title: The risk of suicide mortality in chronic pain patients.
abstract: Chronic pain has long been considered an important risk factor for suicidal behavior. Less well understood are the factors associated with the increased risk for suicide death within chronic pain populations. The purpose of this review is to examine recent research with regard to rates of and risk factors for suicide mortality in patients with chronic musculoskeletal pain. We conclude that patients with a number of chronic pain states are at increased risk for suicide death, and that this risk appears to be due, at least in part, to other well-known correlates of pain such as depression and substance use disorders. However, in all likelihood, there are aspects of chronic pain itself that add uniquely to an individual's suicide risk profile. Lastly, we address a theoretical perspective and offer recommendations for clinical practice.
authors: Chronic Pain & Fatigue Research Center, Department of Anesthesiology, University of Michigan, 24 Frank Lloyd Wright Avenue, Lobby M, Ann Arbor, MI, 48104, USA, afton@med.umich.edu.
authors: Afton L
authors: AL
authors: Hassett
authors: Jordan K
authors: JK
authors: Aquino
authors: Mark A
authors: MA
authors: Ilgen
mesh_terms: D017677:Age Distribution; D059350:Chronic Pain / Q000401:mortality / Q000523:psychology*; D015897:Comorbidity; D003863:Depression / Q000401:mortality / Q000523:psychology*; D006801:Humans; D059352:Musculoskeletal Pain / Q000401:mortality / Q000523:psychology*; D017410:Practice Guidelines as Topic; D011582:Psychological Theory; D012307:Risk Factors; D012720:Severity of Illness Index; D017678:Sex Distribution; D019966:Substance-Related Disorders / Q000401:mortality / Q000523:psychology*; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D000092864:Suicide Prevention