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Pain as a risk factor for suicidal ideation. A population-based longitudinal cohort study
Eric W de Heer1, Margreet Ten Have2, Harm W J van Marwijk3
1Clinical Centre of Excellence for Body, Mind and Health, GGz Breburg, Tilburg, the Netherlands; Tilburg School of Behavioural and Social Sciences, Tranzo Department, Tilburg University, Tilburg, the Netherlands.
General Hospital Psychiatry
|December 12, 2018
Summary
Moderate to severe pain increases the risk of developing suicidal thoughts, even without existing mental health conditions. This highlights the importance of addressing pain in suicide prevention strategies.
Area of Science:
- Psychiatry
- Epidemiology
- Public Health
Background:
- Pain is a prevalent issue in the general adult population.
- Suicidal ideation poses a significant public health concern.
- The relationship between pain and suicidal ideation requires further longitudinal investigation.
Purpose of the Study:
- To investigate the longitudinal association between pain and suicidal ideation.
- To determine if pain severity and pain interference predict incident suicidal ideation.
- To examine these associations in the general adult population.
Main Methods:
- Utilized data from the Netherlands Mental Health Survey and Incidence Study-2 (N=5242).
- Assessed pain severity and interference using the Short Form Health Survey.
- Measured suicidal ideation and mental disorders via the Composite International Diagnostic Interview.
- Employed logistic regression analyses for longitudinal assessment.
Main Results:
- Moderate to very severe pain was associated with a 3.39-fold increased risk of suicidal ideation.
- Moderate to very severe pain interference showed a 2.35-fold increased risk of suicidal ideation.
- These associations remained significant after adjusting for sociodemographic variables and mental disorders.
Conclusions:
- Pain severity and pain interference are independent risk factors for suicidal ideation.
- Clinical assessment and management of suicidal ideation in patients with pain are crucial.
- Integrating pain assessment into suicide prevention action plans is recommended.
Keywords:
General populationInterference due to painMental disordersPainPain severitySuicidal ideationMore Related Videos
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