Related Experiment Videos
Panic and suicidal ideation in primary care
1Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York State Psychiatric Institute, and The Mailman School of Public Health, Columbia University, New York, New York 10032, USA. rdg66@columbia.edu
Depression and Anxiety
|December 26, 2001
Summary
Patients experiencing panic attacks or panic disorder in primary care settings face significantly higher risks of suicidal ideation. Early detection and treatment are crucial, particularly for those with co-occurring major depression.
Area of Science:
- Psychiatry
- Primary Care Medicine
- Epidemiology
Background:
- Panic attacks and panic disorder are prevalent mental health conditions.
- Suicidal ideation is a serious concern within primary care populations.
- The relationship between panic symptoms and suicidality requires further investigation in diverse patient groups.
Purpose of the Study:
- To investigate the association between panic attacks, panic disorder, and suicidal ideation in primary care patients.
- To determine if panic symptoms increase the risk of suicidal ideation, independent of other mental health conditions and demographics.
Main Methods:
- A probability sample of 1,007 primary care patients was assessed.
- The PRIME-MD Patient Health Questionnaire was used to evaluate current mental disorders and recent suicidal ideation.
- Statistical analyses controlled for major depression, substance use disorders, and sociodemographic variables.
Main Results:
- Patients with panic attacks or panic disorder showed significantly elevated risks of suicidal ideation.
- Suicidal ideation was strongly linked to major depression and comorbid panic disorder (OR = 15.4) or panic attacks (OR = 7.9).
- These associations remained significant after controlling for confounding factors.
Conclusions:
- Panic attacks and panic disorder are significant risk factors for suicidal ideation in primary care.
- Routine screening for panic symptoms and suicidal ideation is recommended in primary care settings.
- Integrated care approaches addressing panic and depression may reduce suicide risk.