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

Suicidal Ideation in Primary Care Patients Suffering From Panic Disorder With or Without Agoraphobia

Free PMC article

Suicidal Ideation in Primary Care Patients Suffering From Panic Disorder With or Without Agoraphobia

Tobias Teismann et al. BMC Psychiatry. .
Free PMC article


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.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Ethics Committee of the Friedrich- Schiller-University at the Medical Faculty (Jena, Germany). Written informed consent was obtained from all patients before study intake.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests. All authors had financial support from BMBF for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work.

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    1. Lukaschek K, Engelhardt H, Baumert J, Ladwig KH. No correlation between rates of suicide ideation and completed suicides in Europe: analysis of 49,008 participants (55+) based on the survey of health, ageing and retirement in Europe (SHARE) Eur Psychiatry. 2015;30:874–879. doi: 10.1016/j.eurpsy.2015.07.009. - DOI - PubMed
    1. Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, Lépine JP, de Girolamo G, Vilagut G, Gasquet I, Torres JV, Kovess V, Heider D, Neeleman J, Kessler R, Alonso J. Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord. 2007;101:27–34. doi: 10.1016/j.jad.2006.09.018. - DOI - PubMed
    1. Brown GK, Beck AT, Steer RA, Grisham JR. Risk factors for suicide in psychiatric outpatients: a 20-year prospective study. J Consult Clin Psychol. 2000;68:371–377. doi: 10.1037/0022-006X.68.3.371. - DOI - PubMed
    1. Brown GK, Steer RA, Henriques GR, Beck AT. The internal struggle between the wish to die and the wish to live: a risk factor for suicide. Am J Psychiatry. 2005;162:1977–1979. doi: 10.1176/appi.ajp.162.10.1977. - DOI - PubMed
    1. Borges G, Chiu WT, Hwang I, Panchal BN, Ono Y, Sampson NA, Kessler RC, Nock MK. Prevalence, onset , and transitions among suicidal behaviors. In Nock MK, Borges G, Ono Y, editors. Suicide. Global perspectives from the WHO world mental health survey. Cambridge: Cambridge University Press; 2014. p. 65–74.

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