Panic symptom clusters differentially predict suicide ideation and attempt
Abstract Increasingly strong evidence links anxiety disorders in general and panic attacks in particular to suicidality. The underlying causes and specifics of this relation, however, remain unclear. The present article sought to begin addressing this question by clarifying the association between p...
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| Veröffentlicht in: | Comprehensive psychiatry 2014-05, Vol.55 (4), p.762-769 |
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| creator | Rappaport, Lance M Moskowitz, D.S Galynker, Igor Yaseen, Zimri S |
| description | Abstract Increasingly strong evidence links anxiety disorders in general and panic attacks in particular to suicidality. The underlying causes and specifics of this relation, however, remain unclear. The present article sought to begin addressing this question by clarifying the association between panic symptoms and suicidality. Data were sampled from the NESARC epidemiological data set from the US and analyzed as four independently, randomly selected subsets of 1000 individuals using structural equation modeling analyses and replicating results across samples. Evidence is presented for four symptom clusters (cognitive symptoms, respiratory distress, symptoms of alpha and beta adrenergic activation) and the differential association of each with suicidal ideation and attempts. Symptoms of alpha adrenergic activation predicted prior suicide attempt whereas cognitive symptoms predicted prior suicidal ideation. These findings were independent of comorbid major depressive disorder. It is suggested that assessment of suicide risk in the community includes the presentation of cognitive symptoms and symptoms related to alpha adrenergic activation. |
| doi_str_mv | 10.1016/j.comppsych.2013.10.017 |
| format | Article |
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The underlying causes and specifics of this relation, however, remain unclear. The present article sought to begin addressing this question by clarifying the association between panic symptoms and suicidality. Data were sampled from the NESARC epidemiological data set from the US and analyzed as four independently, randomly selected subsets of 1000 individuals using structural equation modeling analyses and replicating results across samples. Evidence is presented for four symptom clusters (cognitive symptoms, respiratory distress, symptoms of alpha and beta adrenergic activation) and the differential association of each with suicidal ideation and attempts. Symptoms of alpha adrenergic activation predicted prior suicide attempt whereas cognitive symptoms predicted prior suicidal ideation. These findings were independent of comorbid major depressive disorder. It is suggested that assessment of suicide risk in the community includes the presentation of cognitive symptoms and symptoms related to alpha adrenergic activation.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2013.10.017</identifier><identifier>PMID: 24439632</identifier><identifier>CODEN: COPYAV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Anxiety ; Anxiety Disorders - psychology ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Comorbidity ; Depressive Disorder, Major - epidemiology ; Fear & phobias ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Panic ; Panic attacks ; Panic disorder ; Panic Disorder - diagnosis ; Panic Disorder - epidemiology ; Panic Disorder - psychology ; Personality disorders ; Predictive Value of Tests ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Studies ; Suicidal Ideation ; Suicide ; Suicide - psychology ; Suicide, Attempted - psychology ; Suicides & suicide attempts ; United States - epidemiology</subject><ispartof>Comprehensive psychiatry, 2014-05, Vol.55 (4), p.762-769</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-dadd8ab8f09c8ec4898f77ea7803e9f1bf91a45b86b89f724322f266567d68043</citedby><cites>FETCH-LOGICAL-c484t-dadd8ab8f09c8ec4898f77ea7803e9f1bf91a45b86b89f724322f266567d68043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0010440X13003659$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28494651$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24439632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rappaport, Lance M</creatorcontrib><creatorcontrib>Moskowitz, D.S</creatorcontrib><creatorcontrib>Galynker, Igor</creatorcontrib><creatorcontrib>Yaseen, Zimri S</creatorcontrib><title>Panic symptom clusters differentially predict suicide ideation and attempt</title><title>Comprehensive psychiatry</title><addtitle>Compr Psychiatry</addtitle><description>Abstract Increasingly strong evidence links anxiety disorders in general and panic attacks in particular to suicidality. The underlying causes and specifics of this relation, however, remain unclear. The present article