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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Bibliographic Details
Published in:The journal of nervous and mental disease Vol. 207; no. 10; p. 826
Main Authors: Na, Eun Jin, Choi, Kwan Woo, Hong, Jin Pyo, Cho, Maeng Je, Fava, Maurizio, Mischoulon, David, Jeon, Hong Jin
Format: Journal Article
Language:English
Published: United States 01.10.2019
Subjects:
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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Summary: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.
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ISSN:1539-736X
1539-736X
DOI:10.1097/NMD.0000000000001050