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Panic-associated suicidal and aggressive ideation and behavior

M L Korn1, R Plutchik, H M Van Praag

  • 1Mental Health Service, Mount Vernon Hospital, NY, USA.

Journal of Psychiatric Research
|July 1, 1997
PubMed
Summary
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Panic disorder patients experience suicidal and aggressive thoughts during panic attacks. Comorbid depression significantly increases the rate of these thoughts and aggressive behaviors, highlighting the need for integrated treatment approaches.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Panic attacks are linked to increased suicidal ideation and attempts.
  • The temporal relationship between panic and suicidal behaviors is unclear.
  • The connection between aggression and panic requires further investigation.

Purpose of the Study:

  • To assess the frequency and type of suicidal and aggressive ideation/behaviors during panic in panic disorder patients.
  • To compare individuals with pure panic disorder versus those with comorbid panic and major depression.
  • To evaluate the impact of comorbid depression on panic-associated suicidal and aggressive phenomena.

Main Methods:

  • Nineteen patients with pure panic disorder and 28 with comorbid panic and major depression were studied.

Related Experiment Videos

  • The Panic, Suicide and Aggression Scale (PSAS) was used to assess panic-associated thoughts and behaviors.
  • Additional scales measured impulsivity, suicide risk, and violence risk.
  • Main Results:

    • Patients with pure panic disorder reported high rates of suicidal and aggressive ideation/behaviors during panic.
    • Comorbid depression doubled panic-associated suicidal ideation, property destruction, and assaults.
    • Comorbid depression increased homicidal ideation five-fold; suicide attempt rates were similar across groups.

    Conclusions:

    • Panic disorder is associated with significant suicidal and aggressive ideation and behaviors.
    • Comorbid depression exacerbates panic-associated suicidal and aggressive phenomena.
    • Panic-associated suicidality and aggression correlate with impulsivity and risk assessment measures.