Table 2. Survival models of the associations between DSM-IV disorders and a subsequent suicide attempt—developed countries.
Response Variable: Lifetime Attempt among Part II Sample (n = 27,963) | |||
Bivariate Modelsa | Multivariate Additive Modelb | Multivariate Interactive Modelc | |
DSM-IV Disorders | OR (95% CI) | OR (95% CI) | OR (95% CI) |
I. Anxiety disorders | |||
Panic disorder | 5.1 (4.0–6.4)* | 1.5 (1.1–2.1)* | 2.3 (1.6–3.3)* |
GAD | 5.6 (4.6–6.7)* | 1.8 (1.4–2.3)* | 2.5 (1.9–3.4)* |
Specific phobia | 2.9 (2.5–3.4)* | 1.6 (1.4–1.9)* | 1.9 (1.5–2.4)* |
Social phobia | 3.8 (3.2–4.4)* | 1.5 (1.2–1.8)* | 1.9 (1.4–2.5)* |
PTSD | 6.5 (5.4–7.6)* | 2.1 (1.7–2.7)* | 3.0 (2.3–3.8)* |
SAD | 3.5 (2.8–4.4)* | 1.0 (0.8–1.3) | 1.6 (1.2–2.1)* |
Agoraphobia | 3.7 (2.7–5.0)* | 1.4 (0.9–2.1) | 2.2 (1.4–3.4)* |
Any anxiety disorder | 4.6 (4.0–5.3)* | — | — |
II. Mood disorders | |||
MDD | 5.8 (5.0–6.8)* | 2.9 (2.4–3.6)* | 3.2 (2.5–4.2)* |
Dysthymia | 5.1 (4.0–6.6)* | 0.9 (0.6–1.3) | 1.5 (1.0–2.2)* |
Bipolar disorder | 7.1 (5.5–9.3)* | 2.3 (1.6–3.3)* | 3.5 (2.4–5.3)* |
Any Mood disorder | 5.9 (5.1–6.8)* | — | — |
III. Impulse-control disorders | |||
ODD | 5.3 (4.1–6.7)* | 1.6 (1.1–2.2)* | 2.2 (1.6–3.0)* |
Conduct disorder | 4.8 (3.6–6.4)* | 1.5 (1.1–2.1)* | 2.1 (1.4–3.0)* |
ADHD | 4.6 (3.5–6.1)* | 1.4 (1.0–1.9) | 1.9 (1.3–2.7)* |
IED | 3.3 (2.5–4.3)* | 1.2 (0.8–1.7) | 1.8 (1.2–2.5)* |
Any impulse-control disorder | 4.3 (3.5–5.3)* | — | — |
IV. Substance use disorders | |||
Alcohol abuse or dependency | 4.4 (3.7–5.3)* | 2.1 (1.6–2.6)* | 2.6 (1.9–3.5)* |
Drug abuse or dependency | 4.9 (3.8–6.2)* | 1.3 (0.9–1.8) | 2.0 (1.4–2.8)* |
Any substance use disorder | 4.8 (4.0–5.8)* | — | |
V. Any disorder | 6.4 (5.5–7.5)* | — | |
Overall group effect χ2 (p-value)d | 1,151.6 (<0.001)* | 160.5 (<0.001)* |
Empty cells indicate the disorder specified in the row was not included in the model.
Bivariate models (each disorder in a separate discrete time survival model) include the following controls: age, age-squared, age cohorts, sex, and person-year.
Multivariate additive model (all disorders together in a discrete time survival model) includes the following covariates: age, age-squared, age cohorts, sex, and person-year.
Multivariate interactive model (all disorders together in a discrete time survival model controlling for number of disorders as interactions) includes the following covariates: age, age-squared, age cohorts, sex, and person-year.
The group effect χ2 tests the set of coefficients for type of disorder for significance, while the individual χ2 only test presence versus absence of each DSM-IV/CIDI disorder.
*: Significant at the 0.05 level, two-sided test.
Abbreviations: ADHD, Attention Deficit Hyperactivity Disorder; CI, confidence interval; GAD, Generalized Anxiety Disorder; IED, Intermittent Explosive Disorder; MDD, Major Depressive Disorder; OCD, Obsessive Compulsive Disorder; ODD, Oppositional Defiant Disorder; SAD, Separation Anxiety Disorder.