Negotiating the Maze: Risk Factors for Suicidal Behavior in Chronic Pain Patients
Abstract
Chronic pain disorders can exert major negative effects on virtually every aspect of an individual's life. It is not surprising then that many chronic pain sufferers find themselves at a point of emotional fragility where they experience thoughts of ending their life. Suicidal behavior encompasses a spectrum of experience, from "life weariness" or passive suicidal ideation, to more active suicidal intent and suicide completion. A range of risk factors for suicidal behavior in the general population have been identified, and these apply equally to the chronic pain population: a family history of mental illness, past history of suicide attempts, and the presence of comorbid depression. With regard specifically to chronic pain patients, elevated suicide risk is also associated with severe or recurrent headache, ambiguous diagnoses (psychogenic pain, abdominal pain), and medicolegal issues related to the pain. A number of suggestions for clinicians managing chronic pain patients with regards to managing suicide risk are given.
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In addition to risk factors observed in the general population, elevated risk of suicide in patients with chronic pain is associated with severe or recurrent headache, ambiguous diagnosis, and medico-legal issues related to pain.
“In addition to the risk factors observed in the general population (family history of mental illness, past history of suicide attempts, presence of comorbid depression), elevated risk of suicide in patients with CP is associated with severe or recurrent headache, ambiguous diagnosis, medico-legal issues related to pain.87”
From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [87]
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- Authors
- Newton-John, T. R. O.
- Affiliations
- Australian Catholic University (AU)
- Corresponding author
- Newton-John, Toby R. O.
- Venue
- Current Pain and Headache Reports
- Published
- 2014-08-05
- Volume
- 18
- Issue
- 9
- Pages
- 447-447
- ISSN
- 1531-3433 (ISSN-L)
- 1534-3081
- OpenAlex
- W2006498343
- Cited by
- 29
- References
- 50
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Pain and Headache Reports (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- UTS ePRESS (University of Technology Sydney) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- chronic pain, suicidal behavior, suicide risk factors, suicidal ideation, comorbid depression, family history of mental illness, suicide attempts, headache, psychogenic pain, abdominal pain, medicolegal issues, suicide risk management
- MeSH terms
- Mental Disorders, Depression, Humans, Life Change Events, Pain Measurement, Quality of Life, Risk Factors, Sleep Wake Disorders, Social Isolation, Socioeconomic Factors, Suicide, Attempted, Time Factors, Comorbidity, Age Distribution, Substance-Related Disorders, Suicidal Ideation, Chronic Pain
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