title: Suicide attempts and risk of suicide in patients with fibromyalgia: a survey in Spanish patients.
abstract: OBJECTIVE
  Depression, chronic pain and sleep disturbances frequently co-exist in FM and have shown to be independently related with suicidal behaviours. The present survey was performed to evaluate the prevalence of previous suicide attempts in patients with FM and its potential relationship with sociodemographic and clinical characteristics of the disease.
  
  
  METHODS
  A concise survey was sent to patients of seven associations of patients with FM. In addition to the inquiry concerning the number, if any, and characteristics of suicide attempts, the survey included questions about sociodemographic and clinical data of patients as well as the revised FM impact questionnaire (FIQR) and the Plutchik suicide risk scale.
  
  
  RESULTS
  One hundred and eighty patients answered the survey. Thirty (16.7%) of them reported one to three previous suicide attempts. Drug poisoning was the most frequently employed method for suicide attempt (70%). No relevant differences were found between suicide attempters and non-attempters in relation to age, education and marital status, but a significant difference was found in relation to employment status. Plutchik's scale scores, both in suicide attempters and non-attempters, were higher than those found in the literature. FIQR scores were significantly higher in suicide attempters than in non-attempters. A high-positive correlation was found between FIQR and Plutchik suicide risk scale scores. Pain, poor sleep quality, anxiety and depression were positively correlated with suicide risk.
  
  
  CONCLUSIONS
  FM is associated with an increased risk of suicide and suicide attempts. Suicidal behaviour seems to be related with the global severity of the disease.
authors.affiliation: Instituto de Neurociencias, Universidad de Granada, Avenida de Madrid 11, 18012 Granada, Spain. calandre@gmail.com
authors.forename: Elena P
authors.initials: EP
authors.lastname: Calandre
authors.forename: Juan S
authors.initials: JS
authors.lastname: Vilchez
authors.forename: Rocío
authors.initials: R
authors.lastname: Molina-Barea
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Tovar
authors.forename: Juan M
authors.initials: JM
authors.lastname: Garcia-Leiva
authors.forename: Javier
authors.initials: J
authors.lastname: Hidalgo
authors.forename: Carmen Maria
authors.initials: CM
authors.lastname: Rodriguez-Lopez
authors.forename: Fernando
authors.initials: F
authors.lastname: Rico-Villademoros
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D006304:Health Status; D006801:Humans; D055809:Illness Behavior; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D013030:Spain / Q000453:epidemiology; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult