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Related Experiment Videos

Diagnostic comorbidity in persons with suicidal ideation and behavior

M D Rudd1, P F Dahm, M H Rajab

  • 1Department of Psychiatry and Behavioral Science, Texas A&M Health Science Center, College of Medicine, College Station.

The American Journal of Psychiatry
|June 1, 1993
PubMed
Summary

This study found that panic disorder alone does not increase suicidal ideation risk. However, when panic disorder co-occurs with mood disorders, it becomes a significant risk factor for suicidal behavior.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Epidemiology

Background:

  • Previous research suggested a link between panic disorder and increased suicidal ideation.
  • Replication studies failed to consistently support this association in various patient groups.

Purpose of the Study:

  • To further investigate the relationship between panic disorder and suicidal ideation/behavior.
  • To examine the role of diagnostic comorbidity in this association.

Main Methods:

  • The study included 209 outpatients with a history of suicide attempts or high suicide risk.
  • Participants underwent structured clinical interviews for DSM-III-R diagnoses and completed scales for suicidal ideation and hopelessness.

Main Results:

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  • Panic disorder was not found as an independent diagnosis; all patients with panic disorder had at least one comorbid diagnosis.
  • Highest scores for suicidal ideation and hopelessness were observed in patients with comorbid panic disorder and mood disorders.
  • Comorbid Posttraumatic Stress Disorder (PTSD), generalized anxiety disorder, and phobias also played significant roles.
  • Conclusions:

    • Panic disorder, in isolation, is not validated as an independent risk factor for suicidal ideation or behavior.
    • Panic disorder may be a risk factor for suicidal ideation/behavior when it co-occurs with primary mood disorders.