Paranoid Ideation Without Psychosis Is Associated With Depression, Anxiety, and Suicide Attempts in General Population

This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. A...

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Vydané v:The journal of nervous and mental disease Ročník 207; číslo 10; s. 826
Hlavní autori: Na, Eun Jin, Choi, Kwan Woo, Hong, Jin Pyo, Cho, Maeng Je, Fava, Maurizio, Mischoulon, David, Jeon, Hong Jin
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.10.2019
Predmet:
Adolescent
Adult
Anxiety - diagnosis
Anxiety - epidemiology
Anxiety - psychology
Cross-Sectional Studies
Depression - diagnosis
Depression - epidemiology
Depression - psychology
Female
Humans
Male
Middle Aged
Paranoid Behavior - diagnosis
Paranoid Behavior - epidemiology
Paranoid Behavior - psychology
Population Surveillance - methods
Psychotic Disorders
Republic of Korea - epidemiology
Risk Factors
Suicidal Ideation
Suicide, Attempted - psychology
Young Adult
Republic of Korea
ISSN:1539-736X, 1539-736X
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Abstract This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. Among 12,532 subjects, 471 (3.76%) met criteria for the PIP group. The PIP group was younger with more divorced/widowed/separated and lower income than the non-PIP group. The PIP group showed more than fivefold higher lifetime suicide attempt (LSA) rates and ninefold multiple attempt rates than the non-PIP group. Among PIP symptoms, "spouse was being unfaithful" showed the strongest association with LSA (adjusted odds ratio [AOR], 4.49; 95% confidence interval, 2.95-6.85). Major depressive disorder (MDD) in combination with PIP was associated with a higher risk of LSA (AOR, 15.39; 95% confidence interval, 9.63-24.59) compared with subjects without MDD or PIP. In conclusion, PIP, especially "doubting spouse," was significantly associated with LSA. PIP in combination with comorbid MDD showed higher risk of LSA than subjects without PIP or MDD.
AbstractList This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. Among 12,532 subjects, 471 (3.76%) met criteria for the PIP group. The PIP group was younger with more divorced/widowed/separated and lower income than the non-PIP group. The PIP group showed more than fivefold higher lifetime suicide attempt (LSA) rates and ninefold multiple attempt rates than the non-PIP group. Among PIP symptoms, "spouse was being unfaithful" showed the strongest association with LSA (adjusted odds ratio [AOR], 4.49; 95% confidence interval, 2.95-6.85). Major depressive disorder (MDD) in combination with PIP was associated with a higher risk of LSA (AOR, 15.39; 95% confidence interval, 9.63-24.59) compared with subjects without MDD or PIP. In conclusion, PIP, especially "doubting spouse," was significantly associated with LSA. PIP in combination with comorbid MDD showed higher risk of LSA than subjects without PIP or MDD.This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. Among 12,532 subjects, 471 (3.76%) met criteria for the PIP group. The PIP group was younger with more divorced/widowed/separated and lower income than the non-PIP group. The PIP group showed more than fivefold higher lifetime suicide attempt (LSA) rates and ninefold multiple attempt rates than the non-PIP group. Among PIP symptoms, "spouse was being unfaithful" showed the strongest association with LSA (adjusted odds ratio [AOR], 4.49; 95% confidence interval, 2.95-6.85). Major depressive disorder (MDD) in combination with PIP was associated with a higher risk of LSA (AOR, 15.39; 95% confidence interval, 9.63-24.59) compared with subjects without MDD or PIP. In conclusion, PIP, especially "doubting spouse," was significantly associated with LSA. PIP in combination with comorbid MDD showed higher risk of LSA than subjects without PIP or MDD.
This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. Among 12,532 subjects, 471 (3.76%) met criteria for the PIP group. The PIP group was younger with more divorced/widowed/separated and lower income than the non-PIP group. The PIP group showed more than fivefold higher lifetime suicide attempt (LSA) rates and ninefold multiple attempt rates than the non-PIP group. Among PIP symptoms, "spouse was being unfaithful" showed the strongest association with LSA (adjusted odds ratio [AOR], 4.49; 95% confidence interval, 2.95-6.85). Major depressive disorder (MDD) in combination with PIP was associated with a higher risk of LSA (AOR, 15.39; 95% confidence interval, 9.63-24.59) compared with subjects without MDD or PIP. In conclusion, PIP, especially "doubting spouse," was significantly associated with LSA. PIP in combination with comorbid MDD showed higher risk of LSA than subjects without PIP or MDD.
Author Jeon, Hong Jin
Hong, Jin Pyo
Cho, Maeng Je
Fava, Maurizio
Choi, Kwan Woo
Na, Eun Jin
Mischoulon, David
Author_xml – sequence: 1
  givenname: Eun Jin
  surname: Na
  fullname: Na, Eun Jin
  organization: Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine
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  givenname: Kwan Woo
  surname: Choi
  fullname: Choi, Kwan Woo
  organization: Department of Psychiatry, Anam Hospital, Korea University College of Medicine
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  givenname: Jin Pyo
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  fullname: Hong, Jin Pyo
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  givenname: Hong Jin
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  fullname: Jeon, Hong Jin
  organization: Departments of Health Sciences and Technology, Medical Device Management and Research, and Clinical Research Design and Evaluation, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Seoul, South Korea
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Snippet This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of...
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SubjectTerms Adolescent
Adult
Anxiety - diagnosis
Anxiety - epidemiology
Anxiety - psychology
Cross-Sectional Studies
Depression - diagnosis
Depression - epidemiology
Depression - psychology
Female
Humans
Male
Middle Aged
Paranoid Behavior - diagnosis
Paranoid Behavior - epidemiology
Paranoid Behavior - psychology
Population Surveillance - methods
Psychotic Disorders
Republic of Korea - epidemiology
Risk Factors
Suicidal Ideation
Suicide, Attempted - psychology
Young Adult
Title Paranoid Ideation Without Psychosis Is Associated With Depression, Anxiety, and Suicide Attempts in General Population
URI https://www.ncbi.nlm.nih.gov/pubmed/31503180
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