Evidence map›Paper›PMID 25721182›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2015

Cognitive-behavioral therapy for child anxiety confers long-term protection from suicidality.

Courtney Benjamin Wolk, Philip C Kendall, Rinad S Beidas

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Implications of cooccurring ADHD for the cognitive behavioural treatment of anxiety in autistic children.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Trial
  3. Brief Behavioral Therapy for Pediatric Anxiety and Depression in Primary Care: A Follow-up.Journal of the American Academy of Child and Adolescent Psychiatry · 2020
    Trial
  4. Effect of a School-Based Anxiety Prevention Program among Primary School Children.International journal of environmental research and public health · 2019
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The Role of Comorbid Depression in Youth Anxiety Treatment Outcomes.Child psychiatry and human development · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Sleep Patterns and Anxiety in Children Interact to Predict Later Suicidal Ideation.Children's health care : journal of the Association for the Care of Children's Health · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Courtney Benjamin WolkCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia. Electronic address: cbenja@upenn.edu.
Philip C KendallChild and Adolescent Anxiety Disorders Clinic, Temple University, Philadelphia.
Rinad S BeidasCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Child/Adolescent Anxiety Multimodal Treatment StudyU01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2002 to 2007
$2.2M
Disseminating evidence-based practice to the schools: CBT for child anxietyR01MH086438 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2011 to 2015
$1.6M
Process as a predictor of Outcomes in CBT for YouthR01MH064484 · NIMH · TEMPLE UNIVERSITY · PI KENDALL, PHILIP C · 2002 to 2004
$1.1M
Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
4/6-Child/Adolescent Anxiety Multimodal Extended Long-Term Study (CAMELS)R01MH063747 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI KENDALL, PHILIP C · 2010 to 2014
$618k
Team Functioning in School Mental Health Teams Implementing CBTF32MH103955 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI WOLK, COURTNEY LYNN BENJAMIN · 2014 to 2016
$173k
Mental Health Outcomes in Young Adults Previously Treated for Child AnxietyF31MH086954 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI WOLK, COURTNEY LYNN BENJAMIN · 2010 to 2011
$38k
DEVELOPMENT/COGNITIVE-BEHAVIOR THERAPY/ANXIOUS CHILDRENR01MH044042 · NIMH · TEMPLE UNIVERSITY · PI KENDALL, PHILIP C · 1989 to 1995
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NIMH NIH HHS F31 MH086954NIMH NIH HHS F32 MH103955NIMH NIH HHS K23 MH099179NIMH NIH HHS MH086954NIMH NIH HHS MH099179NIMH NIH HHS MH103955NIMH NIH HHS MH44042NIMH NIH HHS MH63747NIMH NIH HHS MH64484NIMH NIH HHS MH86438NIMH NIH HHS R01 MH063747NIMH NIH HHS R01 MH064484NIMH NIH HHS R01 MH086438NIMH NIH HHS R25 MH080916NIMH NIH HHS U01 MH063747
6 · The paper itself

Abstract

objectiveEvidence for an independent relationship between anxiety and suicidality has been mixed. Few studies have examined this relationship in youth seeking treatment for anxiety. The present study examined the relationship between response to treatment for an anxiety disorder in childhood and suicidal ideation, plans, and attempts at a follow-up interval of 7 to 19 years. We hypothesized that successful treatment for an anxiety disorder in childhood would be protective against later suicidality.

methodThe present study was a 7- to 19-year (mean = 16.24 years; SD = 3.56 years) follow-up study. Adults (N = 66) completed cognitive-behavioral treatment (CBT) for anxiety as children. Information regarding suicidality at follow-up was obtained via the World Mental Health Survey Initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI) and the Beck Depression Inventory-II (BDI-II).

resultsResults indicate that participants who responded favorably to CBT during childhood were less likely to endorse lifetime, past-month, and past-2-week suicidal ideation than treatment nonresponders. This was consistent across self-report and interview-report of suicidal ideation. Treatment response was not significantly associated with suicide plans or attempts, although the infrequent occurrence of both limited the ability to detect findings.

conclusionResults suggest more chronic and enduring patterns of suicidal ideation among individuals with anxiety in childhood that is not successfully treated. This study adds to the literature that suggests that successful CBT for childhood anxiety confers long-term benefits and underscores the importance of the identification and evidence-based treatment of youth anxiety.

Indexed as

Suicide PreventionAdolescentAdultAnxietyChildCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansLogistic ModelsMalePhiladelphiaPsychiatric Status Rating ScalesRisk FactorsSuicide, AttemptedYoung Adultanxietycognitive-behavioral therapyevidence-based treatmentsuicidalitysuicide

Identifiers

PMID25721182
PMCPMC4344955

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.