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Related Experiment Videos

Panic disorder and suicidal ideation in primary care.

Daniel J Pilowsky1, Mark Olfson, Marc J Gameroff

  • 1Division of Clinical and Genetic Epidemiology, New York State Psychiatric Institute, New York, New York, USA. dp14@columbia.edu

Depression and Anxiety
|October 26, 2005
PubMed
Summary

Patients with panic disorder (PD) in primary care settings face a heightened risk of suicidal ideation. This risk is significantly amplified when co-occurring major depressive disorder (MDD) is present.

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Mental Health Research

Background:

  • Panic disorder (PD) is a significant mental health concern.
  • Suicidal ideation is a critical public health issue.
  • Understanding comorbidity in primary care is essential for effective mental healthcare.

Purpose of the Study:

  • To investigate the association between panic disorder and suicidal ideation in an urban primary care setting.
  • To determine if this association persists after accounting for other common psychiatric disorders.
  • To identify high-risk patient groups for targeted interventions.

Main Methods:

  • Surveyed 2,043 primary care patients using the PRIME-MD Patient Health Questionnaire.
  • Assessed prevalence of suicidal ideation, panic disorder, and major depressive disorder (MDD).

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  • Utilized statistical analysis to adjust for confounders like age, gender, MDD, anxiety, and substance use disorders.
  • Main Results:

    • Panic disorder was diagnosed in 6.2% of patients.
    • Patients with PD were twice as likely to report suicidal ideation (AOR=1.84) after adjustments.
    • Patients with MDD showed a sevenfold increase in suicidal ideation odds (AOR=7.00), especially when comorbid with PD.

    Conclusions:

    • Primary care patients with PD are at elevated risk for suicidal ideation.
    • The combination of PD and MDD presents a particularly high risk for suicidal ideation.
    • Routine screening for suicidal ideation and depression in PD patients within primary care is strongly recommended.