State and Trait Anxiety in Adolescent Suicide Attempters

Ohring, Richard; Apter, Alan; Ratzoni, Gideon; Weizman, Ronit; Tyano, Sam; Plutchik, Robert

doi:10.1097/00004583-199602000-00007

Cited by 63 publications

(31 citation statements)

References 19 publications

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“…Moreover, this association is supported clinically by arrested flight-based models of suicidality where the suicidal act serves as an escape from a state of entrapment (de Leon et al, 2015; Gilbert and Allan, 1998; Rasmussen et al, 2010; Williams and Pollock, 2008). Other negative valence system deficits, state and trait anxiety, were also found to be correlates of suicidality in bivariate analyses, consistent with past work (Goldston et al, 1996; Goldston et al, 2006; Ohring et al, 1996; Sareen et al, 2005a; Sareen et al, 2005b); however, these were no longer significant when entered into the multivariate model. Nonetheless, it should be noted that state anxiety contributed to the model very nearly as much as entrapment, highlighting the importance of acute negative valence system activity in acute suicidality.…”

Section: Discussionsupporting

confidence: 85%

“…Addressing this challenge, the Research Domain Criteria (RDoC) project was launched where systems based on cognitive, behavioral and neuronal mechanisms are the focus of investigation rather than a DSM classified psychiatric disorder (Cuthbert, 2015). Relatedly, several suicide studies from our laboratory and others have examined specific symptoms that reflect corresponding disturbances in functional domains, such as anhedonia (Bradley et al, 2015; Fawcett et al, 1990; Gabbay et al, 2015; Kollias et al, 2008; Nock and Kazdin, 2002; Spijker et al, 2010; Winer et al, 2014), anxiety/entrapment (Goldston et al, 1996; Goldston et al, 2006; Hendin et al, 2010; O’Connor et al, 2013; Ohring et al, 1996; Panagioti et al, 2012; Sareen et al, 2005a; Sareen et al, 2005b; Yaseen et al, 2012; Yaseen et al, 2014), and attachment disturbances (Adam et al, 1996; Grunebaum et al, 2010; Lessard and Moretti, 1998; Lizardi et al, 2011; Palitsky et al, 2013). In particular, anhedonia reflects disturbance in reward processing including reward motivation (Auerbach et al, 2015; Gold et al, 2013), attainment (Liu et al, 2016), and learning (Pizzagalli et al, 2008; Pizzagalli et al, 2005); entrapment reflects response to acute threat in the context of frustrative nonreward (Gilbert and Allan, 1998); state and trait anxiety reflect acute sensitivity to and chronic vigilance for threat, respectively (Bishop, 2009; Jusyte et al, 2015); finally, fearful attachment represents disturbance in the social systems involved in affiliation (Safran, 1990; Yaseen et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Functional domains as correlates of suicidality among psychiatric inpatients

Yaseen

Galynker

Briggs

et al. 2016

Journal of Affective Disorders

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Background Suicide remains poorly understood and unpredictable. Addressing this challenge, this study examined the independent contributions of several research domain criteria (RDoC) constructs in relation to suicidality in patients hospitalized for acute suicide risk. Specifically, we examined anhedonia, anxiety/entrapment, and attachment disturbances, reflecting disturbances in reward processes, negative valence systems, and social processes, respectively. Methods Anhedonia, anxiety, entrapment, and fearful attachment, were assessed quantitatively in 135 adults hospitalized for suicidality. Current suicidality and suicidal history were assessed with the Columbia Suicide Severity Rating Scale. Bivariate analyses (with significance threshold of p < 0.01 to account for multiple comparisons) and multivariate models examined relationships between symptom dimensions and severity of suicidal ideation (SI). We also assessed differences between patients with a history of suicide attempt and those who exhibited only suicidal ideations. Results Using bivariate analyses all symptoms except for fearful attachment correlated robustly with SI (r = 0.37–0.50, p < 0.001). However, when using multivariate analyses, only anhedonia (β = 0.28, p = 0.01) and entrapment (β = 0.19, p = 0.03) were independently associated with SI across the entire sample. No functional domain measures differed between patients with history of suicide attempt versus ideation only. Limitations The reliance on self-report data and a cross-sectional design. Conclusions Disturbances in reward and threat processing may represent independent factors in the development of suicidal ideation in this high suicide risk cohort. Future studies should assess their role as risk factors.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Functional domains as correlates of suicidality among psychiatric inpatients

