| Summary points: | A 19-year-old diagnosed with panic disorder at the age of 15 years presents with suicidal ideation along with feelings of despair and hopelessness after being switched from fluoxetine to venlafaxine due to lack of efficacy. This case report describes the patient's history, symptoms, and approach to management. The authors discuss the literature on suicidal ideation due to selective serotonin reuptake inhibitor therapy and the possible aetiology of this relationship. |