Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011;32(2):110-3.
doi: 10.1027/0227-5910/a000057.

Suicidal behavior on Axis VI: clinical data supporting a sixth Axis for DSM-V

Kimberly A Van Orden  1 , Tracy K Witte, Jill Holm-Denoma, Kathryn H Gordon, Thomas E Joiner Jr
Affiliations

Suicidal behavior on Axis VI: clinical data supporting a sixth Axis for DSM-V

Kimberly A Van Orden et al. Crisis. 2011.

Abstract

Background: Oquendo and colleagues (Oquendo, Baca-García, Mann, & Giner, 2008; Oquendo & Currier, 2009) recommend that DSM-V emphasize suicide risk assessment on a sixth axis, thereby increasing regularity of suicide risk assessments.

Aims: We propose that evidence of nonredundancy with Axis V - Global Assessment of Functioning (GAF) is one piece of data that can serve as a starting point for a line of research establishing incremental predictive utility for a separate suicide risk assessment in the DSM framework.

Methods: A standardized suicide risk assessment protocol, measures of depressive, anxious, and eating disordered symptomatology, as well as an index of comorbidity were administered to a sample of 412 adult outpatients.

Results: Our data indicate that data from standardized suicide risk assessments are associated with indices of symptomatology severity as well as comorbidity, controlling for GAF.

Conclusions: These results support the nonredundancy of the assessments and suggest the utility of longitudinal investigations of the predictive utility of a sixth DSM axis in the assessment of suicide risk.

PubMed Disclaimer

References

    1. Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive Therapy of Depression: A Treatment Manual. New York: Guilford Press; 1979.
    1. Beck AT, Steer RA. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation; 1993.
    1. Dittmann V, Dilling H. Chapter V (F) of ICD-10: mental, behavioural and developmental disorders--introduction and overview. Pharmacopsychiatry. 1990;23 Suppl 4:137–141. - PubMed
    1. First MB, Spitzer RL, Miriam G, Williams JBW. Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition. (SCID-I/NP) New York: Biometrics Research, New York State Psychiatric Institute; 2002.
    1. Garner DM, Olmstead MP, Polivy J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders. 1993;2:15–34.

Publication types

MeSH terms