Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain
Abstract
Living with chronic pain is associated with many deleterious outcomes, including a substantially increased risk of suicide. While many general risk factors for suicidal ideation and behavior have been identified, few studies have examined pain-related factors that confer increased or decreased risk for suicidality. The present study assessed individual differences in the use of pain-related coping strategies and pain-related catastrophizing as correlates of suicidal ideation in patients with chronic pain. A total of 1512 patients seeking treatment for chronic pain completed a variety of questionnaires assessing pain, coping, and psychosocial functioning. On written questionnaires, approximately 32% of this clinic sample reported some form of recent suicidal ideation. The two most consistent predictors of the presence and degree of suicidal ideation were the magnitude of depressive symptoms and the degree of pain-related catastrophizing, a maladaptive cognitive/emotional pain-coping strategy. Demographic and other pain-related variables such as pain severity and duration were not generally robust predictors of suicidal ideation in this sample of patients with chronic pain. These are the first findings to suggest a unique (e.g., independent of pain severity or depressive symptomatology) association between pain-coping strategies and suicide-related cognitions in the context of chronic pain. Further research in this area, including the addition of suicide prevention materials to pain-coping skills training programs, may benefit large numbers of individuals who are at elevated suicide risk as a consequence of chronic pain.
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Pain catastrophising is associated with suicidal ideation.
“suicidal ideation [14]”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [14]
Pain catastrophizing has been associated with suicidal ideation.
“Some of the consequences that have been associated with pain catastrophizing are more intense pain [6], heightened pain behaviour [7-9], greater analgesic consumption [10,11], reduced involvement in daily activities [3], occupational disability [12-14] and suicidal ideation [15].”
From Effectiveness of the psychological and pharmacological treatment of catastrophization in patients with fibromyalgia: a randomized controlled trial. (2009) · cites this paper as [15]
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- Authors
- Edwards, R. R., Smith, M. T., Kudel, I., & Haythornthwaite, J.
- Affiliations
- Johns Hopkins University (US)
- Health Services Research & Development (US)
- Corresponding author
- Edwards, Robert R.
- Venue
- Pain
- Published
- 2006-12
- Volume
- 126
- Issue
- 1
- Pages
- 272-279
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2080362587
- Cited by
- 182
- References
- 49
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 7 · 2023: 12 · 2022: 2 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 11 · 2017: 10 · 2016: 8 · 2015: 8 · 2014: 12 · 2013: 14 · 2012: 7
- FWCI
- 9.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7k23ar051315-05)
- National Institute of Neurological Disorders and Stroke (K23NS047168)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR051315)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- suicidal ideation, chronic pain, pain coping, depressive symptoms, suicide risk factors, suicide prevention
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Chronic Disease, Depression, Female, Humans, Male, Middle Aged, Pain, Prognosis, Surveys and Questionnaires, Risk Factors, Severity of Illness Index, Stress, Psychological, Suicide, Attempted, Linear Models
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