Suicidal ideation in primary care patients suffering from panic disorder with or without agoraphobia

BMC Psychiatry. 2018 Sep 24;18(1):305. doi: 10.1186/s12888-018-1894-5.

Abstract

Background: Suicidal ideation is common in patients suffering from panic disorder. The present study investigated rates of suicidal ideation and risk factors for suicidal ideation in a sample of primary care patients suffering from panic disorder with or without agoraphobia.

Methods: A total of N = 296 patients [n = 215 (72.6%) women; age: M = 43.99, SD = 13.44] were investigated. Anxiety severity, anxiety symptoms, avoidance behavior, comorbid depression diagnosis, severity of depression, age, sex, employment status, living situation and frequency of visits at the general practitioner were considered as risk factors of suicidal ideation.

Results: Suicidal ideation was experienced by 25% of the respondents. In a logistic regression analysis, depression diagnosis and depression severity emerged as significant risk factors for suicidal ideation. Anxiety measures were not associated with suicidal ideation.

Conclusion: Suicidal ideation is common in primary care patients suffering from panic disorder with or without agoraphobia. Individuals with greater burden of mental illness in terms of mood disorder comorbidity and depressive symptomatology are especially likely to suffer from suicidal ideation.

Keywords: Agoraphobia; Panic disorder; Primary care; Suicidal ideation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Agoraphobia / complications
  • Agoraphobia / diagnosis
  • Agoraphobia / psychology*
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / diagnosis
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Panic Disorder / complications
  • Panic Disorder / diagnosis
  • Panic Disorder / psychology*
  • Patient Health Questionnaire
  • Primary Health Care*
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Suicidal Ideation*