Table 3. Survival models of the associations between DSM-IV disorders and a subsequent suicide attempt—developing countries.
Response Variable: Lifetime Attempt among Part II Sample (n = 26,959) | |||
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 | 5.0 (3.4–7.3)* | 1.6 (0.9–2.9) | 3.0 (1.7–5.4)* |
GAD | 5.4 (3.9–7.5)* | 1.4 (0.9–2.2) | 2.9 (1.8–4.6)* |
Specific phobia | 3.3 (2.8–4.0)* | 1.9 (1.5–2.3)* | 2.6 (2.0–3.4)* |
Social phobia | 3.9 (3.0–5.0)* | 1.7 (1.2–2.4)* | 2.9 (2.0–4.0)* |
PTSD | 8.3 (6.0–11.6)* | 3.3 (2.1–5.1)* | 5.6 (3.5–8.8)* |
OCD | 3.4 (2.0–6.1)* | 1.3 (0.7–2.4) | 2.3 (1.3–4.2)* |
SAD | 2.9 (2.1–4.0)* | 1.4 (1.0–1.9) | 2.4 (1.7–3.4)* |
Agoraphobia | 2.6 (1.8–3.7)* | 1.3 (0.9–1.8) | 2.1 (1.4–3.0)* |
Any anxiety disorder | 3.7 (3.2–4.4)* | — | — |
II. Mood disorders | |||
MDD | 5.1 (4.2–6.1)* | 2.2 (1.7–2.9)* | 3.2 (2.4–4.3)* |
Dysthymia | 7.1 (4.8–10.7)* | 1.8 (1.0–3.4) | 3.5 (1.9–6.6)* |
Bipolar disorder | 6.7 (4.4–10.0)* | 1.4 (0.8–2.4) | 3.2 (1.8–5.4)* |
Any mood disorder | 5.0 (4.2–6.0)* | — | — |
III. Impulse-control disorders | |||
ODD | 6.7 (4.1–10.9)* | 1.9 (1.0–3.6) | 3.6 (2.0–6.5)* |
Conduct disorder | 8.9 (5.6–14.2)* | 2.4 (1.2–4.9)* | 4.8 (2.5–9.1)* |
ADHD | 4.9 (3.2–7.7)* | 1.5 (0.8–2.8) | 2.8 (1.6–4.9)* |
IED | 4.7 (3.7–6.2)* | 2.0 (1.4–2.9)* | 3.3 (2.3–4.7)* |
Any Impulse-control disorder | 5.4 (4.3–6.9)* | — | — |
IV. Substance use disorders | |||
Alcohol abuse or dependency | 4.8 (3.7–6.1)* | 2.5 (1.8–3.6)* | 3.7 (2.6–5.4)* |
Drug abuse or dependency | 7.5 (5.4–10.4)* | 2.1 (1.2–3.6)* | 4.0 (2.5–6.4)* |
Any substance use disorder | 5.4 (4.3–6.8)* | — | — |
V. Any disorder | 5.1 (4.3–6.0)* | — | — |
Overall group effect χ2 (p-value)d | — | 656.8 (<0.001)* | 159.3 (<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; PTSD, Posttraumatic Stress Disorder; SAD, Separation Anxiety Disorder.