Eric W de Heer1, Margreet Ten Have2, Harm W J van Marwijk3, Jack Dekker4, Ron de Graaf2, Aartjan T F Beekman5, Christina M van der Feltz-Cornelis6. 1. Clinical 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. Electronic address: e.deheer@ggzbreburg.nl. 2. Netherlands Institute of Mental Health and Addiction, Department of Epidemiology, Utrecht, the Netherlands. 3. Centre for primary care, Division of Population Health, Health Services Research and Primary Care of the School of Health Sciences, The University of Manchester, Manchester, United Kingdom. 4. Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands. 5. Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, the Netherlands; GGz inGeest, Mental Health Institute, Amsterdam, the Netherlands. 6. Clinical 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.
Abstract
OBJECTIVE: To examine the longitudinal association between pain and suicidal ideation in the general adult population. METHOD: Data were used from two waves (baseline and three-year follow-up) of the Netherlands Mental Health Survey and Incidence Study-2. Persons without prior 12-month suicidal ideation at baseline were included in this study (N = 5242). Pain severity and interference due to pain in the past month were measured using the 36-item Short Form Health Survey. Suicidal ideation and DSM-IV mental disorders were assessed using the Composite International Diagnostic Interview. Logistic regression analyses were performed. RESULTS: Moderate to very severe pain (OR 3.39, p < .001) and moderate to very severe interference due to pain (OR 2.35, p .01) were associated with a higher risk for incident suicidal ideation at follow-up after adjustment for baseline sociodemographic variables and mental disorders. No interaction effects were found between pain severity or interference due to pain and mental disorders. CONCLUSION: Moderate to severe pain and interference due to pain are risk factors for suicidal ideation independently of concomitant mental disorders. We suggest taking assessment and management of suicidal ideation in patients with pain into account both in clinical treatment as well as in suicide prevention action plans.
OBJECTIVE: To examine the longitudinal association between pain and suicidal ideation in the general adult population. METHOD: Data were used from two waves (baseline and three-year follow-up) of the Netherlands Mental Health Survey and Incidence Study-2. Persons without prior 12-month suicidal ideation at baseline were included in this study (N = 5242). Pain severity and interference due to pain in the past month were measured using the 36-item Short Form Health Survey. Suicidal ideation and DSM-IV mental disorders were assessed using the Composite International Diagnostic Interview. Logistic regression analyses were performed. RESULTS: Moderate to very severe pain (OR 3.39, p < .001) and moderate to very severe interference due to pain (OR 2.35, p .01) were associated with a higher risk for incident suicidal ideation at follow-up after adjustment for baseline sociodemographic variables and mental disorders. No interaction effects were found between pain severity or interference due to pain and mental disorders. CONCLUSION: Moderate to severe pain and interference due to pain are risk factors for suicidal ideation independently of concomitant mental disorders. We suggest taking assessment and management of suicidal ideation in patients with pain into account both in clinical treatment as well as in suicide prevention action plans.
Authors: Elizabeth M Oliva; Thomas Bowe; Ajay Manhapra; Stefan Kertesz; Jennifer M Hah; Patricia Henderson; Amy Robinson; Meenah Paik; Friedhelm Sandbrink; Adam J Gordon; Jodie A Trafton Journal: BMJ Date: 2020-03-04
Authors: Michael E Torres; Bernd Löwe; Samantha Schmitz; John N Pienta; Christina Van Der Feltz-Cornelis; Jess G Fiedorowicz Journal: J Psychosom Res Date: 2020-11-10 Impact factor: 3.006