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. Author manuscript; available in PMC: 2017 Jun 1.
Published in final edited form as: Bipolar Disord. 2016 May 27;18(4):363–372. doi: 10.1111/bdi.12397

Table 3.

Fixed effects for clinical symptoms in time before suicide attempt/death

Main effect for suicidal behavior Time by suicidal behavior interaction Overall effect size between groups Effect size at Month -1

F p-value F p-value Cohen’s d Cohen’s d
Proposed acute suicide risk factors

Suicidal ideation 58.57 <0.001f 7.31 <0.001f 0.67 0.41
Loss of interest 13.28 <0.001f 4.00 0.001f 0.31 0.22
Abnormal anxiety 12.91 <0.001f 2.39 0.04 0.31 0.20
Psychomotor agitation 4.22 0.04 2.64 0.02 0.18 0.14
High-risk behavior 6.20 0.013 0.86 0.51 0.22 0.06

Global functioning

CGIa 53.28 <0.001 5.84 <0.001 0.63 0.38
GAFb 30.51 <0.001 4.84 <0.001 0.48 0.33

Mood effects

Elevated moodc 9.89 0.002 0.51 0.12 0.28 0.08
Abnormal irritabilityc 13.01 <0.001 0.72 0.61 0.31 0.11
Depressed moodd 13.62 <0.001 1.99 0.08 0.38 0.24

Alcohol/substance abuse and headaches/migrainese

Alcohol abuse 4.46 0.035 1.66 0.14 0.19 0.05
Substance abuse 12.31 <0.001 1.49 0.19 0.30 0.06
Headaches 4.30 0.039 1.01 0.41 0.18 0.09
Migraine headaches 0.61 0.44 1.17 0.32 0.07 0.00
a

CGI = Clinical Global Impression rating scale. Higher scores represent more severe illness. Average CGI in the last month before suicidal behavior was 3.7 [standard error (SE) = 0.1]. Average CGI in last month for controls was 2.58 (SE = 0.07).

b

GAF = Global Assessment of Functioning. Higher scores represent higher levels of functioning. Average GAF in the last month before suicidal behavior was 56.3 (SE = 1.2). Average GAF in last month for controls was 65.1 (SE = 0.7).

c

Elevated mood and Abnormal irritability were assessed on a similar scale as Abnormal Anxiety, that is, a percentage (from 0 to 100) of time in the last 10 days was that the symptom was experienced.

d

Depressed mood was assessed on the same scale as suicidal thoughts, loss of interest, psychomotor agitation, and high-risk behavior, that is, on a scale from −2 to +2.

e

Alcohol/substance abuse and Headaches/migraines were measured on a dichotomous scale of ‘Yes/No’.

f

Significant after correcting for multiple comparisons, Bonferroni, p = 0.01, two-tailed.