Giancarlo Giupponi1, Ignazio Maniscalco2, Sandra Mathà1, Carlotta Ficco1, Georg Pernther1, Livia Sanna1, Maurizio Pompili3, Hans-Peter Kapfhammer4, Andreas Conca1. 1. Comprensorio Bolzano, Servizio Psichiatrico, Lorenz-Boehler-Straße 5, Bolzano, Italien. 2. Comprensorio Bolzano, Servizio Psichiatrico, Lorenz-Boehler-Straße 5, Bolzano, Italien. ignazio.maniscalco@asbz.it. 3. Sant'Andrea-Krankenhaus, Sapienza Universität Rome, Grottarossa-Straße, 1035, Rome, Italien. 4. Klinik für Psychiatrie und Psychotherapeutische Medizin, LKH-Univ.-Klinikum Graz, Medizinische Universität Graz, 8036, Auenbruggerplatz 31/1, Graz, Österreich.
Abstract
BACKGROUND: The somatoform disorders include a group of complex disorders consist of somatic symptoms for which there are no identifiable organic cause or pathogenetic mechanisms. Given the importance of these disorders and the need to clarify the diagnosis of somatoform disorder affecting the suicide risk, we took into consideration the scientific literature to investigate the correlation between the two conditions. METHODS: We performed a bibliographic search through Medline, Embase, PsycINFO, Scopus, SciELO, ORCID, Google Scholar, DOAJ using the following terms: somatoform, somatization disorder, pain disorder AND psychological factor, suicide, parasuicide, suicidality. RESULTS: In all studies reported in our review, the suicidal behavior risk is high. But in the majority, the data are relatively unreliable because it takes into account the category nosographic "Neurotic, stress-related and somatoform disorders", too wide to be able to identify the clinical characteristics of patients at risk of only somatoform disorder. CONCLUSIONS: Several studies conclude that psychiatric comorbidity increases the suicide risk: patients with two or more psychiatric disorders are more likely to commit a suicide attempt; in particular if there is a axis I diagnosis, the risk reduplicate. The somatization disorder seems to have a significant psychiatric comorbidity in particular with anxious and affective disorders spectrum.
BACKGROUND: The somatoform disorders include a group of complex disorders consist of somatic symptoms for which there are no identifiable organic cause or pathogenetic mechanisms. Given the importance of these disorders and the need to clarify the diagnosis of somatoform disorder affecting the suicide risk, we took into consideration the scientific literature to investigate the correlation between the two conditions. METHODS: We performed a bibliographic search through Medline, Embase, PsycINFO, Scopus, SciELO, ORCID, Google Scholar, DOAJ using the following terms: somatoform, somatization disorder, pain disorder AND psychological factor, suicide, parasuicide, suicidality. RESULTS: In all studies reported in our review, the suicidal behavior risk is high. But in the majority, the data are relatively unreliable because it takes into account the category nosographic "Neurotic, stress-related and somatoform disorders", too wide to be able to identify the clinical characteristics of patients at risk of only somatoform disorder. CONCLUSIONS: Several studies conclude that psychiatric comorbidity increases the suicide risk: patients with two or more psychiatric disorders are more likely to commit a suicide attempt; in particular if there is a axis I diagnosis, the risk reduplicate. The somatization disorder seems to have a significant psychiatric comorbidity in particular with anxious and affective disorders spectrum.
Authors: Jan F Wiborg; Dorothee Gieseler; Alexandra B Fabisch; Katharina Voigt; Anne Lautenbach; Bernd Löwe Journal: Psychosom Med Date: 2013-10-22 Impact factor: 4.312