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Mental defeat and suicidality in chronic pain : a prospective analysis
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Themelis, Kristy, Gillett, Jenna L., Karadag, Paige, Cheatle, Martin D., Giordano, Nicholas A., Balasubramanian, Shyam, Singh, Swaran P. and Tang, Nicole K. Y. (2023) Mental defeat and suicidality in chronic pain : a prospective analysis. Journal of Pain, 24 (11). pp. 2079-2092. doi:10.1016/j.jpain.2023.06.017 ISSN 1528-8447.
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WRAP-Mental-defeat-suicidality-chronic-pain-prospective-analysis-23.pdf - Accepted Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (405Kb) | Preview |
Official URL: https://doi.org/10.1016/j.jpain.2023.06.017
Abstract
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. A total of 524 patients with chronic pain completed online questionnaires measuring variables related to suicide risk, mental defeat, sociodemographic, psychological, pain, activity, and health variables. At 6 months, 70.8% (n=371) of respondents completed the questionnaires again. Weighted univariate and multivariable regression models were run to predict suicide risk at 6 months. The clinical suicide risk cutoff was met by 38.55% of participants at baseline and 36.66% at 6 months. Multivariable modeling revealed that mental defeat, depression, perceived stress, head pain, and active smoking status significantly increased the odds of reporting higher suicide risk, while older age reduced the odds. Receiver operating characteristic (ROC) analysis showed that assessment of mental defeat, perceived stress, and depression is effective in discriminating between ‘low’ and ‘high’ suicide risk. Awareness of the prospective links from mental defeat, depression, perceived stress, head pain, and active smoking status to increased suicide risk in patients with chronic pain may offer a novel avenue for assessment and preventative intervention.
Item Type: | Journal Article | ||||||||||||
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Subjects: | R Medicine > RB Pathology | ||||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Chronic pain, Suicide -- Prevention, Chronic pain -- Psychological aspects, Suicidal behavior, Mental health | ||||||||||||
Journal or Publication Title: | Journal of Pain | ||||||||||||
Publisher: | Elsevier | ||||||||||||
ISSN: | 1528-8447 | ||||||||||||
Official Date: | November 2023 | ||||||||||||
Dates: |
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Volume: | 24 | ||||||||||||
Number: | 11 | ||||||||||||
Page Range: | pp. 2079-2092 | ||||||||||||
DOI: | 10.1016/j.jpain.2023.06.017 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||||
Copyright Holders: | © Published by Elsevier Inc. on behalf of the American Pain Society | ||||||||||||
Date of first compliant deposit: | 29 June 2023 | ||||||||||||
Date of first compliant Open Access: | 30 June 2023 | ||||||||||||
RIOXX Funder/Project Grant: |
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