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Pain and suicidality in children and adolescents: a longitudinal population-based study

Suicidality is a common public health concern in young people. Previous research has highlighted pain as a key correlate of suicidality in young people. However, the long-term experience of pain may vary between individuals, and the relationship between distinct pain trajectories and suicidality is...

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Autores principales: Hinze, Verena, Karl, Anke, Ford, Tamsin, Gjelsvik, Bergljot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10326152/
https://www.ncbi.nlm.nih.gov/pubmed/35235043
http://dx.doi.org/10.1007/s00787-022-01963-2
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author Hinze, Verena
Karl, Anke
Ford, Tamsin
Gjelsvik, Bergljot
author_facet Hinze, Verena
Karl, Anke
Ford, Tamsin
Gjelsvik, Bergljot
author_sort Hinze, Verena
collection PubMed
description Suicidality is a common public health concern in young people. Previous research has highlighted pain as a key correlate of suicidality in young people. However, the long-term experience of pain may vary between individuals, and the relationship between distinct pain trajectories and suicidality is poorly understood. This study aims to describe the number and nature of distinct pain trajectories, their demographic and clinical correlates, including baseline suicidality, and whether identified pain trajectories may predict future suicidality. Secondary data analyses were performed, using longitudinal data from the British Child and Adolescent Mental Health Survey (N = 7977), collected at five timepoints between 2004 and 2007 on a population-based sample of UK youth (5–16 years). Data were collected from up to three respondents (parents, teachers, and 11 + year-olds). Latent Class Growth Analysis was used to identify distinct pain trajectories, explore predictors of these trajectories, and establish whether trajectories predicted future suicidality. We identified the following four pain trajectories: increasing (33.6%), decreasing (4.5%), persistent/recurrent probability of pain (15.7%), and no pain (46.2%). Pain trajectories were associated with unique demographic and clinical correlates. Only the persistent/recurrent (vs. no-pain) trajectory was predicted by baseline suicidality (aOR = 2.24; 95% bootstrap-CI = 1.59–3.26). Furthermore, the persistent/recurrent trajectory predicted future suicidality (aOR = 1.03, 95% bootstrap-CI = 1.01–1.06), after controlling for baseline suicidality, psychiatric disorder, age, and gender. Findings provide a better understanding of correlates associated with distinct pain trajectories and long-term risk of suicidality in young people, suggesting a bidirectional pain–suicidality association and emphasising the need of targeted support for young people with persistent/recurrent pain. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-01963-2.
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spelling pubmed-103261522023-07-08 Pain and suicidality in children and adolescents: a longitudinal population-based study Hinze, Verena Karl, Anke Ford, Tamsin Gjelsvik, Bergljot Eur Child Adolesc Psychiatry Original Contribution Suicidality is a common public health concern in young people. Previous research has highlighted pain as a key correlate of suicidality in young people. However, the long-term experience of pain may vary between individuals, and the relationship between distinct pain trajectories and suicidality is poorly understood. This study aims to describe the number and nature of distinct pain trajectories, their demographic and clinical correlates, including baseline suicidality, and whether identified pain trajectories may predict future suicidality. Secondary data analyses were performed, using longitudinal data from the British Child and Adolescent Mental Health Survey (N = 7977), collected at five timepoints between 2004 and 2007 on a population-based sample of UK youth (5–16 years). Data were collected from up to three respondents (parents, teachers, and 11 + year-olds). Latent Class Growth Analysis was used to identify distinct pain trajectories, explore predictors of these trajectories, and establish whether trajectories predicted future suicidality. We identified the following four pain trajectories: increasing (33.6%), decreasing (4.5%), persistent/recurrent probability of pain (15.7%), and no pain (46.2%). Pain trajectories were associated with unique demographic and clinical correlates. Only the persistent/recurrent (vs. no-pain) trajectory was predicted by baseline suicidality (aOR = 2.24; 95% bootstrap-CI = 1.59–3.26). Furthermore, the persistent/recurrent trajectory predicted future suicidality (aOR = 1.03, 95% bootstrap-CI = 1.01–1.06), after controlling for baseline suicidality, psychiatric disorder, age, and gender. Findings provide a better understanding of correlates associated with distinct pain trajectories and long-term risk of suicidality in young people, suggesting a bidirectional pain–suicidality association and emphasising the need of targeted support for young people with persistent/recurrent pain. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-01963-2. Springer Berlin Heidelberg 2022-03-02 2023 /pmc/articles/PMC10326152/ /pubmed/35235043 http://dx.doi.org/10.1007/s00787-022-01963-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contribution
Hinze, Verena
Karl, Anke
Ford, Tamsin
Gjelsvik, Bergljot
Pain and suicidality in children and adolescents: a longitudinal population-based study
title Pain and suicidality in children and adolescents: a longitudinal population-based study
title_full Pain and suicidality in children and adolescents: a longitudinal population-based study
title_fullStr Pain and suicidality in children and adolescents: a longitudinal population-based study
title_full_unstemmed Pain and suicidality in children and adolescents: a longitudinal population-based study
title_short Pain and suicidality in children and adolescents: a longitudinal population-based study
title_sort pain and suicidality in children and adolescents: a longitudinal population-based study
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10326152/
https://www.ncbi.nlm.nih.gov/pubmed/35235043
http://dx.doi.org/10.1007/s00787-022-01963-2
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