This study investigated the association of panic attacks & suicide attempts in a community-based sample of 1,580 13-14-year-old adolescents in the mid-Atlantic region of the USA. Controlling for demographic factors, major depression, the use of alcohol & the use of illicit drugs, it was found that adolescents with panic attacks were three times more likely to have expressed suicidal ideation & nearly two times more likely to have made suicide attempts than were adolescents without panic attacks.