ArticleEpidemiology and psychiatric sciences2025
Increased risk of suicide among patients with social anxiety disorder.
Article in Epidemiology and psychiatric sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative effectiveness of non-pharmacological interventions for social anxiety disorder in adults: a systematic review and meta-analysis.Frontiers in psychology · 2026Pooled it
- Negative social interpretation bias and suicidality: Indirect pathways through social anxiety and perceived burdensomeness.BMC psychology · 2026Article
- Bidirectional associations between parental-child alienation and social anxiety: a longitudinal study on the mediating role of interpersonal sensitivity.BMC psychology · 2026Article
- All-cause and cause-specific mortality in social anxiety disorder: a matched cohort and sibling cohort study.Epidemiology and psychiatric sciences · 2026Article
- Effectiveness of self-guided virtual reality exposure therapy for social anxiety disorder: a systematic review and meta-analysis protocol.Frontiers in public health · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsIncreasing evidence has established a strong association between social anxiety disorder and suicidal behaviours, including suicidal ideation and suicide attempts. However, the association between social anxiety disorder and suicide mortality remains unclear.
methodsThis study analysed data from 15,776 patients with social anxiety disorder, extracted from a nationwide Taiwanese cohort between 2003 and 2017. Two unexposed groups without social anxiety disorder, matched by birth year and sex in 1:4 and 1:10 ratios, respectively, were used for comparison. Suicide deaths during the same period were examined. Psychiatric comorbidities commonly associated with social anxiety disorder, including schizophrenia, bipolar disorder, major depression, alcohol use disorder (AUD), substance use disorder (SUD), obsessive-compulsive disorder, autism, and attention deficit hyperactivity disorder, were identified.
resultsTime-dependent Cox regression models, adjusted for demographic factors and psychiatric comorbidities, revealed that individuals with social anxiety disorder had an increased risk of suicide (hazard ratio: 3.49 in the 1:4 matched analysis and 2.84 in the 1:10 matched analysis) compared with those without the disorder. Comorbidities such as schizophrenia, bipolar disorder, major depression, AUD, and SUD further increased the risk of suicide in patients with social anxiety disorder.
conclusionSocial anxiety disorder is an independent risk factor for suicide death. Additional psychiatric comorbidities, including schizophrenia, major affective disorders, and AUD, further increased social anxiety disorder-related suicide risk. Therefore, mental health officers and clinicians should develop targeted suicide prevention strategies for individuals with social anxiety disorder.
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