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A Reanalysis of Data from the Epidemiologic Catchment Area Study

  • Christopher D. Hornig (a1) and Richard J. McNally (a1)

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.

Copyright

Corresponding author

Professor R. J. McNally, Department of Psychology, Harvard University, William James Hall, 33 Kirkland Street, Cambridge, MA 02138, USA

References

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Appleby, L. (1992) Suicide in psychiatric patients: risk and prevention. British Journal of Psychiatry, 161, 749758.
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.
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.
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.
Hosmer, D. W. Jr & Lemeshow, S. (1989) Applied Logistic Regression. New York: Wiley.
Lepine, J. P., Chignon, J. M. & Teherani, M. (1993) Suicide attempts in patients with panic disorder. Archives of General Psychiatry, 50, 144149.
McNally, R. J. (1994) Panic Disorder: A Critical Analysis. New York: Guilford Press.
Robins, L. N. & Regier, D. A. (1991) Psychiatric Disorders in America. New York: Free Press.
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.
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.

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A Reanalysis of Data from the Epidemiologic Catchment Area Study

  • Christopher D. Hornig (a1) and Richard J. McNally (a1)
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