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Panic and suicidal ideation in primary care
Author(s) -
Goodwin Renee,
Olfson Mark,
Feder Adriana,
Fuentes Milton,
Pilowsky Daniel J.,
Weissman Myrna M.
Publication year - 2001
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.1074
Subject(s) - panic , suicidal ideation , panic disorder , psychiatry , depression (economics) , clinical psychology , psychology , anxiety , mental health , poison control , suicide prevention , medicine , medical emergency , economics , macroeconomics
The objective of this article is to examine the relationship between panic attacks, panic disorder, and suicidal ideation among primary care patients. A probability sample of 1,007 primary care attenders from a large urban university practice was assessed for current mental disorders and suicidal ideation (past 2 week prevalence) with the PRIME‐MD Patient Health Questionnaire. Controlling for major depression, substance use disorders, and sociodemographic variables simultaneously, patients with either panic attacks or panic disorder had significantly increased risks of suicidal ideation. Suicidal ideation was highly associated with major depression and comorbid panic disorder (OR = 15.4) or panic attacks (OR = 7.9). There is need for detection and possible treatment of patients with panic attacks or disorder in primary care, especially among those with co‐occurring major depression. Depression and Anxiety 14:244–246, 2001. © 2001 Wiley‐Liss, Inc.