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Survey study, 2000

Does premenstrual worsening of panic disorder increase suicide risk in women?

Yes. Women with panic disorder who experienced premenstrual worsening had higher suicide risk scores and were more likely to be considered suicidal than women whose panic did not worsen premenstrually. This was independent of depression.

Early or limited evidence 28 women with panic disorder and premenstrual exacerbation, and 42 women without premenstrual exacerbation

What they did

Cross-sectional study comparing 28 women with panic disorder and premenstrual exacerbation to 42 women with panic disorder without premenstrual exacerbation. They rated panic symptoms, depression severity, and suicide risk using standardized scales.

What they found

Patients with premenstrual exacerbation of panic disorder had significantly higher suicide risk scores on standardized measures compared to those without premenstrual exacerbation. They were more likely to be classified as suicidal. The researchers suggest this increased suicide risk may be independent of major depression.

What it means for you

If you have panic disorder and notice it worsens before your period, that pattern may be associated with increased suicide risk and warrants careful monitoring. A major limitation is the small sample and observational design, so we cannot be certain the premenstrual worsening directly causes the increased risk.

28

Women with premenstrual panic exacerbation

42

Women without premenstrual panic exacerbation

About the study

Original title
Premenstrual exacerbation and suicidal behavior in patients with panic disorder
Authors
Başoğlu C, Cetin M, Semiz UB et al.
Journal
Comprehensive psychiatry
Year
2000
Study design
Survey study
Participants
42
What was tested
None. Observational comparison.

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