Evidence map›Paper›PMID 29684659›Full record

ArticleComprehensive psychiatry2018

Anxiety sensitivity and suicide risk among firefighters: A test of the depression-distress amplification model.

Ian H Stanley, Lia J Smith, Joseph W Boffa, Jana K Tran, N Brad Schmidt, Thomas E Joiner, Anka A Vujanovic

Open access · greenAbstract read
In one paragraph

Article in Comprehensive psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

3 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Anxiety Sensitivity as a Malleable Mechanistic Target for Prevention Interventions: A Meta-Analysis of the Efficacy of Brief Treatment Interventions.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2021
    Article
  3. 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

7 authors at 3 institutions in 1 country.

Ian H StanleyDepartment of Psychology, Florida State University, 1107 West Call Street, Tallahassee, FL 32306, USA.
Lia J SmithDepartment of Psychology, University of Houston, 3695 Cullen Boulevard, Houston, TX 77204, USA.
Joseph W BoffaDepartment of Psychology, Florida State University, 1107 West Call Street, Tallahassee, FL 32306, USA.
Jana K TranHouston Fire Department, 1801 Smith Street, Suite 626, Houston, TX 77002, USA.
N Brad SchmidtDepartment of Psychology, Florida State University, 1107 West Call Street, Tallahassee, FL 32306, USA.
Thomas E JoinerDepartment of Psychology, Florida State University, 1107 West Call Street, Tallahassee, FL 32306, USA.
Anka A VujanovicDepartment of Psychology, University of Houston, 3695 Cullen Boulevard, Houston, TX 77204, USA. Electronic address: aavujano@central.uh.edu.
Florida State University · USNew York City Fire Department · USUniversity of Houston · US

Funding

Integrated Clinical Neuroscience Training for Translational ResearchT32MH093311 · NIMH · FLORIDA STATE UNIVERSITY · PI LISA A ECKEL, Pamela K. Keel · 2012 to 2026
$2.3M
NIMH NIH HHS T32 MH093311
6 · The paper itself

Abstract

backgroundFirefighters represent an occupational group at increased suicide risk. How suicidality develops among firefighters is poorly understood. The depression-distress amplification model posits that the effects of depression symptoms on suicide risk will be intensified in the context of anxiety sensitivity (AS) cognitive concerns. The current study tested this model among firefighters.

methodsOverall, 831 firefighters participated (mean [SD] age = 38.37 y [8.53 y]; 94.5% male; 75.2% White). The Center for Epidemiologic Studies Depression Scale (CES-D), Anxiety Sensitivity Index-3 (ASI-3), and Suicidal Behaviors Questionnaire-Revised (SBQ-R) were utilized to assess for depression symptoms, AS concerns (cognitive, physical, social), and suicide risk, respectively. Linear regression interaction models were tested.

resultsThe effects of elevated depression symptoms on increased suicide risk were augmented when AS cognitive concerns were also elevated. Unexpectedly, depression symptoms also interacted with AS social concerns; however, consistent with expectations, depression symptoms did not interact with AS physical concerns in the prediction of suicide risk.

conclusionsIn the context of elevated depression symptoms, suicide risk is potentiated among firefighters reporting elevated AS cognitive and AS social concerns. Findings support and extend the depression-distress amplification model of suicide risk within a sample of firefighters. Interventions that successfully impact AS concerns may, in turn, mitigate suicide risk among this at-risk population.

Indexed as

Suicidal IdeationSurveys and QuestionnairesAdultAnxietyCross-Sectional StudiesDepressionFemaleFirefightersHumansMaleMiddle AgedRisk FactorsSelf ConceptSelf-Injurious BehaviorSuicide

Identifiers

PMID29684659
PMCPMC6402324
OpenAlexW2796274914

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.