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Comprehensive Psychiatry
Article . 2016 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Comorbid panic disorder as an independent risk factor for suicide attempts in depressed outpatients

Authors: Yoon-Young Nam; Chan-Hyung Kim; Daeyoung Roh;

Comorbid panic disorder as an independent risk factor for suicide attempts in depressed outpatients

Abstract

Although comorbid panic disorder is associated with more severe symptoms and poorer therapeutic response in depressive patients, the relationship between panic disorder and risk of suicide attempt has not been confirmed. This study aimed to examine the relationship between comorbid panic disorder and clinical characteristics associated with suicidal risk as well as the likelihood of suicide attempt.A total of 223 outpatients with current major depressive disorder participated in the study. Both subjects with panic disorder (33%) and those without panic disorder (67%) were compared based on history of suicide attempts, current psychopathologies, and traits of impulsivity and anger.Subjects with panic disorder had higher levels of impulsivity, depression, and hopelessness and were more likely to report a history of suicide attempts. Subjects with panic disorder were younger at the time of first suicide attempt than those without panic disorder. Logistic regression analyses indicated that comorbid panic disorder was significantly associated with a history of suicide attempts after adjusting for other clinical correlates (odds ratio = 2.8; p < 0.01).These findings suggest that comorbid panic disorder in patients with major depressive disorder may be associated with a more severe burden of illness and may independently increase the likelihood of suicide attempt.

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Keywords

Adult, Male, Adolescent, Depression/epidemiology, 610, Suicide, Attempted, Comorbidity, Major/epidemiology*, Young Adult, Risk Factors, 616, Outpatients, Republic of Korea, Odds Ratio, Humans, Panic Disorder/epidemiology*, Panic Disorder/diagnosis, Psychiatric Status Rating Scales, Depressive Disorder, Depressive Disorder, Major, Depression, Attempted/psychology, Outpatients/statistics & numerical data, Middle Aged, Suicide, Attempted/statistics & numerical data*, Panic Disorder, Major/diagnosis, Female, Republic of Korea/epidemiology, Major/psychology, Depression/psychology

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    18
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
18
Top 10%
Average
Top 10%
Green
gold