Variables associated with the risk of suicide in patients with chronic pain seen in a hospital outpatient clinic in Bogotá

Arias, Ana Carolina; Bruce, Angie; Herrán, Deisy; Arango, Angie Martín; Muñoz, Katherine; Abella, Patricia

doi:10.1016/j.rcae.2013.06.007

Cited by 1 publication

(3 citation statements)

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“…To our knowledge, only one study has examined the association between pain and suicide risk in South America. In an underpowered study conducted at a hospital pain clinic in Colombia ( N = 49), the authors found no association between the risk of suicide and perceived levels of pain [ 19 ]. In our study, participants with high pain were more likely to report suicidal ideation; however, the association was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Few previous studies have examined the association between chronic pain and depression and generalized anxiety in South America, including in Colombia [ 8 , 15 ], Brazil [ 7 , 16 , 17 ], Paraguay [ 7 ] and Ecuador [ 7 ]. Only two of these previous studies have examined the association between pain and suicidal behaviors [ 18 , 19 ], with one study reporting null findings [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Given that (1) few studies have examined pain with depression, generalized anxiety, and suicidal behaviors in South American populations; (2) one previous study found no association between pain and suicide risk in Colombia [ 19 ], and (3) no study has been conducted in Chile, the most stable and prosperous country in South America, we conducted a larger-scale cross-sectional epidemiological study to investigate the association of chronic pain with symptoms of depression, generalized anxiety, and suicidal behavior among injured working adults in Chile.…”

Section: Introductionmentioning

confidence: 99%

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Pain, mood, and suicidal behavior among injured working adults in Chile

et al. 2022

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Background Chronic pain is comorbid with psychiatric disorders, but information on the association of chronic pain with depressive symptoms, generalized anxiety, and suicidal behavior among occupational cohorts is inadequate. We investigated these associations among employed Chilean adults. Methods A total of 1946 working adults were interviewed during their outpatient visit. Pain was assessed using the Short Form McGill Pain questionnaire (SF-MPG) while depression and generalized anxiety were examined using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), respectively. The Columbia–Suicide Severity Rating Scale was used to assess suicidal behavior and suicidal ideation. Multivariable logistic regression models were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95%CI) for the association of chronic pain with mood disorders, as well as suicidal behavior. Results High chronic pain (SF-MPG > 11) was reported by 46% of participants. Approximately two-fifths of the study participants (38.2%) had depression, 23.8% generalized anxiety, 13.4% suicidal ideation, and 2.4% suicidal behavior. Compared to those with low pain (SF-MPG ≤11), participants with high chronic pain (SF-MPG > 11) had increased odds of experiencing depression only (aOR = 2.87; 95% CI: 2.21–3.73), generalized anxiety only (aOR = 2.38; 95% CI: 1.42–3.99), and comorbid depression and generalized anxiety (aOR = 6.91; 95% CI: 5.20–9.19). The corresponding aOR (95%CI) for suicidal ideation and suicidal behavior were (aOR = 2.20; 95% CI: 1.58–3.07) and (aOR = 2.18 = 95% CI: 0.99–4.79), respectively. Conclusions Chronic pain is associated with increased odds of depression, generalized anxiety, and suicidal behavior. Mental health support and appropriate management of patients experiencing chronic pain are critical.

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Section: Discussionmentioning

confidence: 99%