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Anxiety sensitivity and suicidal ideation/suicide risk: A meta-analysis
Ian H Stanley1, Joseph W Boffa1, Megan L Rogers1
1Department of Psychology, Florida State University.
Journal of Consulting and Clinical Psychology
|October 19, 2018
Summary
Anxiety sensitivity (AS), the fear of anxiety-related sensations, is linked to suicidal thoughts and behaviors. This meta-analysis confirms AS is a significant predictor of suicidal ideation and suicide risk.
Area of Science:
- Psychology
- Public Health
- Psychopathology
Background:
- Suicide is a major global public health issue.
- Identifying transdiagnostic vulnerability factors for suicidality is crucial for prevention and treatment.
- Anxiety sensitivity (AS), the fear of anxiety-related sensations, is a potential transdiagnostic factor implicated in suicidal thoughts and behaviors, distinct from trait anxiety and negative affectivity.
Purpose of the Study:
- To synthesize the existing literature on the relationship between anxiety sensitivity and suicidal ideation and/or suicide risk.
- To determine the incremental utility of AS in understanding psychopathology related to suicidality.
Main Methods:
- A meta-analysis was conducted.
- Included 33 articles with 34 independent samples (N = 14,002).
- Examined relationships between global AS or its subfactors (cognitive, physical, social) and suicidal ideation/suicide risk.
Main Results:
- Global AS showed small-to-moderate association with suicidal ideation (r = .24) and moderate association with suicide risk (r = .35).
- All AS subfactors were significantly associated with suicidal ideation (rs = .13–.24) and suicide risk (rs = .22–.32).
Conclusions:
- Anxiety sensitivity is demonstrably related to suicidal ideation and global suicide risk.
- Further research is needed to differentiate AS from other distress indices in predicting suicidal outcomes.
- Findings have theoretical and clinical implications for understanding and addressing suicidality.
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