Table 7. Multivariate survival models of associations between type/number of prior DSM-IV disorders and subsequent suicidal behavior—developing countries.
Among Total Sample | Among Ideators | ||||
Ideation | Attempt | Plan | Planned Attempt | Unplanned Attempt | |
DSM-IV Disorders | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) |
I. Anxiety disorders | |||||
Panic disorder | 2.5 (1.8–3.6)* | 3.0 (1.7–5.4)* | 1.3 (0.8–2.2) | 1.9 (1.2–3.1)* | 0.7 (0.2–2.4) |
GAD | 2.9 (2.1–4.1)* | 2.9 (1.8–4.6)* | 1.1 (0.8–1.7) | 1.1 (0.7–1.9) | 1.6 (0.6–3.9) |
Specific phobia | 2.2 (1.9–2.7)* | 2.6 (2.0–3.4)* | 1.4 (1.0–1.9)* | 1.4 (1.0–1.9) | 1.2 (0.8–1.8) |
Social phobia | 2.8 (2.2–3.5)* | 2.9 (2.0–4.0)* | 1.3 (0.9–1.9) | 1.2 (0.7–1.9) | 1.4 (0.8–2.5) |
PTSD | 3.9 (2.7–5.6)* | 5.6 (3.5–8.8)* | 2.1 (1.4–3.2)* | 2.8 (1.7–4.6)* | 2.0 (0.8–5.3) |
OCD | 1.9 (1.3–2.8)* | 2.3 (1.3–4.2)* | 1.0 (0.6–1.8) | 1.7 (0.9–3.3) | 0.8 (0.3–2.3) |
SAD | 2.4 (1.9–3.1)* | 2.4 (1.7–3.4)* | 0.9 (0.6–1.3) | 1.2 (0.8–1.8) | 1.6 (0.8–3.1) |
Agoraphobia | 1.8 (1.3–2.3)* | 2.1 (1.4–3.0)* | 1.3 (0.8–2.1) | 1.4 (0.8–2.3) | 1.7 (0.8–3.5) |
II. Mood disorders | |||||
MDD | 2.9 (2.4–3.5)* | 3.2 (2.4–4.3)* | 1.6 (1.2–2.1)* | 1.5 (1.0–2.2)* | 0.7 (0.4–1.2) |
Dysthymia | 3.0 (2.0–4.3)* | 3.5 (1.9–6.6)* | 1.2 (0.7–1.9) | 1.6 (1.0–2.7) | 2.1 (0.7–5.8) |
Bipolar disorder | 3.9 (2.7–5.7)* | 3.2 (1.8–5.4)* | 2.5 (1.5–4.1)* | 1.2 (0.6–2.4) | 0.8 (0.3–2.8) |
III. Impulse-control disorders | |||||
ODD | 3.2 (2.2–4.7)* | 3.6 (2.0–6.5)* | 2.0 (1.2–3.5)* | 1.6 (0.9–2.8) | 3.1 (1.3–7.3)* |
Conduct disorder | 3.9 (2.6–5.8)* | 4.8 (2.5–9.1)* | 2.0 (0.7–2.0) | 3.2 (1.8–5.6)* | 0.9 (0.3–2.3) |
ADHD | 2.2 (1.5–3.4)* | 2.8 (1.6–4.9)* | 1.0 (0.6–1.7) | 1.7 (0.9–3.1) | 1.8 (0.8–4.0) |
IED | 3.5 (2.7–4.3)* | 3.3 (2.3–4.7)* | 1.3 (1.0–1.9) | 1.4 (0.9–2.1) | 1.3 (0.7–2.3) |
IV. Substance use disorders | |||||
Alcohol abuse or dependency | 2.5 (2.0–3.2)* | 3.7 (2.6–5.4)* | 1.4 (1.0–2.0)* | 1.4 (1.0–2.1) | 1.9 (1.1–3.5)* |
Drug abuse or dependency | 3.0 (2.2–4.2)* | 4.0 (2.5–6.4)* | 1.7 (1.1–2.6)* | 1.5 (0.9–2.8) | 1.4 (0.5–4.0) |
V. Number of DSM-IV disorders | |||||
Exactly 2 | 0.6 (0.5–0.8)* | 0.7 (0.5–1.0) | 1.3 (0.9–1.9) | 0.8 (0.5–1.3) | 0.6 (0.3–1.3) |
Exactly 3 | 0.3 (0.2–0.5)* | 0.3 (0.2–0.6)* | 0.8 (0.4–1.3) | 0.5 (0.3–1.0) | 0.8 (0.3–2.5) |
Exactly 4 | 0.1 (0.1–0.2)* | 0.2 (0.1–0.4)* | 0.7 (0.3–1.6) | 0.4 (0.1–1.0)* | 1.1 (0.3–4.4) |
Exactly 5 | 0.1 (0.0–0.1)* | 0.1 (0.0–0.2)* | 0.9 (0.3–2.8) | 0.3 (0.1–0.9)* | 0.8 (0.1–5.2) |
≥6 | 0.0 (0.0–0.0)* | 0.0 (0.0–0.0)* | 0.3 (0.1–1.4) | 0.1 (0.0–0.6)* | 0.4 (0.0–5.1) |
χ2 17 type (p-value)a | 312.8 (<0.001)* | 159.3 (<0.001)* | 45.5 (<0.001)* | 48.6 (<0.001)* | 21.1 (0.22) |
χ2 6 number (p-value)b | 131.1 (<0.001)* | 50.9 (<0.001)* | 17.5 (0.004)* | 9.2 (0.10) | 5.3 (0.39) |
(n)c | (26,959) | (26,959)) | (3,326) | (1,438) | (1,888) |
Each column includes a separate multivariate model in survival framework, with all rows as predictors controlling for the following covariates: age, age-squared, age cohort, sex, and person-year.
χ2 tests for significance of the set of coefficients for type of disorder net of effects of number.
χ2 tests for significance of the set of coefficients for number of disorder net of effects of type.
Denominator sample size of the models.
*: Significant at the 0.5 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.