Yaseen

Galynker

Briggs

et al. 2016

Journal of Affective Disorders

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“…These effects were seen only among patients with a lifetime anxiety disorder (that is, current or past), since patients with only a current anxiety disorder did not have higher rates of suicidality. Other researchers have also noted that trait, but not state, anxiety increases suicidality, and it has been suggested that trait but not state anxiety may effect suicidality independently of depression (20). Although we focused exclusively on patients with major depression, this hypothesis warrants further study.…”

Section: Resultsmentioning

confidence: 90%

Suicidal Ideation in Major Depression: Sex Differences and Impact of Comorbid Anxiety

et al. 2000

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Background: Beingfemale and having comorbid anxiety are both thought to increase suicidality in patients with major depression. Whether these effects are independent or related to severity ofdepression is not known. Method: We conducted a retrospective review of 533 patients (190 men, 343 women) with major depression at the time of assessment. Results: Suicidal ideation was present in 57.8% ofall patients, and 43.2% ofall patients had a lifetime anxiety disorder. Significantly more women than men experiencedsuicidal ideation, and both men and women with a lifetime anxiety disorder were more likely to be suicidal. Age and severity ofdepression did not account for these results. Conclusions: In patients with a current major depression, being female and having a lifetime anxiety disorder increase suicidality independently ofone another and independently ofseverity ofdepression.

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“…Personal traits have attracted attention because they are generally stable characteristics, and developmentally are likely to antedate the onset of suicidal or related psychopathology (for a review, see Brezo et al 2006). Traits that have been associated with suicidal behavior in youngsters include impulsivity, impulsive aggression, trait anxiety, and trait anger (Brent et al 2003;Brezo et al 2006;Goldston et al 1996;McKeown et al 1998;Myers et al 1991b;Ohring et al 1996). Notably, in childhood, various traits such as impulsivity have been regarded as aspects of temperament, which has been defined as individual differences in arousability or physiological reactivity and overall selfregulation (for overviews, see Posner and Rothbart 2000;Shiner 1998).…”

mentioning

confidence: 99%

The Relations of Temperament and Emotion Self-regulation with Suicidal Behaviors in a Clinical Sample of Depressed Children in Hungary

Tamás

Kovács

Gentzler

et al. 2007

J Abnorm Child Psychol

112

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Although major depressive disorder (MDD) is associated with suicidal behaviors, some depressed individuals are not suicidal and others evidence various forms of suicidality. We thus investigated whether aspects of temperament and self-regulation of dysphoria represent risk factors for DSM-IV suicidality (recurrent thoughts of death, recurrent suicidal ideation, suicidal plan, and suicide attempt) in depressed youths. Using a sample of children with MDD (N = 407; ages 7-14 years), recruited from clinical sites across Hungary, we tested the hypotheses that: (a) suicidality is related to higher levels of trait negative emotionality as well as more maladaptive and fewer adaptive regulatory responses to dysphoria and (b) as the severity of suicidal behavior increases, levels of trait negative emotionality and dysfunctional emotion regulation also increase. We also explored if other aspects of temperament relate to suicidality. Children's DSM-IV diagnoses were based on semi-structured interviews and best-estimate psychiatric consensus. Parents independently provided ratings of their children's temperament, and children separately completed an inventory of emotion regulation (ER). Using multivariate models, we failed to confirm the hypothesized relations of negative trait emotionality and suicidality, but confirmed that high maladaptive and low adaptive ER response tendencies increase the odds of suicidal behaviors, above and beyond the risk posed by depressive illness severity. Unplanned interaction terms between temperament dimensions (other than negative emotionality) and ER suggested that at some high-extremes of temperament, ER has no impact on suicidality but in their absence, adaptive ER lowers the risk of suicidality. The practical implications of the findings are discussed.

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State and Trait Anxiety in Adolescent Suicide Attempters

Cited by 63 publications

References 19 publications

Functional domains as correlates of suicidality among psychiatric inpatients

Functional domains as correlates of suicidality among psychiatric inpatients

Suicidal Ideation in Major Depression: Sex Differences and Impact of Comorbid Anxiety

The Relations of Temperament and Emotion Self-regulation with Suicidal Behaviors in a Clinical Sample of Depressed Children in Hungary

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