Table IV. Comorbidities of Lifetime Suicidality with Lifetime DSM-IV Mental Disorders and Number of Disorders in the Mexican National Comorbidity Survey (M-NCS)a.
Among Total Sample |
Among Ideators |
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---|---|---|---|---|---|---|---|---|---|---|
Ideation |
Attempt |
Plan among Ideators |
Planned Attempt |
Unplanned Attempt |
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OR (95% CI) | χ 2 | OR (95% CI) | χ 2 | OR (95% CI) | χ 2 | OR (95% CI) | χ 2 | OR (95% CI) | χ 2 | |
I. Anxiety Disorders | ||||||||||
Panic Disorder | 1.6 (0.5–5.4) | 0.7(0.41) | 1.1 (0.2–5.0) | 0.0(0.91) | 1.4 (0.3–6.7) | 0.2(0.66) | 1.4 (0.4–4.6) | 0.3(0.61) | 0.2 (0.0–7.8) | 0.7(0.41) |
General Anxiety Disorder | 1.1 (0.4–2.6) | 0.0(0.86) | 2.4 (0.7–8.4) | 1.9(0.16) | 1.2 (0.3–5.7) | 0.1(0.81) | 1.5 (0.5–4.6) | 0.4(0.52) | 14.0* (1.0–199.0)* | 4.0(0.047)* |
Specific Phobia | 2.2* (1.5–3.3)* | 14.4(<.001)* | 2.5* (1.4–4.5)* | 9.3(0.002)* | 1.4 (0.8–2.4) | 1.8(0.18) | 1.8 (0.8–4.0) | 2.2(0.14) | 0.9 (0.3–2.8) | 0.1(0.80) |
Social Phobia | 1.9* (1.2–3.2)* | 6.8(0.009)* | 1.8* (1.1–3.1)* | 4.9(0.027)* | 1.0 (0.5–1.8) | 0.0(0.91) | 0.9 (0.4–2.4) | 0.0(0.85) | 0.5 (0.1–2.2) | 0.8(0.38) |
PTSD | 3.4* (1.3–8.5)* | 7.0(0.008)* | 3.7* (1.5–9.2)* | 8.2(0.004)* | 1.5 (0.7–3.1) | 1.1(0.29) | 1.8 (0.6–5.9) | 1.1(0.29) | 0.7 (0.1–8.7) | 0.1(0.76) |
Separation Anxiety Disorder | 2.4* (1.5–3.9)* | 12.4(<.001)* | 2.8* (1.3–6.2)* | 6.7(0.010)* | 1.2 (0.6–2.4) | 0.2(0.68) | 1.5 (0.7–3.2) | 1.1(0.30) | 2.7 (0.8–8.9) | 2.6(0.11) |
Agoraphobia | 1.9 (0.9–3.6) | 3.4(0.06) | 2.5* (1.2–5.2)* | 6.2(0.013)* | 0.9 (0.4–2.1) | 0.1(0.78) | 0.9 (0.3–3.3) | 0.0(0.92) | 5.0 (0.8–29.2) | 3.3(0.07) |
II. Mood Disorders | ||||||||||
Major Depressive Disorder | 2.2* (1.4–3.6)* | 12.0(<.001)* | 1.9 (0.9–3.9) | 3.4(0.06) | 0.8 (0.3–2.0) | 0.2(0.65) | 1.2 (0.5–2.7) | 0.1(0.72) | 0.4 (0.1–2.1) | 1.2(0.27) |
Dysthymia | 2.1 (0.9–5.1) | 3.1(0.08) | 2.0 (0.7–6.2) | 1.6(0.20) | 2.0 (0.7–6.1) | 1.6(0.21) | 2.4 (0.7–8.2) | 2.2(0.14) | 0.2 (0.0–6.5) | 0.8(0.37) |
Bipolar Disorder | 3.3* (1.6–6.8)* | 11.5(<.001)* | 2.3 (1.0–5.3) | 3.7(0.06) | 2.1 (0.8–5.4) | 2.5(0.11) | 2.7 (0.9–7.9) | 3.4(0.07) | 0.9 (0.2–3.6) | 0.0(0.82) |
III. Impulse-Control Disorders | ||||||||||
ODD | 2.8* (1.3–5.9)* | 7.9(0.005)* | 3.0* (1.4–6.5)* | 7.7(0.006)* | 3.5* (1.9–6.6)* | 15.8(<.001)* | 1.4 (0.5–4.5) | 0.4(0.52) | 0.6 (0.1–4.3) | 0.3(0.61) |
