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A Reanalysis of Data from the Epidemiologic Catchment Area Study

Published online by Cambridge University Press:  02 January 2018

Christopher D. Hornig
Affiliation:
Department of Psychology, Harvard University, Cambridge, MA, USA
Richard J. McNally*
Affiliation:
Department of Psychology, Harvard University, Cambridge, MA, USA
*
Professor R. J. McNally, Department of Psychology, Harvard University, William James Hall, 33 Kirkland Street, Cambridge, MA 02138, USA

Extract

Background

Analysing data from the Epidemiologic Catchment Area (ECA) study, Weissman and colleagues reported that panic disorder was strongly associated with suicide attempt. However, they did not control optimally for comorbid disorders known to increase suicide risk.

Method

Reanalysing the ECA data, we controlled for comorbid disorders in the aggregate rather than one at a time when we estimated the association between panic disorder and suicide attempt.

Results

Panic disorder was not associated with an increased risk of suicide attempt.

Conclusions

Comorbid conditions strongly influence whether people with panic disorder are at especial risk of suicide attempt.

Type
Papers
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Appleby, L. (1992) Suicide in psychiatric patients: risk and prevention. British Journal of Psychiatry, 161, 749758.CrossRefGoogle ScholarPubMed
Beck, A. T., Steer, R. A., Sanderson, W. C., et al (1991) Panic disorder and suicidal ideation and behavior: discrepant findings in psychiatric outpatients. American Journal of Psychiatry, 148, 11951199.Google Scholar
Cox, B. J., Direnfeld, D. M., Swinson, R. P., et al (1994) Suicidal ideation and suicide attempts in panic disorder and social phobia. American Journal of Psychiatry, 151, 882887.Google Scholar
Friedman, S., Jones, J. C., Chernen, L., et al (1992) Suicidal ideation and suicide attempts among patients with panic disorder: a survey of two outpatient clinics. American Journal of Psychiatry, 149, 680685.Google Scholar
Hosmer, D. W. Jr & Lemeshow, S. (1989) Applied Logistic Regression. New York: Wiley.Google Scholar
Lepine, J. P., Chignon, J. M. & Teherani, M. (1993) Suicide attempts in patients with panic disorder. Archives of General Psychiatry, 50, 144149.Google Scholar
McNally, R. J. (1994) Panic Disorder: A Critical Analysis. New York: Guilford Press.Google Scholar
Robins, L. N. & Regier, D. A. (1991) Psychiatric Disorders in America. New York: Free Press.Google Scholar
Schneier, F. R., Johnson, J., Hornig, C. D., et al (1992) Social phobia: comorbidity and morbidity in an epidemiologic sample. Archives of General Psychiatry, 49, 282288.Google Scholar
Weissman, M. M., Klerman, G. L., Markowitz, J. S., et al (1989) Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine, 321, 12101214.Google Scholar
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