Panic-associated suicidal and aggressive ideation and behavior
Some investigators have noted an increased incidence of suicidal ideation and attempts in individuals with panic attacks. The direct temporal relationship between the panic state and suicidal thoughts and behaviors has not been well elucidated however. Furthermore, although aggressive behavior is of...
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Veröffentlicht in: | Journal of psychiatric research 1997-07, Vol.31 (4), p.481-487 |
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description | Some investigators have noted an increased incidence of suicidal ideation and attempts in individuals with panic attacks. The direct temporal relationship between the panic state and suicidal thoughts and behaviors has not been well elucidated however. Furthermore, although aggressive behavior is often manifested in individuals with suicidal behavior, the relationship between aggression and panic has received little attention. The aim of this study was to assess the frequency and type of reported suicidal and aggressive ideation and behaviors that occur during the panic state in patients with panic disorder. In order to evaluate the contribution of depression, individuals with pure (i.e. uncomplicated) panic disorder were compared with individuals who had comorbid panic and major depression. Nineteen patients with a diagnosis of pure panic disorder and 28 patients with comorbid panic plus major depression were included in the study. All patients were given the Panic, Suicide and Aggression Scale (PSAS), a questionnaire specifically designed to assess reported suicidal and aggressive thoughts and behaviors that occur during panic attacks. Other scales given to all patients included overall measures of impulsivity, suicide risk and violence risk. Patients with pure panic disorder reported high rates of suicidal and aggressive ideation and behavior during panic. The presence of comorbid depression resulted in a doubling of the rate of reported panic-associated suicidal ideation, property destruction and assaults, and a five-fold increase in the rate of homicidal ideation. The rate of reported suicide attempts was equal in the pure panic and comorbid group. There were also high correlations in all panic patients between measures of panic-associated suicide and aggression with the psychometric measures of impulsivity, suicide risk and violence risk. |
doi_str_mv | 10.1016/S0022-3956(97)00019-8 |
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The direct temporal relationship between the panic state and suicidal thoughts and behaviors has not been well elucidated however. Furthermore, although aggressive behavior is often manifested in individuals with suicidal behavior, the relationship between aggression and panic has received little attention. The aim of this study was to assess the frequency and type of reported suicidal and aggressive ideation and behaviors that occur during the panic state in patients with panic disorder. In order to evaluate the contribution of depression, individuals with pure (i.e. uncomplicated) panic disorder were compared with individuals who had comorbid panic and major depression. Nineteen patients with a diagnosis of pure panic disorder and 28 patients with comorbid panic plus major depression were included in the study. All patients were given the Panic, Suicide and Aggression Scale (PSAS), a questionnaire specifically designed to assess reported suicidal and aggressive thoughts and behaviors that occur during panic attacks. Other scales given to all patients included overall measures of impulsivity, suicide risk and violence risk. Patients with pure panic disorder reported high rates of suicidal and aggressive ideation and behavior during panic. The presence of comorbid depression resulted in a doubling of the rate of reported panic-associated suicidal ideation, property destruction and assaults, and a five-fold increase in the rate of homicidal ideation. The rate of reported suicide attempts was equal in the pure panic and comorbid group. There were also high correlations in all panic patients between measures of panic-associated suicide and aggression with the psychometric measures of impulsivity, suicide risk and violence risk.</description><identifier>ISSN: 0022-3956</identifier><identifier>EISSN: 1879-1379</identifier><identifier>DOI: 10.1016/S0022-3956(97)00019-8</identifier><identifier>PMID: 9352474</identifier><identifier>CODEN: JPYRA3</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Aggression ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Depressive Disorder - complications ; Female ; Humans ; Impulsive Behavior - psychology ; Male ; Medical sciences ; Panic disorder ; Panic Disorder - complications ; Panic Disorder - diagnosis ; Panic Disorder - psychology ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Suicide, Attempted - psychology ; Violence</subject><ispartof>Journal of psychiatric research, 1997-07, Vol.31 (4), p.481-487</ispartof><rights>1997</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-4ae3bbce28600475847e64d9df8b77ff26f8a84b4d6aaa998d024f5a3cc67b703</citedby><cites>FETCH-LOGICAL-c389t-4ae3bbce28600475847e64d9df8b77ff26f8a84b4d6aaa998d024f5a3cc67b703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3956(97)00019-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2843073$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9352474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korn, Martin L.</creatorcontrib><creatorcontrib>Plutchik, Robert</creatorcontrib><creatorcontrib>Van Praag, Herman M.