Mental defeat and suicidality in chronic pain: A prospective analysis

Living with chronic pain has been identified as a significant risk factor for suicide. Qualitative and cross-sectional studies have reported an association between mental defeat and suicidal thoughts and behavior in patients with chronic pain. In this prospective cohort study, we hypothesized that higher levels of mental defeat would be associated with increased suicide risk at a 6-month follow-up. […]

Mental defeat and suicidality in chronic pain: A prospective analysis

Living with chronic pain has been identified as a significant risk factor for suicide. Qualitative and cross-sectional studies have reported an association between mental defeat and suicidal thoughts and behavior in patients with chronic pain. In this prospective cohort study, we hypothesized that higher levels of mental defeat would be associated with increased suicide risk […]

Identifying and managing suicidality in children and adolescents with chronic pain: Evidence-based treatment strategies

Children and adolescents with chronic pain are at an increased risk of suicidality. This narrative review article aims to inform clinical practice in the assessment and management of suicidality in youth with chronic pain. The article begins with a survey of the background and prevalence of youth with chronic pain. A review of the current […]

Chronic pain conditions and risk of suicidal behavior: A 10‑year longitudinal co‑twin control study

Background Understanding the relationship between chronic pain conditions and suicidal behavior—suicide attempt, other intentional self-harm, and death by suicide—is imperative for suicide prevention efforts. Although chronic pain conditions are associated with suicidal behaviors, these associations might be attributed to unmeasured confounding or mediated via pain comorbidity. Methods We linked a population-based Swedish twin study (N=17,148 […]

Prevalence and characteristics associated with chronic noncancer pain in suicide decedents: A national study

Objective The aims were to estimate the prevalence of CNCP in suicide decedents, and compare sociodemographic and clinical characteristics of people who die by suicide (i) with and without a history of CNCP and (ii) among decedents with CNCP who are younger (<65 years) and older (65 + years). Method We examined all closed cases of intentional deaths […]

Pain catastrophizing as a predictor of suicidal ideation in chronic pain patients with an opiate prescription

Chronic pain and opioid use are associated with increased risk for suicidal ideation and behaviors (SIB) in cross-sectional studies, particularly among individuals who catastrophize about their pain. This study examined the longitudinal association between  two styles of pain coping, catastrophizing and hoping/praying, as predictors of subsequent SIB, as well as possible mediators of this association […]

Suicide, opioids, chronic pain, and mental health disorders: A narrative review

Suicide rates are on the rise in the United States as is mortality associated with opioid toxicity. According to the Centers for Disease Control and Prevention, about 7% of opioid overdose deaths are suicide, but this  number may be under-reported. Many people who use opioids or have opioid use disorder, (OUD), may have “passive” intentions […]

Multicenter survey of symptoms, work life, economic status, and quality of life of complex regional pain syndrome patients

Background: Complex regional pain syndrome (CRPS) is an intractable pain disease with various symptoms. Here, we investigated the disease status, work life, sleep problems, medical insurance, economic status, psychological problems, and quality of life (QOL) of CRPS patients. Methods: CRPS patients from 37 university hospitals in South Korea were surveyed. The survey questionnaire consisted of […]

Suicide attempts among those with migraine: Findings from a nationally representative Canadian study

The objectives of this study were to identify the gender-specific prevalence of suicide attempts among those with migraine and to examine what factors are associated with suicide attempts among migraineurs. This study was a nationally representative analysis of the 2012 Canadian Community Health Survey – Mental Health (CCHS-MH) with 21,744 respondents, of whom 2,223 had […]

Chronic pain among suicide decedents, 2003 to 2014: Findings from the National Violent Death Reporting System

BACKGROUND: More than 25 million adults in the United States have chronic pain. Chronic pain has been associated with suicidality, but previous studies primarily examined nonfatal suicidal behaviors rather than suicide deaths associated with chronic pain or the characteristics of such deaths. OBJECTIVE: To estimate the prevalence of chronic pain among suicide decedents in a […]

Invisible illness increases risk of suicidal ideation: The role of social workers in preventing suicide.

Many chronic, invisible illnesses that involve chronic pain—fibromyalgia, complex regional pain syndrome, postural orthostatic tachycardia syndrome, and myalgic encephalomyelitis—can greatly affect both physical and mental health

Effectiveness and cost-effectiveness of a guided Internet- and mobile-based intervention for the indicated prevention of major depression in patients with chronic back pain: Study protocol of the PROD-BP multicenter pragmatic RCT.

Reducing the disease burden of major depressive disorder (MDD) is of major public health relevance. The prevention of depression is regarded as one possible approach to reach this goal. People with multiple risk factors for MDD such as chronic back pain and subthreshold depressive symptoms may benefit most from preventive measures. The Internet as intervention […]

Pain and suicidal behavior in primary care patients: Mediating role of interpersonal needs. Pain, social distress and suicide in primary care.

Individuals experiencing chronic pain are at greater risk for suicidal behavior. The mechanism of action for this association is unexplored, but may involve the influence of pain on interpersonal functioning. We examined the mediating role of unsatisfied interpersonal needs on the relation between pain severity and interference, and suicidal behavior. Low income, uninsured participants completed […]

Suicide attempts in chronic pain patients: A register-based study.

In a register study involving 1871 chronic pain patients in all 6% had attempted suicide. Chronic pain patients have a 3.76 increased risk for suicide attempts. Screening for risk factors is important in chronic pain patients. Risk factors are psychiatric, social, abuse problems, ÒintractableÓ pain. Contact us for a copy of this article, or view […]

Suicidality in chronic noncancer pain patients.

Patients with chronic pain have high rates of suicide. To examine whether our practice guidelines are effective in decreasing suicidality among chronic noncancer pain patients, we performed a retrospective review. From June 2003 through June 2005, approximately 50,000 patients were subjected to a set of universal precautions for chronic noncancer pain management. Approximately 20% underwent […]

Suicidal ideation and perceived burdensomeness in patients with chronic pain.

There is a clear relationship between suicide risk and chronic pain conditions. However, the exact nature of this link has been poorly understood, with risk attribution often limited to comorbid depression. Perceived burdensomeness has already been confirmed as a risk factor for suicidal ideation (SI) and suicide attempt in the general population. Self-perceived burden, studied […]

Assessing suicide risk in patients with chronic pain and depression.

Nearly one-half of all patients seen in primary care experience persistent pain, and major depressive disorder is a common comorbidity with chronic pain.

The prevalence and correlates of chronic pain and suicidality in a nationally representative sample.

The odds of lifetime and past 12-month suicidality were two to three times greater in people with chronic pain. Sixty-five percent of people who attempted suicide in the past 12 months had a history of chronic pain. Chronic pain was independently associated with lifetime suicidality after controlling for demographic, mental health and substance use disorders. […]

High risk of depression and suicide attempt among chronic pain patients: Always explore catastrophizing and suicide thoughts when evaluating chronic pain patients.

A grave but important problem in the treatment of pain, is suicide. While many chronic pain problems are not life threatening, self-harming, e.g. suicide attempts are. Clinicians may ask whether suicide-risk is actually higher in a population of patients with chronic pain.

Sleep disturbance, depression and pain in adults with sickle cell disease.

Sleep disturbance and depression are commonly encountered in primary care. In sickle cell disease, depression is associated with pain, poor treatment compliance, and lower quality of life. The prevalence of sleep disturbance and its effect upon quality of life in adults with sickle cell disease is unknown. The goal of this study was to determine […]

Suicidal ideation in patients with chronic pain: The risk-benefit of pharmacotherapy.