scene. Suicidal ideation as a paramount index of short-term risk", Br J Psychiatry, 171, pp.561~563 (1997)
- Nock MK, "Cross-national prevalence and risk factors for suicidal ideation, plans and attempts", Br J Psychiatry, 192, pp.98~105 (2008)
- Kessler RC, "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.593~602 (2005)
- Lepine JP, "The epidemiology of anxiety disorders: prevalence and societal costs", J Clin Psychiatry, 63(14), pp.4~8 (2002)
- Alonso J, "Overview of key data from the European Study of the Epidemiology of Mental Disorder (ESEMeD)", J Clin Psychiatry, 68(2), pp.3~9 (2007)
- Sareen J, "Anxiety disorders and risk for suicidal ideation and suicide attempts: a population-based longitudinal study of adults", Arch Gen Psychiatry, 62, pp.1249~1257 (2005)
- Goodwin RD, "Panic and suicidal ideation and suicide attempts: results from the National Comorbidity Survey", Depress Anxiety, 23, pp.124~132 (2006)
- Pilowsky DJ, "Panic disorder and suicidal ideation in primary care", Depress Anxiety, 23, pp.11~16 (2006)
- Bolton JM, "Anxiety disorders and risk for suicide attempts: findings from the Baltimore Epidemiologic Catchment area follow-up study", Depress Anxiety, 25, pp.477~481 (2008)
- Nakagawa A, "Comorbid anxiety in bipolar disorder: dose it have an independent effect on suicidality", Bipolar Disord, 10, pp.530~538 (2008)
- Sokero TP, "Suicidal ideation and attempts among psychiatric patients with major depressive disorder", J Clin Psychiatry, 64, pp.1094~1100 (2003)
- Pfeiffer PN, "Comorbid anxiety as a suicide risk factor among depressed veterans", Depress Anxiety, 26, pp.752~757 (2009)
- Olfson M, "Subthreshold psychiatric symptoms in a primary care group practice", Arch Gen Psychiatry, 53, pp.880~886 (1996)
- Hanel G, "Depression, anxiety, and somatoform disorders: vague or distinct categories in primary care? Results from a large cross-sectional study", J Psychosom Res, 67, pp.189~197 (2009)
- Diefenbach GJ, "The association between self-reported anxiety symptoms and suicidality", J Nerv Ment Dis, 197, pp.92~97 (2009)
- Ghaziuddin N, "Anxiety contributes to suicidality in depressed adolescents", Depress Anxiety, 11, pp.134~138 (2000)
- Ringbäck Weitoft G, "Is perceived nervousness and anxiety a predictor of premature mortality and severe morbidity? A longitudinal follow up of the Swedish survey of living conditions", J Epidemiol Community Health, 59, pp.794~798 (2005)
- Busch KA, "Clinical correlates of inpatient suicide", J Clin Psychiatry, 64, pp.14~19 (2003)
- Fawcett J, "Treating impulsivity and anxiety in the suicidal patient", Ann N Y Acad Sci, 932, pp.94~102 (2001)
- Beck AT, "An inventory for measuring clinical anxiety: psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Spielberger CD, "Manual for the State-Trait Anxiety Inventory (Form Y) : “Self-Evaluation Questionnaire”" (1983), Consulting Psychologist Press
- Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
- Kim JT, "Relationship between Trait Anxiety and Sociality", 석사, pp.1978
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A Study of the reliability and the validity of the BDI, SDS and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Beck AT, "Assessment of suicidal intention: the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
- Cochrane-Brink KA, "Clinical rating scales in suicide risk assessment", Gen Hosp Psychiatry, 22, pp.445~451 (2000)
- Shin MS, "An Empirical Study of the Mechanism of Suicide: Validation of the Scale for Escape from the Self", 박사, pp.1993
- Bernal M, "Risk factors for suicidality in Europe: results from the ESEMED study", J Affect Disord, 101, pp.27~34 (2007)
- Kessler RC, "Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003", JAMA, 293, pp.2487~2495 (2003)
- Borges G, "Risk factors for the incidence and persistence of suicide-related outcomes: a 10-year follow-up study using National Comorbidity Surveys", J Affect Disord, 105, pp.25~33 (2008)
- Thomas HV, "Thinking life is not worth living. A population survey of Great Britain", Soc Psychiatry Psychiatr Epidemiol, 37, pp.351~356 (2002)
- Hall RC, "Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts. Evaluation of suicide risk in a time of managed care", Psychosomatics, 40, pp.18~27 (1999)
- De Leo D, "Lifetime risk of suicide ideation and attempts in an Australian community: prevalence, suicidal process, and help-seeking behaviour", J Affect Disord, 86, pp.215~224 (2005)
- Marzuk PM, "Suicide and substance abuse", Psychiatric annals, 18, pp.639~645 (1998)
- Roy A, "Characteristics of alcoholics who attempt suicide", Am J Psychiatry, 147, pp.761~765 (1990)
- Moscicki EK, "Identification of suicide risk factors using epidemiologic studies", Psychiatr Clin North Am, 20, pp.499~517 (1997)
- Miles CP, "Conditions predisposing to suicide: a review", J Nerv Ment Dis, 164, pp.231~246 (1977)
- Statham DJ, "Suicidal behaviour: an epidemiological and genetic study", Psychol Med, 28, pp.839~855 (1998)
- Petronis KR, "An epidemiologic investigation of potential risk factors for suicide attempts", Soc Psychiatry Psychiatr Epidemiol, 25, pp.193~199 (1990)
- Nock MK, "Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity survey", J Abnorm Psychol, 115, pp.616~623 (2006)
- Weissman MM, "The Epidemiology of suicide attempts, 1960 to 1971", Arch Gen Psychiatry, 30, pp.737~746 (1974)
- Dervic K, "Religious affiliation and suicidal attempt", Am J Psychiatry, 161, pp.2303~2308 (2004)
- Ohring R, "State and trait anxiety in adolescent suicide attempters", J Am Acad Child Adolesc Psychiatry, 35, pp.154~157 (1996)
- Spielberger CD, "Anxiety and Behaviour" (1966), Academic Press
- Apter A, "Anxiety, impulsivity and depressed mood in relation to suicidal and violent behavior", Acta Psychiatr Scand, 87, pp.1~5 (1993)
- Fawcett J, "Time-related predictors of suicide in major affective disorder", Am J Psychiatry, 147, pp.1189~1194 (1990)
- Nock MK, "Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from the WHO World Mental Health Surveys", PLoS Med, 6, pp.e1000123~ (2009)
