The DOI matches its Crossref record; 54 of the 55 references it cites were found in a registry or an index.
Chronic Pain Conditions and Suicidal Ideation and Suicide Attempts: An Epidemiologic Perspective
Abstract
OBJECTIVES: Investigations of the association between chronic pain conditions and suicidal ideation (SI) and suicide attempts (SA) have rarely taken the effect of mental disorders into account and have been limited by nonrepresentative samples. The present study used a large population-based sample to investigate the association between chronic pain conditions and SI and SA. METHODS: Data were from the Canadian Community Health Survey Cycle 1.2 public use file conducted by Statistics Canada from 2001 to 2002 (N=36,984; response rate 77%). Respondents were asked if they had been diagnosed with the following painful conditions: migraine, back problems, arthritis, and fibromyalgia. Respondents were assessed for past 12-month SI and SA. The Composite International Diagnostic Interview was used to assess Diagnostic and Statistical Manual of Mental Disorders-IV. RESULTS: After adjusting for sociodemographics, Axis I mental disorders and comorbidity (3 or more mental disorders), the presence of 1 or more chronic pain conditions was associated with both SI and SA. Among respondents with a mental disorder, comorbidity with 1 or more chronic pain conditions was also associated with SI and SA. In models adjusting for other painful conditions, migraine had the strongest link with SI and SA. DISCUSSION: This is the first study to demonstrate the association between several chronic pain conditions and SI and SA while adjusting for mental disorders in a nationally representative sample. Moreover, this study demonstrates that among individuals with a mental disorder, having a chronic pain condition significantly increased the association with SI and SA.
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“The authors found that, even after controlling for psychiatric comorbidity, the presence of any pain condition was associated with increased risk of suicidal thoughts and attempts, and that this relationship was particularly strong for migraines and back pain.”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [90]
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The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework
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Metadata
- Authors
- Ratcliffe, G. E., Enns, M. W., Belik, S.-L., & Sareen, J.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Ratcliffe, Gregory E.
- Enns, Murray W.
- Belik, Shay-Lee
- Sareen, Jitender
- Venue
- The Clinical Journal of Pain
- Published
- 2008-03
- Volume
- 24
- Issue
- 3
- Pages
- 204-210
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2024091829
- Cited by
- 304
- References
- 55
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 12 · 2023: 12 · 2022: 16 · 2021: 15 · 2020: 16 · 2019: 18 · 2018: 19 · 2017: 17 · 2016: 25 · 2015: 22 · 2014: 20 · 2013: 21 · 2012: 17
- FWCI
- 19.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- 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
- chronic pain, suicidal ideation, suicide attempts, migraine, fibromyalgia, back problems, arthritis, mental illness, comorbidities, psychiatric comorbidity, population survey
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Chronic Disease, Female, Health Surveys, Humans, Interview, Psychological, Male, Middle Aged, Pain, Psychiatric Status Rating Scales, Suicide, Attempted, Prevalence, Logistic Models, Epidemiologic Studies, Diagnostic and Statistical Manual of Mental Disorders
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