Time-related predictors of suicide in major affective disorder. Am J Psychiatry 1990 Sep;147(9):1189-94
Date
09/01/1990Pubmed ID
2104515DOI
10.1176/ajp.147.9.1189Scopus ID
2-s2.0-0024988987 (requires institutional sign-in at Scopus site) 878 CitationsAbstract
The authors studied 954 psychiatric patients with major affective disorders and found that nine clinical features were associated with suicide. Six of these--panic attacks, severe psychic anxiety, diminished concentration, global insomnia, moderate alcohol abuse, and severe loss of interest or pleasure (anhedonia)--were associated with suicide within 1 year, and three others--severe hopelessness, suicidal ideation, and history of previous suicide attempts--were associated with suicide occurring after 1 year. These findings draw attention to the importance of 1) standardized prospective data for studies of suicide, 2) assessment of short-term suicide risk factors, and 3) anxiety symptoms as modifiable suicide risk factors within a clinically relevant period.
Author List
Fawcett J, Scheftner WA, Fogg L, Clark DC, Young MA, Hedeker D, Gibbons RAuthor
David C. Clark PhD Assistant Dean, Professor in the Research Office department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Affective Symptoms
Aged
Anxiety Disorders
Depressive Disorder
Humans
Middle Aged
Panic
Probability
Prospective Studies
Risk Factors
Sleep Initiation and Maintenance Disorders
Suicide
Time Factors
