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Suicidal ideation and the risk of suicide in patients with fibromyalgia: a comparison with non-pain controls and patients suffering from low-back pain.

dc.contributor.authorJimenez-Rodríguez, Irene
dc.contributor.authorGarcia-Leiva, Juan Miguel
dc.contributor.authorJimenez-Rodriguez, Beatriz M
dc.contributor.authorCondés-Moreno, Emilia
dc.contributor.authorRico-Villademoros, Fernando
dc.contributor.authorCalandre, Elena P
dc.contributor.authoraffiliation[Jimenez-Rodríguez,I; Garcia-Leiva,JM; Rico-Villademoros,F; Calandre,EP] Instituto de Neurociencias, Universidad de Granada, Granada, Spain. [Jimenez-Rodriguez,BM] Servicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, Spain.[Condés-Moreno,E] Departamento de Especialidades Biomédicas, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.es
dc.date.accessioned2014-06-04T10:45:53Z
dc.date.available2014-06-04T10:45:53Z
dc.date.issued2014-04-16
dc.descriptionJournal Article;es
dc.description.abstractFibromyalgia is associated with an increased rate of mortality from suicide. In fact, this disease is associated with several characteristics that are linked to an increased risk of suicidal behaviors, such as being female and experiencing chronic pain, psychological distress, and sleep disturbances. However, the literature concerning suicidal behaviors and their risk factors in fibromyalgia is sparse. The objectives of the present study were to evaluate the prevalence of suicidal ideation and the risk of suicide in a sample of patients with fibromyalgia compared with a sample of healthy subjects and a sample of patients with chronic low-back pain. We also aimed to evaluate the relevance of pain intensity, depression, and sleep quality as variables related to suicidal ideation and risks. Logistic regression was applied to estimate the likelihood of suicidal ideation and the risk of suicide adjusted by age and sex. We also used two logistic regression models using age, sex, pain severity score, depression severity, sleep quality, and disease state as independent variables and using the control group as a reference. Forty-four patients with fibromyalgia, 32 patients with low-back pain, and 50 controls were included. Suicidal ideation, measured with item 9 of the Beck Depression Inventory, was almost absent among the controls and was low among patients with low-back pain; however, suicidal ideation was prominent among patients with fibromyalgia (P<0.0001). The risk of suicide, measured with the Plutchik Suicide Risk Scale, was also higher among patients with fibromyalgia than in patients with low-back pain or in controls (P<0.0001). The likelihood for suicidal ideation and the risk of suicide were higher among patients with fibromyalgia (odds ratios of 26.9 and 48.0, respectively) than in patients with low-back pain (odds ratios 4.6 and 4.7, respectively). Depression was the only factor associated with suicidal ideation or the risk of suicide.es
dc.description.versionYeses
dc.identifier.citationJimenez-Rodríguez I, Garcia-Leiva JM, Jimenez-Rodriguez BM, Condés-Moreno E, Rico-Villademoros F, Calandre EP. Suicidal ideation and the risk of suicide in patients with fibromyalgia: a comparison with non-pain controls and patients suffering from low-back pain. Neuropsychiatr Dis Treat. 2014; 10:625-30es
dc.identifier.doi10.2147/NDT.S57596
dc.identifier.essn1176-6328
dc.identifier.pmcPMC3998848
dc.identifier.pmid24790444
dc.identifier.urihttp://hdl.handle.net/10668/1623
dc.journal.titleNeuropsychiatric disease and treatment
dc.language.isoen
dc.publisherDove Presses
dc.relation.publisherversionhttp://www.dovepress.com/suicidal-ideation-and-the-risk-of-suicide-in-patients-with-fibromyalgi-peer-reviewed-article-NDTes
dc.rights.accessRightsopen access
dc.subjectChronic low-back paines
dc.subjectSuicidal riskes
dc.subjectDepressiones
dc.subjectIdeación Suicidaes
dc.subjectFibromialgiaes
dc.subjectDolor crónicoes
dc.subjectDolor de la región lumbares
dc.subjectDepresiónes
dc.subjectTrastornos del sueñoes
dc.subjectEscalas de valoración psiquiátricaes
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Self-Injurious Behavior::Suicide::Suicidal Ideationes
dc.subject.meshMedical Subject Headings::Diseases::Musculoskeletal Diseases::Muscular Diseases::Fibromyalgiaes
dc.subject.meshMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Pain::Chronic Paines
dc.subject.meshMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Pain::Back Pain::Low Back Paines
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Neurological::Neurologic Examination::Pain Measurementes
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depressiones
dc.subject.meshMedical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Neurologic Manifestations::Sleep Disorderses
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychiatric Status Rating Scaleses
dc.titleSuicidal ideation and the risk of suicide in patients with fibromyalgia: a comparison with non-pain controls and patients suffering from low-back pain.es
dc.typeresearch article
dc.type.hasVersionVoR
dspace.entity.typePublication

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