Pain and suicidal thoughts, plans and attempts in the United States
Pain and suicidal thoughts, plans and attempts in the United States
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DOI：
10.1016/j.genhosppsych.2008.09.003
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发表时间：
2008-11-01
影响因子：
7
通讯作者：
Valenstein, Marcia
中科院分区：
文献类型：
--
作者：
Ilgen, Mark A.;Zivin, Kara;Valenstein, Marcia
目的：本研究探讨了疼痛和自杀之间的关联在一般的美国population.Method：使用数据前的全国科摩罗调查复制，我们评估了疼痛（背部和颈部）的四个措施之间的关系。头痛、其他非关节炎疼痛和这些状况的计数的总评分）和12个月自杀想法、计划和尝试，使用卡方检验和逻辑回归模型。多变量逻辑回归模型控制人口统计学特征，慢性健康状况。结果：在调整并发精神疾病和其他慢性医学状况的多变量模型中，自杀意念与头痛（OR 1.9，95%CI：1.2，3.0）和疼痛综合评分（OR 1.2，95%CI：1.2，3.0）相关。95%CI：1.0，1.4）。自杀企图也与头痛有关（OR 2.3。95% CI：1.2，4.4）和疼痛总分（OR 1.7，95% CI：1.1，2.6）。其他非关节炎性疼痛与自杀企图相关（OR 4.0）。95%可信区间：结论：这些发现强调了疼痛作为自杀的潜在独立危险因素的重要性，特别是在那些头痛或多种形式的同时发生疼痛的人中。患有慢性疼痛的个人可能特别适合自杀筛查和干预工作。爱思唯尔公司出版
Objective: This study examined the association between pain and suicidality in the general US population.Method: Using data front the National Comorbidity Survey-Replication, we assessed relationships between four measures of pain (back and neck. headache, other nonarthritic pain and summary score of the count of these conditions) and 12-month suicidal thoughts, plans and attempts using chi-square tests and logistic regression models. Multivariate logistic regression models controlled for demographic characteristics, chronic health conditions. mood, anxiety and Substance use disorders.Results: In multivariate models adjusting for concurrent psychiatric disorders and other chronic medical conditions, suicidal ideation was associated with head pain (OR 1.9, 95% CI: 1.2, 3.0) and the pain summary score (OR 1.2. 95% CI: 1.0, 1.4). Suicide attempt was also associated with head pain (OR 2.3. 95% CI: 1.2, 4.4) and pain summary score (OR 1.7, 95% CI: 1.1, 2.6). Other nonarthritic pain was associated with suicide attempts (OR4.0. 95% CI: 1.8, 9.1).Conclusions: These findings highlight the importance of pain as a potentially independent risk factor for suicide, particularly among those with head pain or multiple forms of co-occuring pain. Individuals suffering from chronic pain may be particularly appropriate for suicide screening and intervention efforts. Published by Elsevier Inc.