Brief Assessment of Psychological Pain to Predict Suicidal Events at One Year in Depressed Patients

Alacreu‐Crespo, Adrián; Cazals, A.; Courtet, Philippe; Olié, Émilie

doi:10.1159/000506957

Cited by 14 publications

(11 citation statements)

References 10 publications

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“…Depression was the top reported risk factor, and was also considered a type of psychological pain when selecting eligible studies. To avoid tautology, we checked the four articles that included patients with depression [ 49 , 50 , 51 , 52 ]. Three studies included patients with depression only, and identified risk factors other than depression [ 49 , 50 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…To avoid tautology, we checked the four articles that included patients with depression [ 49 , 50 , 51 , 52 ]. Three studies included patients with depression only, and identified risk factors other than depression [ 49 , 50 , 51 ]. One study included depressed patients and healthy controls, and therefore identified depression as a suicide risk factor [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

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Predictive Modeling for Suicide-Related Outcomes and Risk Factors among Patients with Pain Conditions: A Systematic Review

Huang

Lewis

Bao

et al. 2022

JCM

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Suicide is a leading cause of death in the US. Patients with pain conditions have higher suicidal risks. In a systematic review searching observational studies from multiple sources (e.g., MEDLINE) from 1 January 2000–12 September 2020, we evaluated existing suicide prediction models’ (SPMs) performance and identified risk factors and their derived data sources among patients with pain conditions. The suicide-related outcomes included suicidal ideation, suicide attempts, suicide deaths, and suicide behaviors. Among the 87 studies included (with 8 SPM studies), 107 suicide risk factors (grouped into 27 categories) were identified. The most frequently occurring risk factor category was depression and their severity (33%). Approximately 20% of the risk factor categories would require identification from data sources beyond structured data (e.g., clinical notes). For 8 SPM studies (only 2 performing validation), the reported prediction metrics/performance varied: C-statistics (n = 3 studies) ranged 0.67–0.84, overall accuracy(n = 5): 0.78–0.96, sensitivity(n = 2): 0.65–0.91, and positive predictive values(n = 3): 0.01–0.43. Using the modified Quality in Prognosis Studies tool to assess the risk of biases, four SPM studies had moderate-to-high risk of biases. This systematic review identified a comprehensive list of risk factors that may improve predicting suicidal risks for patients with pain conditions. Future studies need to examine reasons for performance variations and SPM’s clinical utility.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Predictive Modeling for Suicide-Related Outcomes and Risk Factors among Patients with Pain Conditions: A Systematic Review

Huang

Lewis

Bao

et al. 2022

JCM

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“…Death will put an end to that pain because the self will disappear (15). Psychological pain is a core dimension in suicide and can predict future suicidal behavior, independently of depressive symptoms or suicidal ideation (16,17). Psychological pain has been defined as "a lasting, untenable and unpleasant feeling that results from a negative evaluation of an incapacity or deficiency of the self" (18).…”

Section: Psychological Pain As Core Dimension In Suicidementioning

confidence: 99%

Learning From Artemisia’s Lucretia: Embodied Suffering and Interoception in Suicide

Courtet¹,

Guillaume²

2020

Front. Psychiatry

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In the painting "Lucretia," Artemisia Gentileschi, one of the major painters of the 17 th century, depicts Lucretia's suicide. This artwork empathic vision offers the spectator the apprehension of a unique phenomenon where psychological pain is transformed into selfaggression. To understand why the body becomes an object to attack, it is important to study the role of interoception and self-awareness in the suicidal process. This essay discusses how bodily representations are crucial for interacting efficiently and safely with the outside world and for establishing the sense of self. It presents some of the available evidence showing that alterations in the body representation and in the sensations perceived by it contribute to suicide. Indeed, neuroimaging studies show that social environmental factors and their biological consequences in the body (e.g., increased neuroinflammation) can alter the neural networks of suicidal behavior by increasing the sensitivity to psychological pain and the disconnection from self-awareness. Therefore, body image, sensations and awareness as well as psychological pain should be examined to improve the understanding of the dynamic interactions between body, brain, and mind that underly suicidal behavior. This conceptualization brings clinical and therapeutic perspectives in a domain where they are urgently needed.

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“…Alacreu-Crespo et al [1] have confirmed the strong link between mental pain and suicidal events. They advocate the assessment of mental pain in conjunction with suicidal ideations in the clinical evaluation and suggest the need to further explore the clinimetric properties of psychological pain indices [2].…”

mentioning

confidence: 93%

Reply to Alacreu-Crespo et al.

Fava

Tomba

Brakemeier

et al. 2020

Psychother Psychosom

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Brief Assessment of Psychological Pain to Predict Suicidal Events at One Year in Depressed Patients

Cited by 14 publications

References 10 publications

Predictive Modeling for Suicide-Related Outcomes and Risk Factors among Patients with Pain Conditions: A Systematic Review

Predictive Modeling for Suicide-Related Outcomes and Risk Factors among Patients with Pain Conditions: A Systematic Review

Learning From Artemisia’s Lucretia: Embodied Suffering and Interoception in Suicide

Reply to Alacreu-Crespo et al.

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