Article2010

Severe Pain Predicts Greater Likelihood of Subsequent Suicide

Mark Andrew Ilgen · Kara Zivin · Karen Austin · Amy M. Bohnert · Ewa K. Czyz · Marcia M. Valenstein +1 more

125 citations0/0 files storedSuicide and Life-Threatening Behavior

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Suicide and Self-Harm Studies Opioid Use Disorder Treatment Pain Management and Opioid Use

Abstract

Using data from the 1999 Large Health Survey of Veterans, Veterans Affairs' medical records, and the National Death Index (N = 260,254), the association between self-reported pain severity and suicide among veterans as examined, after accounting for demographic variables and psychiatric diagnoses. A Cox proportional hazards regression demonstrated that veterans with severe pain were more likely to die by suicide than patients experiencing none, mild, or moderate pain (HR: 1.33; 95% CI: 1.15, 1.54), after controlling for demographic and psychiatric characteristics. These results indicate that pain evaluations should be included in comprehensive suicide assessments and suicide prevention efforts.

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References

1996A 12-Item Short-Form Health Survey 2008Suicide and Suicidal Behavior 2007Why People Die by Suicide 1986Health: United States 2006Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links 2002A Primer and Comparative Review of Major U.S. Mortality Databases 1998Tests of Data Quality, Scaling Assumptions, and Reliability of the SF-36 in Eleven Countries 2000Reliability and Validity of the SF-12 Health Survey Among People With Severe Mental Illness

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