Diefenbach Gretchen J, Woolley Stephen B, Goethe John W
Anxiety Disorders Center, Institute of Living/Hartford Hospital, Hartford, CT 06106, USA.
J Nerv Ment Dis. 2009 Feb;197(2):92-7. doi: 10.1097/NMD.0b013e318196127c.
This cross-sectional study assessed the association between self-reported anxiety symptoms and self-reported suicidality among a mixed diagnostic sample of psychiatric outpatients. Data were obtained from chart review of 2,778 outpatients who completed a routine diagnostic clinical interview and a standardized self-report of psychiatric symptoms on admission. Bivariate analyses indicated that those with >or= moderate anxiety symptoms were over three times as likely to report >or= moderate difficulty with suicidality. Self-reported anxiety symptoms were associated with a 2-fold increased likelihood of reporting suicidality after controlling for confounding (demographics, depressive symptoms, and diagnoses). These data are consistent with a growing literature demonstrating an association between anxiety symptoms and suicidality, and suggest that this association is not accounted for by coexisting mood symptoms or diagnoses. A single item, self-report may be a useful screening tool for symptoms that are pertinent to assessment of suicide risk.
这项横断面研究评估了精神科门诊患者混合诊断样本中自我报告的焦虑症状与自我报告的自杀倾向之间的关联。数据来自对2778名门诊患者的病历审查，这些患者在入院时完成了常规诊断临床访谈和标准化的精神症状自我报告。双变量分析表明，有中度或以上焦虑症状的人报告有中度或以上自杀困难的可能性是其他人的三倍多。在控制了混杂因素（人口统计学、抑郁症状和诊断）后，自我报告的焦虑症状与报告自杀倾向的可能性增加两倍有关。这些数据与越来越多的文献一致，这些文献表明焦虑症状与自杀倾向之间存在关联，并表明这种关联不能用共存的情绪症状或诊断来解释。单项自我报告可能是一种有用的筛查工具，用于筛查与自杀风险评估相关的症状。
