Department of Psychiatry, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam.
Graduate School of Social Welfare, Yonsei University, Seoul.
J Nerv Ment Dis. 2021 Oct 1;209(10):734-742. doi: 10.1097/NMD.0000000000001368.
There are several predictors of suicidality in patients with panic disorder (PD). Being a woman, younger age, low education level, unmarried status, and symptom severity have been suggested. This study aimed to examine whether early trauma is associated with suicidal ideation in patients with PD. Our study included 267 patients with PD and 105 controls. Data on sociodemographic variables and data from the Early Trauma Inventory Self Report-Short Form, Beck Depression Inventory, Panic Disorder Severity Scale, Anxiety Sensitivity Inventory-Revised, Coping Scales, and Scale for Suicide Ideation were collected, and correlation and regression analyses were performed. This study suggests that clinicians should consider early trauma when assessing suicidal ideation in patients with PD. Clinicians could consider alternative treatments, such as trauma-focused cognitive-behavioral therapy, eye movement desensitization, reprocessing approaches, and classical pharmacological and psychological treatments for patients with PD who have a history of early trauma and are expected to be at high risk for suicide.
在患有惊恐障碍（PD）的患者中，有几个自杀的预测因素。有人提出，女性、年龄较小、教育程度较低、未婚状态和症状严重程度都与之相关。本研究旨在探讨早期创伤是否与 PD 患者的自杀意念有关。我们的研究纳入了 267 名 PD 患者和 105 名对照。收集了社会人口统计学变量的数据以及早期创伤清单自我报告简短形式、贝克抑郁量表、惊恐障碍严重程度量表、焦虑敏感量表修订版、应对量表和自杀意念量表的数据，并进行了相关性和回归分析。本研究表明，临床医生在评估 PD 患者的自杀意念时应考虑早期创伤。对于有早期创伤史且预计自杀风险较高的 PD 患者，临床医生可以考虑替代性治疗方法，如创伤聚焦认知行为疗法、眼动脱敏再处理方法、经典药理学和心理治疗方法。
