@article{ref1,
title="Panic disorder and suicidal ideation in primary care",
journal="Depression and anxiety",
year="2006",
author="Pilowsky, Daniel J. and Olfson, Mark and Gameroff, M. J. and Wickramaratne, Priya and Blanco, Carlos and Feder, Adriana and Gross, Richard and Neria, Yuval and Weissman, Myrna M.",
volume="23",
number="1",
pages="11-16",
abstract="The purpose of this study was to ascertain whether panic disorder (PD) and suicidal ideation are associated in an inner-city primary care clinic and whether this association remains significant after controlling for commonly co-occurring psychiatric disorders. We surveyed 2,043 patients attending a primary care clinic using the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Health Questionnaire, a screening instrument that yields provisional diagnoses of selected psychiatric disorders. We estimated the prevalence of current suicidal ideation and of common psychiatric disorders including panic disorder and major depression. A provisional diagnosis of current PD was received by 127 patients (6.2%). After adjusting for potential confounders (age, gender, major depressive disorder MDD, generalized anxiety disorder, and substance use disorders), patients with PD were about twice as likely to present with current suicidal ideation, as compared to those without PD (adjusted odds ratio AOR = 1.84; 95% confidence interval CI: 1.06-3.18; P = .03). After adjusting for PD and the above-mentioned potential confounders, patients with MDD had a sevenfold increase in the odds of suicidal ideation, as compared to those without MDD (AOR = 7.00; 95% CI: 4.42-11.08; P < .0001). Primary care patients with PD are at high risk for suicidal ideation, and patients with PD and co-occurring MDD are at especially high risk. PD patients in primary care thus should be assessed routinely for suicidal ideation and depression.<p /> <p>Language: en</p>",
language="en",
issn="1091-4269",
doi="10.1002/da.20092",
url="http://dx.doi.org/10.1002/da.20092"
}