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PTSD, depression, and their comorbidity in relation to suicidality: cross-sectional and prospective analyses of a national probability sample of women.
- Source :
-
Depression and anxiety [Depress Anxiety] 2009; Vol. 26 (12), pp. 1151-7. - Publication Year :
- 2009
-
Abstract
- Background: A growing body of literature implicates major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) as risk factors for suicidal ideation (SI) and suicide attempts (SA), though research has not adequately examined their differential contributions to increasing suicide risk prospectively or cross-sectionally.<br />Methods: The contribution of these disorders and their comorbidity to SI and SA was examined using a national household probability sample of women (N=3,085) and covarying for trauma history, substance abuse, and demographic variables.<br />Results: Cross-sectional analyses indicated that lifetime comorbidity of MDD and PTSD were associated with much higher prevalence of SI than either diagnosis alone; prevalence of SI was elevated and comparable for PTSD and MDD only. Comorbid diagnosis and PTSD only groups displayed greater prevalence of SA than those with MDD only. Lastly, a 2-year prospective analysis indicated that PTSD only at baseline was predictive of greater subsequent SI risk than MDD only, though comorbid diagnosis did not differ from either PTSD only or MDD only.<br />Conclusions: PTSD appears to be a particularly strong predictor of SI and SA. Overall, only 16% of women with lifetime SA did not have a history of MDD or PTSD, highlighting the importance of assessing these variables when assessing suicide risk.
- Subjects :
- Adult
Alcoholism diagnosis
Alcoholism epidemiology
Alcoholism psychology
Comorbidity
Cross-Sectional Studies
Depressive Disorder, Major diagnosis
Depressive Disorder, Major psychology
Female
Health Surveys
Humans
Interviews as Topic
Longitudinal Studies
Male
Middle Aged
Prospective Studies
Risk Factors
Sampling Studies
Sex Offenses psychology
Sex Offenses statistics & numerical data
Stress Disorders, Post-Traumatic diagnosis
Stress Disorders, Post-Traumatic psychology
Substance-Related Disorders diagnosis
Substance-Related Disorders epidemiology
Substance-Related Disorders psychology
Suicide, Attempted psychology
United States
Violence psychology
Violence statistics & numerical data
Depressive Disorder, Major epidemiology
Stress Disorders, Post-Traumatic epidemiology
Suicide, Attempted statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1520-6394
- Volume :
- 26
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Depression and anxiety
- Publication Type :
- Academic Journal
- Accession number :
- 19842171
- Full Text :
- https://doi.org/10.1002/da.20621