Distress Tolerance and Anxiety Sensitivity Cognitive Concerns: Testing the Incremental Contributions of Affect Dysregulation Constructs on Suicidal Ideation and Suicide Attempt

The Impact of Anxiety Sensitivity on Suicidality in Adolescents With Major Depressive Disorder

“…The authors have also shown that increased suicidal ideation is the result of interactions between AS cognitive concerns and depressive symptoms, not anxiety symptoms. Our finding of AS cognitive concerns on suicidal ideation through depression symptoms is consistent with this report and supports the depression distress amplification model (Capron et al 2013). …”

“…In contrast, higher AS physical concerns have been reported to protect against suicidal acts (Capron et al 2012b). A similar relationship between AS social and physical concerns and suicidal ideation has also been reported (Capron et al 2012a, Capron et al 2012b, Capron et al 2013, Lamis & Jahn 2013. However, the previously discussed longitudinal adolescent study did not confirm an association of AS physical and social concerns with suicidality (Capron et al 2015).…”

“…Although agreement is not universal, most studies have found that AS cognitive concerns are a risk factor for previous suicide attempts in adults (Capron 2012a, Capron 2012b, Capron 2013. Some of these studies did not control for potential confounders such as anxiety disorders and depression, but others found unique predictor effects of AS cognitive concerns on suicidal ideation after accounting for these variables (Lamis & Jahn 2013, Schmidt et al 2001.…”

Test of the depression distress amplification model in young adults with elevated risk of current suicidality

“…Suicidal ideation emerges when the distress caused by the amplified depression reaches severe levels. This model has been evaluated in an adult clinical sample and been found to predict suicidal ideation above and beyond distress tolerance (Capron et al, 2013b). Further, distress amplification appears to be specific to anxiety sensitivity cognitive concerns, as an interaction between distress tolerance and depressive symptoms was not significantly associated with suicidal ideation (Capron et al, 2013b).…”

“…Recently, the depression distress amplification model was posited to explain the role of anxiety sensitivity cognitive concerns in the development of suicidal ideation (Capron et al, 2013b). Global anxiety sensitivity amplifies distress responses in the context of general stress and anxiety symptoms.…”