Resource Tag: PANIC DISORDERS

This study replicated previous findings of high rates of bipolar disorder in patients with panic disorder & found that youths with both panic disorder & bipolar disorder have more severe illness. Results indicate that youths with both panic disorder & bipolar disorder were more likely to have psychotic symptoms & suicidal ideation. The authors note […]

This study assessed the naturalistic long-term course of panic disorder in 24 patients who participated in a multicenter drug trial in Vienna over an 11-year period. 66.7% had no panic attack during the year before the follow-up. The participants reported no suicide attempts over the 11-year period. The authors conclude that these results indicate that […]

Data were drawn from the National Comorbidity Survey in order to determine the prevalence, psychiatric comorbidity & suicidal ideation associated with co-occuring non-affective psychosis & panic attacks in the general population. Differences in sociodemographic characteristics, psychiatric comorbidity, suicidal ideation, & familial psychopathology were identified between those with non-affective psychoses with & without panic. Results indicated […]

This study investigated whether early-onset panic attack with fear represented a possible prodrome of early-onset severe psychopathology. Information about a household sample of adults aged 18 & over from five cities in the United States was analyzed with regard to psychiatric comorbidity, age at onset of comorbid mental disorders, & suicidal ideations/attempts. Findings indicated that […]

In order to determine the relationship between self-perceived health & suicidal ideation among patients in general internal medicine practice settings, a representative sample of patients was assessed. It was found that self-perception of poor health is associated with a significantly increased risk of suicidal ideation among general medical patients, even in the absence of common […]

The article is to examines the relationship between panic attacks, panic disorder, & suicidal ideation among primary care patients. A probability sample of primary care attenders from a large urban university practice was assessed for current mental disorders & suicidal ideation. Patients with either panic attacks or panic disorder had significantly increased risks of suicidal […]

This chapter focuses on the psychopharmacological treatment of psychiatric disorders that are closely associated with suicidal behavior & reviews the pharmacological management of pscyhiatric disorders & behavioural dysfunctions associated with the range of suicidal behaviours most often encountered in hospital & outpatient settings. The appropriate use of medications to treat the underlying psychiatric illness & […]

Briefly reviews several issues which need to be considered before conclusions can be drawn regarding the exact relationship between co-morbid anxiety and suicide attempts. (4 refs)

The frequency & type of reported suicidal & aggressive ideation & behaviors that occur during the panic state were assessed in patients with panic disorders. 19 patients with pure panic disorder & 28 patients with comorbid major depression were studied. Findings indicate that suicidal & aggressive ideation & behaviors were often directly associated with the […]

627 nonclinical panickers were studied to explore the speficity of the relationship between panic & suicide by assessing experiences of panic, suicidal behaviour in relation to panic & general levels of psychopathology. 42% had experienced at least 1 panic attack in the past year; of these, 18% had considered suicide & 2.65% had made a […]

This investigation examined the relationships between traumatic experiences & dissociation with pretreatment psychopathology and rates of recovery, relapse & maintenance for patients receiving cognitive-behavioral treatments for panic disorder with agoraphobia (PDA). 89 subjects were surveyed. Suicide-related statistics of the subjects are given. It was found that trauma-related variables (e.g. type of trauma) were predictive of […]

Suicide risk in panic disorder is reviewed beginning with early studies showing increased mortality. More recent follow-up studies of patients with anxiety disorders have found about 20% of deaths due to suicide. Attempts have been reported by similar proportions of subjects with panic disorder & major depression from the general population. Preliminary data indicate that […]

Analyzing data from the Epidemiologic Catchment Area study, Weissman et al (1989) reported that panic disorder was strongly associated with suicide attempt. However, this study did not control optimally for comorbid disorders known to increase suicide risk. The present authors controlled for comorbid disorders in the aggregate rather than 1 at a time & found […]

Although psychopharmacological intervention can help, literature on medication managment in adolescents is limited. Noting that adult drug studies often are used in treatment decisions, this chapter discusses the use of pharmacotherapy in suicidal adolescents with affective disorders (major depression, dysthymia & atypical depression, & bipolar disorder), anxiety disorders (panic & obsessive compulsive disorders), schizophrenia, & […]

Therapeutic efficacy for depression & panic disorder has been demonstrated with alprazolam. However, adverse events, including depression & suicide attempts, have been reported in patients taking this medication. In this paper, reports addressing the association between each of these 2 events & benzodiazepine use in general, & more specifically, alprazolam use are reviewed. It is […]

This article reports on a study of 106 patients with panic disorder & 41 patients with social phobia in a clinical setting. Based on earlier findings, some researchers had argued that there is an acute suicidal risk associated with panic disorder while others countered that most attempts were in the past and/or in the context […]

The reliability of the Adult Suicidal Ideation Questionnaire (ASIQ) is examined in a sample of 325 adult psychiatric outpatients. The ASIQ is a 25-item adult form of the Suicidal Ideation Questionnaire. Internal consistency reliability of the ASIQ was high for all groups & of sufficient magnitude to suggest accuracy for clinical & research applications. High […]

Several outcome studies of neurosis have reported mortality to be high – one cause appears to be suicide. Weissman et al (1989) reported that panic attacks/disorder were more closely linked to self-harm than other psychiatric conditions. This paper reviews these studies & others which have addressed the problem of comorbidity, e.g. additional diagnosis of depression. […]

The purpose of this chapter is to discuss the management of the suicidal patient which relies heavily on the relationship that the patient has to a primary therapist or treatment team. The chapter begins by addressing general management issues for suicidal patients with specific psychiatric disorders, and thereafter the authors propose detailed medication strategies for […]

We examined the relationship between suicidality, agitation, panic attacks, & the thyrotropin-stimulating hormone (TSH) response to thyrotropin-releasing hormone (TRH), & tested the hypothesis that panic would account for the association between a lower TSH response & the other conditions. It was found that panic attacks were insufficient to explain the link between the TSH response […]

The authors investigated the prevalence & clinical characteristics of panic disorder among African-Americans & whites in a community study. The lifetime prevalence of panic disorder was 1.2% among African-Americans & 1.4% among whites, a nonsignificant difference. Comparisons between African-Americans & whites on age at onset, years with panic disorder, symptom distribution, suicide attempts, & comorbidity […]

This article notes that in a comparison of Epidemiologic Catchment Area Study subjects having panic disorder (PD), major depression, other disorders, the finding that PD was associated with increased suicide attempts was unexpected. Further studies note that lifetime rates of suicide attempts in persons with uncomplicated PD (7%) were consistently higher than for those with […]

The study in this article examined the suicide attempt rates, levels of suicidal ideation & levels of hopelessness among 4 groups of 900 consecutive psychiatric outpatients. Conclusions: the rates of suicidal ideation & behavior for psychiatric outpatients who had panic disorder were discrepant with those reported by previous investigators for a ramdom community sample of […]