title: Time-related predictors of suicide in major affective disorder.
abstract: 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.
authors.affiliation: Department of Psychiatry, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
authors.forename: J
authors.initials: J
authors.lastname: Fawcett
authors.forename: W A
authors.initials: WA
authors.lastname: Scheftner
authors.forename: L
authors.initials: L
authors.lastname: Fogg
authors.forename: D C
authors.initials: DC
authors.lastname: Clark
authors.forename: M A
authors.initials: MA
authors.lastname: Young
authors.forename: D
authors.initials: D
authors.lastname: Hedeker
authors.forename: R
authors.initials: R
authors.lastname: Gibbons
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000150:complications / Q000523:psychology; D000368:Aged; D001008:Anxiety Disorders / Q000150:complications / Q000523:psychology; D003866:Depressive Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D010200:Panic; D011336:Probability; D011446:Prospective Studies; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000523:psychology; D013405:Suicide / Q000523:psychology*; D013997:Time Factors; D000092864:Suicide Prevention