Cited by 639Suicide and Self-Harm StudiesOpioid Use Disorder TreatmentMusculoskeletal pain and rehabilitation

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Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links

TANG, NICOLE K. Y., CRANE, CATHERINE·2006·Psychological Medicine

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Abstract

Background. This paper reviews and integrates the growing literature concerning the prevalence of and risk factors for suicidality in chronic pain. Method. A series of systematic searches in MEDLINE and PsychINFO identified 12 relevant articles examining suicide, suicide attempts, and suicidal ideation in chronic pain. A selection of theoretical and empirical work identifying psychological processes that have been implicated in both the pain and suicide literature and which may be related to increased suicidality was also reviewed. Results. Relative to controls, risk of death by suicide appeared to be at least doubled in chronic pain patients. The lifetime prevalence of suicide attempts was between 5% and 14% in individuals with chronic pain, with the prevalence of suicidal ideation being ~20%. Eight risk factors for suicidality in chronic pain were identified, including the type, intensity and duration of pain and sleep-onset insomnia co-occuring with pain, which appeared to be pain-specific. Helplessness and hopelessness about pain, the desire for escape from pain, pain catastrophizing and avoidance, and problem-solving deficits were highlighted as psychological processes relevant to the understanding of suicidality in chronic pain. Conclusions. Programmatic research is urgently required to investigate the role of both general and pain-specific risk factors for suicidality, to examine how the psychological processes mentioned above mediate or exacerbate suicidality, and to develop enhanced interventions for pain patients at risk.

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Authors: TANG, N. K. Y., & CRANE, C.
Affiliations: King's College London (GB)
University of Oxford (GB)
ORCID: TANG, NICOLE K. Y.
CRANE, CATHERINE
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2006-01-18
Volume: 36
Issue: 5
Pages: 575-586
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291705006859
OpenAlex: W2147396279
Cited by: 639
References: 67
Citations by year: 2026: 22 · 2025: 36 · 2024: 29 · 2023: 47 · 2022: 34 · 2021: 51 · 2020: 36 · 2019: 43 · 2018: 47 · 2017: 37 · 2016: 45 · 2015: 32 · 2014: 36 · 2013: 26 · 2012: 30
FWCI: 15.88
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Wellcome Trust (GR 067797)
Croucher Foundation
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: suicidality, chronic pain, suicide attempts, suicidal ideation, suicide risk factors, pain catastrophizing, helplessness and hopelessness, insomnia, problem-solving deficits, suicide prevention interventions
MeSH terms: Suicide Prevention, Chronic Disease, Humans, Pain, Risk Factors, Suicide, Comorbidity, Prevalence

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Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links

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