The impact of physical pain on suicidal thoughts and behaviors: Meta-analyses

摘要: Although the relationship between physical pain and suicidal thoughts behaviors has been explored in multiple epidemiologic clinical studies, it is still far from being well understood. Consequently, we conducted a meta-analysis of studies comparing rates individuals with without pain. We searched MEDLINE PsycINFO (May 2015) for current lifetime (death wish, suicide ideation, plan, attempt death: DW, SI, SP, SA, SD) any type (headache, back, neck, chest, musculoskeletal, abdominal pelvic pains, arthritis, fibromyalgia, medically unexplained pain, other not specified pain) versus those it. Data were analyzed Cochrane Collaboration Review Manager Software (RevMan, version 5.3). assessed methodological quality STROBE statement. Of 31 included three focused on twelve SI (six lifetime), six SP (two nine SA (11 lifetime) eight SD. Individuals more likely to report DW (p = 0.0005), both (both p < 0.00001), (current: 0.0008; lifetime: 0.0001; 0.00001). Moreover, they SD 0.02). In all analyses, study heterogeneity was high. presence publication bias detected main outcomes. Physical consistent risk factor behaviors. Further research required investigate specific impact of: 1) chronic acute 2) different types (e.g., pain), 3) factors patients.