sought to begin addressing this question by clarifying the association between panic symptoms and suicidality. Data were sampled from the NESARC epidemiological data set from the US and analyzed as four independently, randomly selected subsets of 1000 individuals using structural equation modeling analyses and replicating results across samples. Evidence is presented for four symptom clusters (cognitive symptoms, respiratory distress, symptoms of alpha and beta adrenergic activation) and the differential association of each with suicidal ideation and attempts. Symptoms of alpha adrenergic activation predicted prior suicide attempt whereas cognitive symptoms predicted prior suicidal ideation. These findings were independent of comorbid major depressive disorder. It is suggested that assessment of suicide risk in the community includes the presentation of cognitive symptoms and symptoms related to alpha adrenergic activation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Fear & phobias</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Panic</subject><subject>Panic attacks</subject><subject>Panic disorder</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - epidemiology</subject><subject>Panic Disorder - psychology</subject><subject>Personality disorders</subject><subject>Predictive Value of Tests</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Studies</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicides & suicide attempts</subject><subject>United States - epidemiology</subject><issn>0010-440X</issn><issn>1532-8384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1rFTEUhoMo9rb6F3RABDdzzddkko1QilaloKCCu5BJTjDX-TLJCPPvzXivLXTlIgSS5z2cPDkIPSd4TzARrw97Ow3znFb7Y08xYeV0j0n7AO1Iw2gtmeQP0Q5jgmvO8fczdJ7SAWMspeSP0RnlnCnB6A59_GzGYKu0DnOehsr2S8oQU-WC9xBhzMH0_VrNEVywuUpLsMFBVZbJYRorM7rK5Awl_gQ98qZP8PS0X6Bv795-vXpf33y6_nB1eVNbLnmunXFOmk56rKyEcqakb1swrcQMlCedV8TwppOik8q3lDNKPRWiEa0TEnN2gV4d685x-rVAynoIyULfmxGmJWnSEFlSjSIFfXEPPUxLHEt3fylCScs2qj1SNk4pRfB6jmEwcdUE6023Puhb3XrTvV0U3SX57FR_6QZwt7l_fgvw8gSYZE3voxltSHec5IqLZmvh8shBEfc7QNTJBhhtsR7BZu2m8B_NvLlXw_ahfK7pf8IK6e7lOlGN9ZdtOrbhIAxjJhrF_gAg8bcM</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Rappaport, Lance M</creator><creator>Moskowitz, D.S</creator><creator>Galynker, Igor</creator><creator>Yaseen, Zimri S</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Panic symptom clusters differentially predict suicide ideation and attempt</title><author>Rappaport, Lance M ; Moskowitz, D.S ; Galynker, Igor ; Yaseen, Zimri S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-dadd8ab8f09c8ec4898f77ea7803e9f1bf91a45b86b89f724322f266567d68043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Fear & phobias</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Panic</topic><topic>Panic attacks</topic><topic>Panic disorder</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - epidemiology</topic><topic>Panic Disorder - psychology</topic><topic>Personality disorders</topic><topic>Predictive Value of Tests</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Studies</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicides & suicide attempts</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rappaport, Lance M</creatorcontrib><creatorcontrib>Moskowitz, D.S</creatorcontrib><creatorcontrib>Galynker, Igor</creatorcontrib><creatorcontrib>Yaseen, Zimri S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rappaport, Lance M</au><au>Moskowitz, D.S</au><au>Galynker, Igor</au><au>Yaseen, Zimri S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Panic symptom clusters differentially predict suicide ideation and attempt</atitle><jtitle>Comprehensive psychiatry</jtitle><addtitle>Compr Psychiatry</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>55</volume><issue>4</issue><spage>762</spage><epage>769</epage><pages>762-769</pages><issn>0010-440X</issn><eissn>1532-8384</eissn><coden>COPYAV</coden><abstract>Abstract Increasingly strong evidence links anxiety disorders in general and panic attacks in particular to suicidality. 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| subjects | Adolescent Adult Adult and adolescent clinical studies Anxiety Anxiety Disorders - psychology Anxiety disorders. Neuroses Biological and medical sciences Comorbidity Depressive Disorder, Major - epidemiology Fear & phobias Female Humans Male Medical sciences Middle Aged Panic Panic attacks Panic disorder Panic Disorder - diagnosis Panic Disorder - epidemiology Panic Disorder - psychology Personality disorders Predictive Value of Tests Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Studies Suicidal Ideation Suicide Suicide - psychology Suicide, Attempted - psychology Suicides & suicide attempts United States - epidemiology |
| title | Panic symptom clusters differentially predict suicide ideation and attempt |
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