title: Characteristics of suicidal outpatients with mood, anxiety and somatoform disorders: The role of childhood abuse and neglect.
abstract: BACKGROUND
  The most prevalent psychiatric disorders are mood, anxiety and somatoform (MAS) disorders which show high mutual comorbidity, childhood trauma and elevated risk of suicidality. So far, no studies have compared suicide risk in a secondary care population with comorbid MAS disorders. This gap was taken as starting point for the study.
  
  
  OBJECTIVE
  In comparing suicidal and non-suicidal MAS patients, the following was examined: suicide risk in the three disorder groups, socio-demographic and clinical characteristics, occurrence of childhood trauma types and contribution of childhood trauma to suicidality.
  
  
  METHODS
  This cross-sectional study compared suicidal (n = 316) versus non-suicidal comorbid MAS outpatients (n = 929) by means of the Mini-International Neuropsychiatric Interview Plus (MINI-Plus), Brief Symptom Inventory (BSI), Short Form Health Survey 36 (SF-36), Dimensional Assessment of Personality Pathology-Short Form (DAPP-SF) and Childhood Trauma Questionnaire (CTQ).
  
  
  RESULTS
  Compared to non-suicidal MAS patients, suicidal MAS patients mostly had mood disorders (single/comorbid), multiple diagnoses, worse functioning, more personality pathology (self-harm) and more childhood neglect and abuse.
  
  
  CONCLUSIONS
  Especially (comorbid) depressed patients are at risk for suicide, and routine screening and monitoring of childhood trauma and suicidality in them are recommended, along with the timely deployment of appropriate trauma-focused psychotherapy.
authors.affiliation: Department of Psychiatry, Leiden University Medical Centre (LUMC), Leiden, The Netherlands I.V.E.Carlier@lumc.nl.
authors.forename: Ingrid Ve
authors.initials: IV
authors.lastname: Carlier
authors.affiliation: Department of Psychiatry, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
authors.forename: Jacqueline Gfm
authors.initials: JG
authors.lastname: Hovens
authors.affiliation: Department of Psychiatry, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
authors.forename: Marion F
authors.initials: MF
authors.lastname: Streevelaar
authors.affiliation: Department of Psychiatry, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
authors.forename: Yanda R
authors.initials: YR
authors.lastname: van Rood
authors.affiliation: Department of Psychiatry, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
authors.forename: Tineke
authors.initials: T
authors.lastname: van Veen
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology*; D002648:Child; D002649:Child Abuse / Q000145:classification / Q000706:statistics & numerical data*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010045:Outpatients; D011569:Psychiatric Status Rating Scales; D057566:Self Report; D013001:Somatoform Disorders / Q000453:epidemiology*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Routine Outcome Monitoring; Suicide risk; anxiety and somatoform disorders; childhood trauma; comorbidity; mood