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Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome

OBJECTIVE: Chronic pain frequently coexists with psychiatric symptoms in patients diagnosed with complex regional pain syndrome (CRPS). Previous studies have shown a relationship between CRPS and the risk of suicide. The purpose of this study was to assess risk factors for suicidal ideation in patie...

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Autores principales: Lee, Do-Hyeong, Noh, Eun Chung, Kim, Yong Chul, Hwang, Jae Yeon, Kim, Sung Nyun, Jang, Joon Hwan, Byun, Min Soo, Kang, Do-Hyung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2014
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942549/
https://www.ncbi.nlm.nih.gov/pubmed/24605121
http://dx.doi.org/10.4306/pi.2014.11.1.32
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author Lee, Do-Hyeong
Noh, Eun Chung
Kim, Yong Chul
Hwang, Jae Yeon
Kim, Sung Nyun
Jang, Joon Hwan
Byun, Min Soo
Kang, Do-Hyung
author_facet Lee, Do-Hyeong
Noh, Eun Chung
Kim, Yong Chul
Hwang, Jae Yeon
Kim, Sung Nyun
Jang, Joon Hwan
Byun, Min Soo
Kang, Do-Hyung
author_sort Lee, Do-Hyeong
collection PubMed
description OBJECTIVE: Chronic pain frequently coexists with psychiatric symptoms in patients diagnosed with complex regional pain syndrome (CRPS). Previous studies have shown a relationship between CRPS and the risk of suicide. The purpose of this study was to assess risk factors for suicidal ideation in patients with CRPS. METHODS: Based on criteria established by the International Association for the Study of Pain, 39 patients diagnosed with CRPS Type 1 or Type 2 were enrolled in this study. Suicidal ideation was assessed using item 3 of the Hamilton Depression Rating Scale (HAMD), and symptoms of pain were evaluated using the short form of the McGill Pain Questionnaire (SF-MPQ). Psychiatric symptoms were assessed in using the Structured Clinical Interview for DSM-IV Disorders (SCID-I, SCID-II), the HAMD, the Hamilton Anxiety Rating Scale (HAMA), the Global Assessment of Functioning Scale (GAF), and the Pittsburgh Sleep Quality Index (PSQI). RESULTS: Twenty-nine patients (74.4%) were at high risk and 10 (25.6%) were at low risk for suicidal ideation. Risk factors significantly associated with suicidal ideation included depression (p=0.002), severity of pain (p=0.024), and low scores on the GAF (p=0.027). No significant correlations were found between suicidal ideation and anxiety or quality of sleep. CONCLUSION: Significant risk factors for suicidal ideation in patients with CRPS include severity of pain, depressive symptoms, and decreased functioning. These results suggest that psychiatric evaluation and intervention should be included in the treatment of CRPS.
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spelling pubmed-39425492014-03-06 Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome Lee, Do-Hyeong Noh, Eun Chung Kim, Yong Chul Hwang, Jae Yeon Kim, Sung Nyun Jang, Joon Hwan Byun, Min Soo Kang, Do-Hyung Psychiatry Investig OBJECTIVE: Chronic pain frequently coexists with psychiatric symptoms in patients diagnosed with complex regional pain syndrome (CRPS). Previous studies have shown a relationship between CRPS and the risk of suicide. The purpose of this study was to assess risk factors for suicidal ideation in patients with CRPS. METHODS: Based on criteria established by the International Association for the Study of Pain, 39 patients diagnosed with CRPS Type 1 or Type 2 were enrolled in this study. Suicidal ideation was assessed using item 3 of the Hamilton Depression Rating Scale (HAMD), and symptoms of pain were evaluated using the short form of the McGill Pain Questionnaire (SF-MPQ). Psychiatric symptoms were assessed in using the Structured Clinical Interview for DSM-IV Disorders (SCID-I, SCID-II), the HAMD, the Hamilton Anxiety Rating Scale (HAMA), the Global Assessment of Functioning Scale (GAF), and the Pittsburgh Sleep Quality Index (PSQI). RESULTS: Twenty-nine patients (74.4%) were at high risk and 10 (25.6%) were at low risk for suicidal ideation. Risk factors significantly associated with suicidal ideation included depression (p=0.002), severity of pain (p=0.024), and low scores on the GAF (p=0.027). No significant correlations were found between suicidal ideation and anxiety or quality of sleep. CONCLUSION: Significant risk factors for suicidal ideation in patients with CRPS include severity of pain, depressive symptoms, and decreased functioning. These results suggest that psychiatric evaluation and intervention should be included in the treatment of CRPS. Korean Neuropsychiatric Association 2014-01 2013-10-16 /pmc/articles/PMC3942549/ /pubmed/24605121 http://dx.doi.org/10.4306/pi.2014.11.1.32 Text en Copyright © 2014 Korean Neuropsychiatric Association http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Lee, Do-Hyeong
Noh, Eun Chung
Kim, Yong Chul
Hwang, Jae Yeon
Kim, Sung Nyun
Jang, Joon Hwan
Byun, Min Soo
Kang, Do-Hyung
Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title_full Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title_fullStr Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title_full_unstemmed Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title_short Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain Syndrome
title_sort risk factors for suicidal ideation among patients with complex regional pain syndrome
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942549/
https://www.ncbi.nlm.nih.gov/pubmed/24605121
http://dx.doi.org/10.4306/pi.2014.11.1.32
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