A Reanalysis of Data from the Epidemiologic Catchment Area Study

1995 ◽  
Vol 167 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Christopher D. Hornig ◽  
Richard J. McNally
Keyword(s):  
Panic Disorder ◽  
Suicide Attempt ◽  
Catchment Area ◽  
Suicide Risk ◽  
Comorbid Disorders ◽  
Comorbid Conditions ◽  
Epidemiologic Catchment Area ◽  
Increased Risk ◽  
Epidemiologic Catchment Area Study

BackgroundAnalysing data from the Epidemiologic Catchment Area (ECA) study, Weissman and colleagues reported that panic disorder was strongly associated with suicide attempt. However, they did not control optimally for comorbid disorders known to increase suicide risk.MethodReanalysing the ECA data, we controlled for comorbid disorders in the aggregate rather than one at a time when we estimated the association between panic disorder and suicide attempt.ResultsPanic disorder was not associated with an increased risk of suicide attempt.ConclusionsComorbid conditions strongly influence whether people with panic disorder are at especial risk of suicide attempt.

Onset and recovery from panic disorder in the Baltimore Epidemiologic Catchment Area follow-up

1998 ◽  
Vol 173 (6) ◽  
pp. 501-507 ◽  
Author(s):  
William W. Eaton ◽  
James C. Anthony ◽  
Alan Romanoski ◽  
Allen Tien ◽  
Joseph Gallo ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Catchment Area ◽  
Diagnostic Interview ◽  
World Health ◽  
Epidemiologic Catchment Area ◽  
Incidence Estimate ◽  
Criteria For Diagnosis ◽  
Health Organization ◽  
Epidemiologic Catchment Area Study

BackgroundThe objective is to estimate parameters of the natural history of panic disorder, including its prodrome, incidence, recovery and recurrence.MethodIn 1981 the Baltimore Epidemiologic Catchment Area Study interviewed 3481 individuals probabilistically selected from the household population. During 1993–1996, 1920 of these individuals (73% of survivors) were interviewed again. Baseline and follow-up interviews included the National Institute of Mental Health Diagnostic Interview Schedule. During the follow-up, a subsample was assessed by psychiatrists using the World Health Organization Schedules for Clinical Assessment in Neuropsychiatry (SCAN).ResultsThere were 35 new cases of panic disorder in 24 475 person years of exposure, yielding an annual incidence of 1.43 per 1000 per year. Data from the SCAN assessments suggest the incidence estimate is conservative. Incidence is greater in females and declines with age. About one-third of the new cases arise without agoraphobia, but about half have anxiety of some sort present for many years prior to meeting criteria for diagnosis. People with agoraphobia have less intense onsets but slower recoveries than those without agoraphobia.ConclusionsPanic is heterogeneous in its pattern of onset and recovery. Some of the heterogeneity is associated with the presence of other anxiety over a long period of the life.

Seriousness of Suicide Attempt and Future Risk of Suicide: A Comment on Card's Paper

1977 ◽  
Vol 8 (2) ◽  
pp. 141-149 ◽  
Author(s):  
D. J. Pallis ◽  
B. M. Barraclough
Keyword(s):  
Suicide Attempt ◽  
Suicide Risk ◽  
Alternative Analysis ◽  
Suicide Methods ◽  
Increased Risk ◽  
The Future ◽  
Future Risk ◽  
Threat To Life

Card (1974) distinguished between the lethality of suicide methods and suicide risk. According to her interpretation of her data the two variables were clearly distinct. This report reconsiders Card's data and tests a revised hypothesis on a different set of data. The conclusion that a serious threat to life resulting from a suicide attempt indicates an increased risk of suicide in the future is consistent with previous work as well as with Card's data, provided an alternative analysis is adopted.

The Effect of Parental Remarriage following Parental Divorce on Offspring Suicide Attempt

2010 ◽  
Vol 91 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Dana M. Lizardi ◽  
Ronald G. Thompson ◽  
Katherine M. Keyes ◽  
Deborah S. Hasin
Keyword(s):  
Suicide Attempt ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Parental Divorce ◽  
Female Offspring ◽  
Female Adult ◽  
History Of Childhood ◽  
Epidemiologic Survey ◽  
Increased Risk ◽  
History Of

Parental divorce during childhood is associated with an increased risk of suicide attempts for male but not female offspring. This study examines whether parental remarriage has a differential effect on suicide risk for male and female adult offspring. Using the 2001–2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), the sample consists of respondents who experienced parental divorce ( N = 6,436). Multivariable regressions were estimated. Females who lived with a stepparent were significantly more likely to report a lifetime suicide attempt compared with females who had not. Clinicians should note that female depressed patients who have a history of childhood parental divorce and remarriage may be at more risk for suicide attempt than previously recognized.

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