Related Experiment Video
Updated: May 15, 2026
04:38
A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
Published on: May 22, 2019
Is pain associated with suicidality in stroke?
Wai Kwong Tang1, Huajun Liang, Vincent Mok
1Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China. tangwk@cuhk.edu.hk
Archives of Physical Medicine and Rehabilitation
|December 25, 2012
Summary
Poststroke pain is linked to increased suicide risk in Chinese stroke patients. Early pain management may help reduce suicide risk after stroke.
Area of Science:
- Neuroscience
- Psychiatry
- Public Health
Background:
- Stroke is a leading cause of disability worldwide.
- Post-stroke pain is a common complication affecting patient recovery and quality of life.
- Suicidality is a serious concern among stroke survivors.
Purpose of the Study:
- To investigate the association between poststroke pain and suicidality (SI) in Chinese patients.
- To identify pain as a potential risk factor for SI in the stroke population.
Main Methods:
- A cross-sectional survey was conducted with 496 patients with acute ischemic stroke.
- Pain was assessed using the Faces Pain Rating Scale-Revised (FPS-R).
- Suicidality was evaluated using the Geriatric Mental State Examination 3 months post-stroke, adjusting for confounders.
Main Results:
- 7.5% of patients reported SI.
- Patients with SI were more likely to experience pain (59.5% vs 37.7%) and reported higher pain scores.
- A pain score >4 on the FPS-R was a significant predictor of SI (OR=2.9) after adjusting for confounders.
Conclusions:
- Poststroke pain is significantly associated with increased suicidality.
- Early identification and management of pain are crucial for reducing suicide risk in stroke patients.
- Clinicians should be vigilant in assessing and treating pain in stroke survivors to mitigate SI.
Related Concept Videos
01:23Atherosclerosis IV: Nursing Management
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
01:15Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
01:30Stress and Mental Health
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
01:15Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...