Conduct Disorder | 4.1* (1.1–14.7)* | 4.8(0.029)* | 6.7* (1.4–32.8)* | 5.8(0.016)* | 1.3 (0.3–5.4) | 0.2(0.69) | 15.5* (5.7–41.9)* | 30.3(<.001)* | 0.2* (0.0–0.8)* | 5.1(0.023)* |
ADHD | 1.4 (0.7–2.7) | 1.1(0.29) | 1.5 (0.6–4.2) | 0.7(0.40) | 1.0 (0.5–2.2) | 0.0(0.93) | 1.6 (0.7–3.9) | 1.3(0.26) | 2.1 (0.5–9.7) | 1.0(0.32) |
IV. Substance Use Disorders | ||||||||||
Alcohol Abuse or Dep. | 2.9* (1.6–5.2)* | 13.9(<.001)* | 6.6* (2.8–15.3)* | 19.8(<.001)* | 4.6* (2.1–10.0)* | 15.5(<.001)* | 2.2 (0.8–6.0) | 2.4(0.12) | 2.9 (0.8–10.8) | 2.6(0.11) |
Drug Abuse or Dep. | 4.8* (1.8–12.7)* | 10.0(0.002)* | 2.6 (0.6–11.1) | 1.8(0.18) | 0.3 (0.1–1.1) | 3.4(0.07) | 1.2 (0.1–9.4) | 0.0(0.89) | 0.7 (0.1–3.8) | 0.1(0.72) |
V. Number of Disorders | ||||||||||
Exactly 2 Disorders | 1.2 (0.6–2.3) | 0.3(0.58) | 2.2 (0.8–6.2) | 2.4(0.12) | 1.5 (0.7–3.3) | 1.1(0.29) | 1.2 (0.4–3.6) | 0.1(0.73) | 2.5 (0.4–16.9) | 0.9(0.35) |
Exactly 3 Disorders | 0.8 (0.3–2.2) | 0.2(0.63) | 1.2 (0.3–4.4) | 0.0(0.83) | 1.2 (0.4–4.2) | 0.1(0.72) | 0.5 (0.1–2.4) | 0.7(0.41) | 9.7 (0.5–179.5) | 2.4(0.12) |
4 or more Disorders | 0.2 (0.0–1.1) | 3.6(0.06) | 0.4 (0.0–3.3) | 0.8(0.37) | 1.1 (0.2–5.4) | 0.0(0.94) | 0.4 (0.0–4.8) | 0.5(0.47) | 9.5 (0.1–726.5) | 1.1(0.30) |
Overall Group Effect χ2 for disordersb |
.* (.-.)* | 51.8(<.001)* | .* (.-.)* | 38.2(<.001)* | .* (.-.)* | 58.3(<.001)* | .* (.-.)* | 49.2(<.001)* | .* (.-.)* | 30.7(0.010)* |
Overall Group Effect χ2 for number of other disordersc |
.* (.-.)* | 9.1(0.028)* | .* (.-.)* | 20.0(<.001)* | . (.-.) | 2.7(0.44) | . (.-.) | 3.4(0.33) | . (.-.) | 3.0(0.39) |
(N)d | (2362) | (2362) | (416) | (188) | (228) |
Abbreviations: OR, odds-ratio; CI, confidence interval; PTSD, post-traumatic stress disorder; ODD, oppositional-defiant disorder; ADHD, attention deficit/hyperactivity disorder.
P<.05, two-sided test.
Each column represents a separate multivariate model in survival framework, with all rows as predictors controlling for age, age^2, sex, cohorts, int categories. Outcome variable indicated in each column header. Multivariate models assessed in Part II sample; impulse disorders set to “No” in cases with age>44.
Group effect chisquare is for the multi-df tests to assess any difference between all the disorders, while the individual chi-squares only tests yes vs no for each disorder.
Group effect chisquare is for the multi-df tests to assess any difference between all the # of disorder dummies, while the individual chi-squares only tests yes vs no for each.
Denominator sample size of the models.