Separation Anxiety and Measures of Suicide Risk Among Patients With Mood and Anxiety Disorders
| Autor: | Stefano Pini, Borwin Bandelow, Miriam A. Schiele, Katharina Domschke, Marianna Abelli, Claudia Martini, David S. Baldwin, Barbara Costa |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Bipolar I disorder Anxiety Separation Bipolar II disorder Anxiety Disorders Anxiety Separation Female Humans Interview Psychological Mood Disorders Psychiatric Status Rating Scales Risk Factors Suicide Surveys and Questionnaires Medicine Interview Depression (differential diagnoses) business.industry Separation anxiety disorder Odds ratio medicine.disease 3. Good health Psychiatry and Mental health Mood Mood disorders Psychological medicine.symptom business Clinical psychology |
| Zdroj: | The Journal of clinical psychiatry. 82(2) |
| ISSN: | 1555-2101 |
| Popis: | BACKGROUND Separation anxiety disorder may be important when considering risk of suicide. The aim of this study was to examine the association between both childhood and adult separation anxiety (disorder) and measures of suicide risk in a large cohort of outpatients with anxiety and mood disorders. METHODS The sample included 509 consecutive adult psychiatric outpatients with DSM-IV mood disorders or anxiety disorders as a principal diagnosis recruited at the Department of Psychiatry, University of Pisa, Italy, between 2015 and 2018. Suicide risk was evaluated by the Hamilton Depression Rating Scale (HDRS) item 3. Patients were classified in 2 groups: those with a score ≥ 1 and those with a score of 0 on HDRS item 3. Suicide risk was also evaluated by specific items within the Mood Spectrum, Self-Report (MOODS-SR), a questionnaire evaluating lifetime suicidal symptoms. Separation anxiety (disorder) was assessed based on the Structured Interview for Separation Anxiety Symptoms in Adulthood/Childhood (SCI-SAS-A/C), the Separation Anxiety Symptom Inventory (SASI), and the Adult Separation Anxiety Scale (ASA-27). RESULTS Of the 509 patients, 97 had an HDRS item 3 score ≥ 1, and 412 had a score of 0. Adult separation anxiety disorder was more frequent among individuals who had suicidal thoughts (53.6%) than those who did not (39.6%) (P = .01). Dimensional separation anxiety symptoms on all scales were elevated in patients with suicidality when compared to patients without (SASI: P = .02; SCI-SAS-C: P |
| Databáze: | OpenAIRE |
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