Gabriel Diaconu1, Gustavo Turecki. 1. McGill Group for Suicide Studies, Douglas Hospital Research Centre, McGill University, Montréal, Québec, Canada H4H 1R3.
Abstract
BACKGROUND: The relation between panic disorder and suicidal behavior has been surrounded by perennial controversy. A significant number of reports suggest that PD is associated with suicidal behavior. Alternatively, it has been proposed that comorbid depression may account for the increased suicidality identified in this population. METHOD: A total of n=474 consecutive psychiatric outpatient subjects were assessed for Axes I and II psychopathology and personality traits, as well as suicidal behavior, using structured interviews. RESULTS: Approximately half of the sample (n=250) reported suicidal ideation, either lifetime or during the 6 months prior to evaluation. In total, 200 subjects reported a history of suicide attempts. When comorbidity with depressive disorders (DD) was not taken into account, patients with Panic Disorder (PD) did not differ from those with a primary diagnosis of depressive disorder in terms of age, current or lifetime suicide ideation or number of suicide attempts. After separating the group characterized by PD comorbid with DD, PD only subjects had significantly lower number of suicide attempts compared to either DD (p<0.01) or comorbid PD-DD (p<0.05). Similar levels of SI were noted between PD, DD and PD-DD, both current and lifetime. Suicide attempters with PD, DD or both did not differ in terms of suicide intent or lethality. They were also similar on impulsivity, aggressive behavior and state-trait anxiety measures. LIMITATIONS: Cross-sectional design, the limited sample size in the PD only group, retrospectively collected data with the possibility of recall bias. CONCLUSIONS: In this clinical outpatient sample, the association between panic disorder and suicidal behavior was primarily explained by comorbidity with depressive disorders. No differences were observed between different groups for measures of severity of the suicidal behavior. Physicians should be aware of these associations when assessing adults with panic disorder for suicidality.
BACKGROUND: The relation between panic disorder and suicidal behavior has been surrounded by perennial controversy. A significant number of reports suggest that PD is associated with suicidal behavior. Alternatively, it has been proposed that comorbid depression may account for the increased suicidality identified in this population. METHOD: A total of n=474 consecutive psychiatricoutpatient subjects were assessed for Axes I and II psychopathology and personality traits, as well as suicidal behavior, using structured interviews. RESULTS: Approximately half of the sample (n=250) reported suicidal ideation, either lifetime or during the 6 months prior to evaluation. In total, 200 subjects reported a history of suicide attempts. When comorbidity with depressive disorders (DD) was not taken into account, patients with Panic Disorder (PD) did not differ from those with a primary diagnosis of depressive disorder in terms of age, current or lifetime suicide ideation or number of suicide attempts. After separating the group characterized by PD comorbid with DD, PD only subjects had significantly lower number of suicide attempts compared to either DD (p<0.01) or comorbid PD-DD (p<0.05). Similar levels of SI were noted between PD, DD and PD-DD, both current and lifetime. Suicide attempters with PD, DD or both did not differ in terms of suicide intent or lethality. They were also similar on impulsivity, aggressive behavior and state-trait anxiety measures. LIMITATIONS: Cross-sectional design, the limited sample size in the PD only group, retrospectively collected data with the possibility of recall bias. CONCLUSIONS: In this clinical outpatient sample, the association between panic disorder and suicidal behavior was primarily explained by comorbidity with depressive disorders. No differences were observed between different groups for measures of severity of the suicidal behavior. Physicians should be aware of these associations when assessing adults with panic disorder for suicidality.
Authors: Atsuo Nakagawa; Michael F Grunebaum; Maria A Oquendo; Ainsley K Burke; Haruo Kashima; J John Mann Journal: J Affect Disord Date: 2008-05-15 Impact factor: 4.839
Authors: B Bi; X Xiao; H Zhang; J Gao; M Tao; H Niu; Y Wang; Q Wang; C Chen; N Sun; K Li; J Fu; Z Gan; W Sang; G Zhang; L Yang; T Tian; Q Li; Q Yang; L Sun; Ying Li; H Rong; C Guan; X Zhao; D Ye; Y Zhang; Z Ma; H Li; K He; J Chen; Y Cai; C Zhou; Y Luo; S Wang; S Gao; J Liu; L Guo; J Guan; Z Kang; D Di; Yajuan Li; S Shi; Yihan Li; Y Chen; J Flint; K Kendler; Y Liu Journal: Psychol Med Date: 2012-04-23 Impact factor: 7.723
Authors: Hong Jin Jeon; Jong-Min Woo; Hyo-Jin Kim; Maurizio Fava; David Mischoulon; Seong Jin Cho; Sung Man Chang; Doo-Heum Park; Jong Woo Kim; Ikki Yoo; Jung-Yoon Heo; Jin Pyo Hong Journal: Psychiatry Investig Date: 2016-11-24 Impact factor: 2.505