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Am J Psychiatry 1990; 147:1189-1194
Copyright © 1990 by American Psychiatric Association
Time-related predictors of suicide in major affective disorder
J Fawcett, WA Scheftner, L Fogg, DC Clark, MA Young, D Hedeker and R Gibbons
Department of Psychiatry, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.
The authors studied 954 psychiatric patients with major affective disorders
and found that nine clinical features were associated with suicide. Six of
these--panic attacks, severe psychic anxiety, diminished concentration,
global insomnia, moderate alcohol abuse, and severe loss of interest or
pleasure (anhedonia)--were associated with suicide within 1 year, and three
others--severe hopelessness, suicidal ideation, and history of previous
suicide attempts--were associated with suicide occurring after 1 year.
These findings draw attention to the importance of 1) standardized
prospective data for studies of suicide, 2) assessment of short-term
suicide risk factors, and 3) anxiety symptoms as modifiable suicide risk
factors within a clinically relevant period.
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