Keller F
AG Verlaufsforschung, Bereich Akutpsychiatrie II/Depression, Ravensburg
Psychiatr Prax. 1996 May;23(3):135-8.
Initial findings of panic disorder as an independent risk factor for suicidal ideation and behavior could not be replicated in studies with psychiatric patients. Instead, it was concluded that panic and anxiety disorders are risk factors when they co-occur with a primary mood disorder. In the present study, the effect of diagnostic comorbidity on rates of suicidality is analyzed on depressive inpatients treated at special depression wards. In a prospective follow-up study, suicidality and anxiety were assessed by means of a modified German version of the Diagnostic Interview Schedule (DIS). Patients with the symptom of panic attacks showed significantly elevated lifetime prevalence rates of suicidality in comparison with patients who did not report this additional symptom. For the follow-up period, however, there were no significant differences between these two groups. According to these results, the group of depressives with additional panic attacks is not more at risk for suicidal behavior, after being treated in an adequate manner.
惊恐障碍作为自杀意念和行为独立危险因素的初步研究结果，在针对精神科患者的研究中未能得到重复验证。相反，研究得出结论，当惊恐障碍和焦虑症与原发性心境障碍同时出现时，才是危险因素。在本研究中，对在特殊抑郁症病房接受治疗的抑郁住院患者分析了诊断合并症对自杀率的影响。在一项前瞻性随访研究中，通过改良的德语版诊断访谈表（DIS）评估自杀倾向和焦虑情况。与未报告这一额外症状的患者相比，有惊恐发作症状的患者终生自杀率显著升高。然而，在随访期间，这两组之间没有显著差异。根据这些结果，在得到充分治疗后，伴有额外惊恐发作的抑郁症患者群体出现自杀行为的风险并不更高。
