Mood, Anxiety, and Substance-Use Disorders and Suicide Risk in a Military Population Cohort

There are meager prospective data from nonclinical samples on the link between anxiety disorders and suicide or the extent to which the association varies over time. We examined these issues in a cohort of 309,861 U.S. Air Force service members, with 227 suicides over follow‐up. Mental disorder diag...

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Bibliographic Details
Published in:Suicide & life-threatening behavior 2012-12, Vol.42 (6), p.699-708
Main Authors: Conner, Kenneth R., McCarthy, Michael D., Bajorska, Alina, Caine, Eric D., Tu, Xin M., Knox, Kerry L.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Affect
Anxiety
Anxiety - diagnosis
Anxiety - psychology
Anxiety Disorders
Armed Forces
Biological and medical sciences
Clinical Diagnosis
Cohort Studies
Correlation
Drug use
Female
Humans
Longitudinal Studies
Male
Medical sciences
Mental disorders
Mental Illness
Military Personnel
Military Personnel - psychology
Military Personnel - statistics & numerical data
Proportional Hazards Models
Psychological Patterns
Psychology, Military
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk
Risk Assessment
Self destructive behavior
Substance Abuse
Substance abuse treatment
Substance-Related Disorders - complications
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Suicide
Suicide - psychology
Suicide - statistics & numerical data
Suicides & suicide attempts
Therapy
Time Factors
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Summary:There are meager prospective data from nonclinical samples on the link between anxiety disorders and suicide or the extent to which the association varies over time. We examined these issues in a cohort of 309,861 U.S. Air Force service members, with 227 suicides over follow‐up. Mental disorder diagnoses including anxiety, mood, and substance‐use disorders (SUD) were based on treatment encounters. Risk for suicide associated with anxiety disorders were lower compared with mood disorders and similar to SUD. Moreover, the associations between mood and anxiety disorders with suicide were greatest within a year of treatment presentation.
ISSN:0363-0234
1943-278X
DOI:10.1111/j.1943-278X.2012.00125.x