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. 2009 Aug 11;6(8):e1000123. doi: 10.1371/journal.pmed.1000123

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.

a

χ2 tests for significance of the set of coefficients for type of disorder net of effects of number.

b

χ2 tests for significance of the set of coefficients for number of disorder net of effects of type.

c

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.