COMPLETED SUICIDE IN CHRONIC PAIN
COMPLETED SUICIDE IN CHRONIC PAIN
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DOI：
10.1097/00002508-199103000-00006
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发表时间：
1991-01-01
影响因子：
2.9
通讯作者：
ROSOMOFF, H
中科院分区：
文献类型：
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作者：
FISHBAIN, DA;GOLDBERG, M;ROSOMOFF, H
虽然收敛线的证据表明，可以预期慢性疼痛患者的自杀完成率很高，这个问题以前没有被调查。 我们疼痛中心的随访数据显示，三名慢性疼痛患者（两名男性和一名女性）完成了自杀。 这三个案例被介绍。 数据的连续性使我们能够计算慢性疼痛人群和该人群的子样本的自杀率：每年16.5名女性;每年29.3名男性;每年57.1名白色男性和34.9名白色女性，年龄范围为35 -64岁;每年78.6名白色工人补偿男性。 计算95%置信区间，并使用Z统计量将这些自杀率与美国一般人群进行比较，结果表明所有慢性疼痛患者的自杀率均显著高于一般人群。 年龄在35-64岁之间的慢性疼痛的白色男性、白色女性和白色工人补偿男性自杀死亡的可能性分别是普通人群的两倍、三倍和三倍。 虽然由于自杀样本量小，无法得出确切的结论，但这些病例报告表明需要进一步研究其他疼痛中心的慢性疼痛患者自杀率。
Although convergent lines of evidence indicate that one can expect a high rate of suicide completion for chronic pain patients, this problem has not previously been investigated. Follow-up data from our pain center revealed three chronic pain patients (two men and one woman) who completed suicide. These three cases are presented. The sequential nature of the data enabled us to calculate suicide rates for our chronic pain population and subsamples of this population: 16.5 women per year; 29.3 men per year; 57.1 white men and 34.9 white women in the age range of 35-64 years per year; and 78.6 white worker compensation men in the age range of 35-64 years per year. Calculation of the 95% confidence interval and comparison of these suicide rates to the general population of the United States using the Z statistic indicated that all chronic pain patient suicide rates were significantly greater than that of the general population. White men, white women, and white worker compensation men with chronic pain in the age range of 35-64 years are twice, three, and three times as likely, respectively, as their counterparts in the general population to die by suicide. Although no firm conclusions can be drawn because of the small suicide sample, these case reports indicate a need for further studies of chronic pain patient suicide rates at other pain centers.