The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.
Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links
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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“Tang and Crane88 reported that CP was associated with increased risk of suicide mortality and that rates of suicidal ideation and attempts were higher in individuals with pain than those without.”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [88]
Citations
Cites
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“…repeatedly been suggested that both suicide and suicidal behaviour can be viewed in terms of an attempt to escape from aversive self-consciousness (Baumeister, 1990), unbearable ‘psychache’ (Shneidman, 1997) or intolerable situations in which the opportunity to escape or to receive relief are…”
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Cited by
Sorted by citations
Chronic pain: an update on burden, best practices, and new advances
Cohen, S. P., Vase, L., & Hooten, W. M. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00393-7 · Cited by 2,614
RELIEVING PAIN IN AMERICA: A BLUEPRINT FOR TRANSFORMING PREVENTION, CARE, EDUCATION, AND RESEARCH
Simon, L. S. (2012) · Journal of Pain & Palliative Care Pharmacotherapy · doi:10.3109/15360288.2012.678473 · Cited by 2,200
Hawton, K., & van Heeringen, K. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60372-x · Cited by 1,671
Epidemiology of suicide and the psychiatric perspective
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Pain catastrophizing: a critical review.
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Metadata
- Authors
- TANG, N. K. Y., & CRANE, C.
- Affiliations
- King's College London (GB)
- University of Oxford (GB)
- 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
- 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
- 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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