Table 3.
Mental disorders as risk factors for first onset of suicidality in Lebanona
| Disorder | Unadjusted for co-morbidity
|
Adjusted for co-morbidity
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ideation
|
Plan
|
Attempt
|
Ideation
|
Plan
|
Attempt
|
|||||||
| (95% CI) | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | ||
| I. Anxiety disorders | ||||||||||||
| Panic disorder | 9.5* | (1.1–81.7) | † | † | † | † | – | – | – | – | – | – |
| Generalized anxiety disorder | 7.2* | (1.9–27.0) | 4.3 | (0.5–36.5) | 8.3* | (1.9–35.5) | 3.0 | (0.8–11.0) | 1.1 | (0.1–11.0) | 2.7 | (0.6–11.3) |
| Specific phobia | 1.7 | (0.8–3.3) | 2.1 | (0.8–5.5) | 2.0 | (0.9–4.7) | 0.7 | (0.2–2.8) | 1.1 | (0.2–4.9) | 1.5 | (0.4–5.2) |
| Social phobia | 9.5* | (2.8–32.6) | 13.2* | (2.2–80.8) | 5.0* | (1.4–18.0) | 10.5* | (2.2–48.8) | 11.5* | (1.5–85.4) | 3.7 | (0.9–15.6)c |
| Posttraumatic stress disorder | 2.5 | (0.5–11.7) | 5.9* | (1.1–31.3) | 4.6* | (1.0–20.8) | 0.8 | (0.1–4.2) | 1.0 | (0.1–9.1) | 1.5 | (0.3–7.3) |
| Separation anxietyb | 2.2 | (0.8–5.6) | 3.9* | (1.4–10.8) | 2.0 | (0.6–6.6) | 1.2 | (0.5–2.7) | 2.0 | (0.8–5.1) | 0.9 | (0.3–2.8) |
| Any anxiety disorders | 3.8* | (2.1–6.8) | 6.4* | (2.8–14.8) | 3.5* | (1.9–6.2) | – | – | – | – | – | – |
| II. Mood disorders | ||||||||||||
| Major depressive disorder | 10.3* | (5.1–21.0) | 19.5* | (9.2–41.1) | 10.4* | (4.8–22.3) | 7.5* | (3.6–15.5) | 10.6* | (4.6–24.3) | 7.1* | (3.6–13.9) |
| Dysthymia | 11.5* | (3.0–44.0) | 30.6* | (6.6–141.6) | 12.2* | (1.7–86.0) | 2.1 | (0.5–9.11) | 2.8 | (0.4–22.4) | 2.4 | (0.3–19.0) |
| Bipolar disorder | 2.3 | (0.5–10.4) | 4.3 | (0.6–29.0) | 3.7 | (0.6–21.1) | 0.8 | (0.1–5.1) | 1.5 | (0.2–15.6) | 1.2 | (0.1–11.4) |
| Any mood disorders | 8.1* | (4.3–15.3) | 15.9* | (8.4–30.2) | 8.7* | (4.5–16.7) | – | – | – | – | – | – |
| III. Any impulse-control disorderb | 12.7* | (4.9–33.0) | 17.8* | (5.3–59.5) | 14.4* | (3.7–55.7) | 11.0* | (4.5–26.6) | 9.5* | (1.9–48.8) | 10.0* | (2.4–41.8) |
| IV. Any substance use disorder | 6.1* | (1.1–33.0) | 14.3* | (1.8–115.4) | 21.0* | (4.8–92.2) | 2.0 | (0.5–8.0) | 4.0 | (0.7–22.8) | 5.2 | (0.8–31.3)c |
| V. Any disorder | 5.9* | (3.6–9.4) | 10.0* | (4.5–22.2) | 4.7* | (2.5–8.6) | – | – | – | – | – | – |
OR, Odds ratio ; CI, confidence interval.
†
Insufficient cases, but included as one of the disorders in the ‘Any’ category.
– Not assessed in models adjusted for comorbidity.
a
Discrete time survival models, assessed for respondents who completed part II (n=1031) controlling for sociodemographic variables (age, sex, education, marital status).
b
Assessed within age range 18–44 years.
c
Borderline significance : p=0.08 for social phobia and p=0.07 for substance use disorders.
*
Significant at the 0.05 level, two-sided test.