</creatorcontrib><title>Panic-associated suicidal and aggressive ideation and behavior</title><title>Journal of psychiatric research</title><addtitle>J Psychiatr Res</addtitle><description>Some investigators have noted an increased incidence of suicidal ideation and attempts in individuals with panic attacks. The direct temporal relationship between the panic state and suicidal thoughts and behaviors has not been well elucidated however. Furthermore, although aggressive behavior is often manifested in individuals with suicidal behavior, the relationship between aggression and panic has received little attention. The aim of this study was to assess the frequency and type of reported suicidal and aggressive ideation and behaviors that occur during the panic state in patients with panic disorder. In order to evaluate the contribution of depression, individuals with pure (i.e. uncomplicated) panic disorder were compared with individuals who had comorbid panic and major depression. Nineteen patients with a diagnosis of pure panic disorder and 28 patients with comorbid panic plus major depression were included in the study. All patients were given the Panic, Suicide and Aggression Scale (PSAS), a questionnaire specifically designed to assess reported suicidal and aggressive thoughts and behaviors that occur during panic attacks. Other scales given to all patients included overall measures of impulsivity, suicide risk and violence risk. Patients with pure panic disorder reported high rates of suicidal and aggressive ideation and behavior during panic. The presence of comorbid depression resulted in a doubling of the rate of reported panic-associated suicidal ideation, property destruction and assaults, and a five-fold increase in the rate of homicidal ideation. The rate of reported suicide attempts was equal in the pure panic and comorbid group. There were also high correlations in all panic patients between measures of panic-associated suicide and aggression with the psychometric measures of impulsivity, suicide risk and violence risk.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aggression</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Depressive Disorder - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Impulsive Behavior - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Panic disorder</subject><subject>Panic Disorder - complications</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - psychology</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Suicide, Attempted - psychology</subject><subject>Violence</subject><issn>0022-3956</issn><issn>1879-1379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotVZ_QqEHET2sZpPsJrkoUvyCgoJ6DrPJbI1sd2uyW_Dfu_2gV08DM887MzyEjFN6ndI0v3mnlLGE6yy_1PKKUprqRB2QYaqkTlIu9SEZ7pFjchLjdw9JlooBGWieMSHFkNy-Qe1tAjE21kOLbhI7b72DagK1m8B8HjBGv8KJdwitb-pNv8AvWPkmnJKjEqqIZ7s6Ip-PDx_T52T2-vQyvZ8llivdJgKQF4VFpnJKhcyUkJgLp12pCinLkuWlAiUK4XIA0Fo5ykSZAbc2l4WkfEQutnuXofnpMLZm4aPFqoIamy4aqbnMM6Z6MNuCNjQxBizNMvgFhF-TUrP2ZjbezFqK0dJsvJl1brw70BULdPvUTlQ_P9_NIVqoygC19XGPMSU4lbzH7rYY9jJWHoOJ1mNt0fmAtjWu8f888gfjOomD</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>Korn, Martin L.</creator><creator>Plutchik, Robert</creator><creator>Van Praag, Herman M.</creator><general>Elsevier Ltd</general><general>Elsevier</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>7X8</scope></search><sort><creationdate>19970701</creationdate><title>Panic-associated suicidal and aggressive ideation and behavior</title><author>Korn, Martin L. ; Plutchik, Robert ; Van Praag, Herman M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-4ae3bbce28600475847e64d9df8b77ff26f8a84b4d6aaa998d024f5a3cc67b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aggression</topic><topic>Anxiety disorders. Neuroses</topic><topic>Biological and medical sciences</topic><topic>Depressive Disorder - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Impulsive Behavior - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Panic disorder</topic><topic>Panic Disorder - complications</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - psychology</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Suicide, Attempted - psychology</topic><topic>Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korn, Martin L.</creatorcontrib><creatorcontrib>Plutchik, Robert</creatorcontrib><creatorcontrib>Van Praag, Herman M.</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>MEDLINE - Academic</collection><jtitle>Journal of psychiatric research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korn, Martin L.</au><au>Plutchik, Robert</au><au>Van Praag, Herman M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Panic-associated suicidal and aggressive ideation and behavior</atitle><jtitle>Journal of psychiatric research</jtitle><addtitle>J Psychiatr Res</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>31</volume><issue>4</issue><spage>481</spage><epage>487</epage><pages>481-487</pages><issn>0022-3956</issn><eissn>1879-1379</eissn><coden>JPYRA3</coden><abstract>Some investigators have noted an increased incidence of suicidal ideation and attempts in individuals with panic attacks. The direct temporal relationship between the panic state and suicidal thoughts and behaviors has not been well elucidated however. Furthermore, although aggressive behavior is often manifested in individuals with suicidal behavior, the relationship between aggression and panic has received little attention. The aim of this study was to assess the frequency and type of reported suicidal and aggressive ideation and behaviors that occur during the panic state in patients with panic disorder. In order to evaluate the contribution of depression, individuals with pure (i.e. uncomplicated) panic disorder were compared with individuals who had comorbid panic and major depression. Nineteen patients with a diagnosis of pure panic disorder and 28 patients with comorbid panic plus major depression were included in the study. All patients were given the Panic, Suicide and Aggression Scale (PSAS), a questionnaire specifically designed to assess reported suicidal and aggressive thoughts and behaviors that occur during panic attacks. Other scales given to all patients included overall measures of impulsivity, suicide risk and violence risk. Patients with pure panic disorder reported high rates of suicidal and aggressive ideation and behavior during panic. The presence of comorbid depression resulted in a doubling of the rate of reported panic-associated suicidal ideation, property destruction and assaults, and a five-fold increase in the rate of homicidal ideation. The rate of reported suicide attempts was equal in the pure panic and comorbid group. There were also high correlations in all panic patients between measures of panic-associated suicide and aggression with the psychometric measures of impulsivity, suicide risk and violence risk.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>9352474</pmid><doi>10.1016/S0022-3956(97)00019-8</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Adult and adolescent clinical studies Aggression Anxiety disorders. Neuroses Biological and medical sciences Depressive Disorder - complications Female Humans Impulsive Behavior - psychology Male Medical sciences Panic disorder Panic Disorder - complications Panic Disorder - diagnosis Panic Disorder - psychology Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Suicide, Attempted - psychology Violence |
title | Panic-associated suicidal and aggressive ideation and behavior |
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