Suicide Attempts in Patients With Panic Disorder

This article reports on the lifetime prevalence & severity of suicide attempts in 100 outpatients (aged 17-69 years) with panic disorder. 42% had a history of suicide attempt. Those who had attempted suicide were compared with those who had not to assess the clinical & temporal relationships between suicidal behavior, & the course & severity […]

Panic Disorders and Suicidal Behavior

This Editorial summarizes the main points of the controversy surrounding reports that panic disorders are associated with greatly elevated risk for suicide attempts. It discusses panic disorders & panic attacks, & summarizes community studies & clinical studies examining panic disorder & nonfatal suicidal behaviour. It notes the central questions raised by these studies & draws […]

Diagnostic Comorbidity in Persons With Suicidal Ideation and Behavior

This paper represents an effort to validate the findings that individuals who meet the diagnostic criteria for panic disorder or panic attacks have a heightened risk of suicidal ideation or behaviour. The findings indicated the relative complexity and importance of diagnostic comorbidity among these suicidal subjects. Mean scores for suicidal ideation and hopelessness were greatest […]

Suicide and Panic Disorder

This article is a letter to the editor and a response which discusses patients with panic disorder and suicidal behaviours. The first letter is in response to an article published by Steven Friedman and colleagues. This letter discusses convergent lines of evidence which suggest that panic disorder is associated with suicidal behaviour. The second is […]

Migraine, Physical Health and Psychiatric Disorder: a Prospective Epidemiologic Study in Young Adults

In a prospective study of a random sample of 1007 young adults, the authors examined the association between migraine and psychiatric disorder, physical complaints, indicators of functional impairment, and use of mental health services. A history of migraine was associated with lifetime rates of major depression, anxiety disorders, illicit drug use, nicotine dependence and suicide […]

Simultaneous Major Depression and Panic Disorder: Treatment With Electroconvulsive Therapy

Patients with simultaneous depression & panic disorder may have a higher lifetime rate of suicide attempts & an overall worse prognosis than patients with either depression or panic disorder alone. The clinical courses of 8 consecutive patients who were referred for ECT are described. 6 presented with suicidal ideation & 2 had a history of […]

Suicide Risk Factors in Depressive Disorders and in Panic Disorder

Recently, panic disorder has been linked with suicide attempts & the importance of severe anxiety symptoms as possible predictors of suicide risk in patients with major affective disorder has been studied. The author reviews data sets from three such studies. He concludes by suggesting that anxiety, which is readily treatable, may in fact be one […]

Suicide and Violence Associated With Panic Attacks

Several studies have indicated that patients with panic attacks have a higher rate of suicide attempts as well as deaths from suicide. Several investigators have presented case reports of individuals manifesting suicidal & violent behaviours directly & temporally associated with panic attacks. The present authors report on 4 additional cases & suggest that these findings […]

Panic Disorder and Suicidal Ideation

These two letters to the editor raise a number of issues about a previous study on panic disorder & suicidal ideation conducted by Beck et al. The authors of the first letter dispute Beck’s conclusion that an association between panic disorder & suicide attempts (found by other researchers) was an anomaly. The authors of the […]

Very Brief Psychotherapy in the Psychiatric Consultation Setting

Very brief psychotherapy has emerged as a unique treatment modality in recent years. An assessment model is presented to guide the clinician in evaluating whether cases are appropriate for very brief intervention in a medical setting & to concomitantly select the most appropriate therapeutic technique. Three cases of male patients who were suicidal or experiencing […]

Suicidal Preoccupation During Fluoxetine Treatment

Comments on the article by Teicher et al (PA Vol 77:18011) in which the reaction of 6 depressed patients briefly exposed to fluoxetine was described as intense violent suicidal preoccupation. The specific pharamacologic effects of fluoxetine should be emphasized as a probable etiologic factor. The phenomenon may be the equivalent of the serotonin reaction described […]