SynthesisClinical psychology review2016
Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review.
Synthesis in Clinical psychology review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
167 citing papers in PubMed, 6 syntheses or guidelines pooled it, 406 citations in OpenAlex.
- Long-term outcomes of selective mutism: a systematic literature review.BMC psychiatry · 2023Pooled it
- Social Anxiety and Suicidality in Youth: A Systematic Review and Meta-analysis.Research on child and adolescent psychopathology · 2023Pooled it
- Prevalence of suicidal ideation and suicide attempts among refugees: a meta-analysis.BMC public health · 2022Pooled it
- Estimating the risk of suicide associated with mental disorders: A systematic review and meta-regression analysis.Journal of psychiatric research · 2021Pooled it
- Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies.Scientific reports · 2020Pooled it
- Understanding suicide risk within the Research Domain Criteria (RDoC) framework: A meta-analytic review.Depression and anxiety · 2018Pooled it
- Trial
- Spectral Changes of EEG Following a 6-Week Low-Dose Oral Ketamine Treatment in Adults With Major Depressive Disorder and Chronic Suicidality.The international journal of neuropsychopharmacology · 2023Trial
- Effects of anxiety on suicidal ideation: exploratory analysis of a paroxetine versus bupropion randomized trial.International clinical psychopharmacology · 2018Trial
- Psychopathology profiles of acutely suicidal adolescents: Associations with post-discharge suicide attempts and rehospitalization.Journal of affective disorders · 2017Trial
- Exposure Therapy for Youth Anxiety: A Qualitative Examination of Caregivers' Impressions.Child psychiatry and human development · 2026Article
- Dark Tetrad Traits and Suicidal Ideation in Psychiatric Patients: The Role of Depression, Anxiety, and Stress.Behavioral sciences (Basel, Switzerland) · 2026Article
- Irritable bowel syndrome and suicide risk among adolescents: a prospective cohort study.The Lancet regional health. Western Pacific · 2026Article
- Predicting six month follow-up of suicidal thoughts and attempts among youth with anxiety presenting to an emergency department.JCPP advances · 2026Article
- Debts and experienced financial scarcity: associations with nonsuicidal self-injury and suicidality in adolescents at risk for psychopathology.Child and adolescent mental health · 2026Article
- Distress Tolerance and Self-Injurious Thoughts and Behaviors: A systematic review and commentary on methodological challenges.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026Article
- Suicidal ideation and suicide attempts among adolescents and youth in the aftermath of the Tigray war, 2024: prevalence and associated factors.BMC psychiatry · 2026Article
- Self-inconsistency and attachment insecurity mediate and moderate the association between anxiety and reasons for living in Chinese college students.Scientific reports · 2026Article
- Suicidality, Psychological Inflexibility, and Emotional Resilience Among Black College Students.International journal of environmental research and public health · 2026Article
- Suicide attempt history is associated with blunted neural reward responsiveness after accounting for a history of suicidal ideation and preparatory behaviors.Cognitive, affective & behavioral neuroscience · 2026Article
107 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Suicidal thoughts and behaviors are highly prevalent public health problems with devastating consequences. There is an urgent need to improve our understanding of risk factors for suicide to identify effective intervention targets. The aim of this meta-analysis was to examine the magnitude and clinical utility of anxiety and its disorders as risk factors for suicide ideation, attempts, and deaths. We conducted a literature search through December 2014; of the 65 articles meeting our inclusion criteria, we extracted 180 cases in which an anxiety-specific variable was used to longitudinally predict a suicide-related outcome. Results indicated that anxiety is a statistically significant, yet weak, predictor of suicide ideation (OR=1.49, 95% CI: 1.18, 1.88) and attempts (OR=1.64, 95% CI: 1.47, 1.83), but not deaths (OR=1.01, 95% CI: 0.87, 1.18). The strongest associations were observed for PTSD. Estimates were reduced after accounting for publication bias, and diagnostic accuracy analyses indicated acceptable specificity but poor sensitivity. Overall, the extant literature suggests that anxiety and its disorders, at least when these constructs are measured in isolation and as trait-like constructs, are relatively weak predictors of suicidal thoughts and behaviors over long follow-up periods. Implications for future research priorities are discussed.
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Registered trials
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.