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Few studies have examined panic attacks and social and demographic factors, amongst people who use methamphetamine. This study explores the prevalence and correlates of panic attacks amongst an Australian sample of 711 people who primarily smoke methamphetamine. Baseline data for this study was gathered from participants recruited from regional and metropolitan communities across Victoria, Australia, in an ongoing prospective cohort study. Sequential logistic regression was used to examine correlations between panic attacks and sociodemographic, mental health and methamphetamine use variables. Over one-third (36%) of participants reported experiencing a recent panic attack (within the last 4 weeks). The following characteristics were associated with an increased likelihood of panic attacks: being female [aOR 1.85, 95% CI 1.25, 2.60], younger (18–29 years) [aOR 1.82, 95% CI 1.16, 2.85], non …