Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T04:30:47.819Z Has data issue: false hasContentIssue false
  • English
  • Français

Association Between Lifetime Headache and History of Suicide Attempts in the Elderly

Published online by Cambridge University Press:  31 January 2017

R. Calati ,
P. Courtet ,
J. Norton ,
K. Ritchie  and
S. Artero
R. Calati*
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France FondaMental Foundation, Créteil, France Department of Emergency Psychiatry and Post Acute Care, CHU Montpellier, Hôpital Lapeyronie, 371, avenue Gaston-Giraud, 34295Montpellier, France
P. Courtet
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France FondaMental Foundation, Créteil, France Department of Emergency Psychiatry and Post Acute Care, CHU Montpellier, Hôpital Lapeyronie, 371, avenue Gaston-Giraud, 34295Montpellier, France
J. Norton
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France
K. Ritchie
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France Centre for Clinical Brain Sciences, University of Edinburgh, 49, Little France Crescent, EH16 4SBEdinburgh, Scotland
S. Artero
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France
*
⁎Corresponding author. Inserm U1061, University of Montpellier UM1, Montpellier, France. E-mail address:raffaella.calati@gmail.com (R. Calati).
Get access

Abstract

Background

Pain-related conditions have been reported to play a key role among risk factors for suicide. Headache in particular has been repeatedly associated with suicidal thoughts and behaviors. The aims of this study were: 1) to assess the association between lifetime headache (both non-migrainous headache and migraine) and lifetime suicide attempts (SA); 2) to differentiate, within subjects with lifetime SA, patients with and without lifetime headache in terms of socio-demographic and clinical features.

Methods

We studied 1965 subjects from a cohort of community-dwelling persons aged 65 years and over without dementia (the ESPRIT study), divided in two groups: those with (n = 75), and those without a lifetime SA (n = 1890). Logistic regression analyses were used to compare these groups according to lifetime headache status.

Results

After adjusting for gender, living alone, tobacco and alcohol consumption, and depressive, manic/hypomanic and anxiety disorders, lifetime headache frequency was significantly higher in subjects with a lifetime SA compared with controls (OR = 1.92 [1.17–3.15]). Additionally, different factors were identified as being associated with lifetime SA in participants with lifetime headache (female gender, a lower level of high-density lipoprotein cholesterol, insomnia, lifetime major depression) versus participants without headache (glycemia and lifetime major depression).

Conclusions

Lifetime headache was associated with lifetime SA. Subjects who are women and report the co-occurrence of headache and insomnia as well as lifetime major depression require higher attention and a careful screening for suicidal thoughts and behaviors.

Keywords

HeadacheSuicideCommunity Mental healthElderly
Type
Original article
Information
European Psychiatry , Volume 41 , Issue 1 , March 2017 , pp. 132 - 139
Copyright
Copyright © European Psychiatric Association 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization. Preventing suicide: a global imperative; 2014 [Accessed 15 February 2016].Google Scholar
Rihmer, Z.Suicide risk in mood disorders. Curr Opin Psychiatry 2007;20:17–22.CrossRefGoogle ScholarPubMed
Bentley, K.H.Franklin, J.C.Ribeiro, J.D.Kleiman, E.M.Fox, K.R.Nock, M.K.Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: a meta-analytic review. Clin Psychol Rev 2016;43:30–46.CrossRefGoogle ScholarPubMed
Perlis, M.L.Grandner, M.A.Chakravorty, S.Bernert, R.A.Brown, G.K.Thase, M.E.Suicide and sleep: is it a bad thing to be awake when reason sleeps? Sleep Med Rev 2015;29:101–107.CrossRefGoogle ScholarPubMed
Pompili, M.Forte, A.Lester, D.Erbuto, D.Rovedi, F.Innamorati, M., et al.Suicide risk in type 1 diabetes mellitus: a systematic review. J Psychosom Res 2014;76:352–360.CrossRefGoogle ScholarPubMed
Bolton, J.M.Walld, R.Chateau, D.Finlayson, G.Sareen, J.Risk of suicide and suicide attempts associated with physical disorders: a population-based, balancing score-matched analysis. Psychol Med 2015;45:495–504.CrossRefGoogle ScholarPubMed
Wu, S.Ding, Y.Wu, F.Xie, G.Hou, J.Mao, P.Serum lipid levels and suicidality: a meta-analysis of 65 epidemiological studies. J Psychiatry Neurosci 2016;41:56–69.CrossRefGoogle ScholarPubMed
Zhang, J.Yan, F.Li, Y.Mckeown, R.E.Body mass index and suicidal behaviors: a critical review of epidemiological evidence. J Affect Disord 2013;148:147–160.CrossRefGoogle ScholarPubMed
Poorolajal, J.Darvishi, N.Smoking and suicide: a meta-analysis. PLoS One 2016;11:e0156348.CrossRefGoogle ScholarPubMed
Vijayakumar, L.Kumar, M.S.Vijayakumar, V.Substance use and suicide. Curr Opin Psychiatry 2011;24:197–202.CrossRefGoogle ScholarPubMed
Calati, R.Laglaoui Bakhiyi, C.Artero, S.Ilgen, M.Courtet, P.The impact of physical pain on suicidal thoughts and behaviors: meta-analyses. J Psychiatr Res 2015;71:16–32.CrossRefGoogle ScholarPubMed
Fishbain, D.A.Lewis, J.E.Gao, J.The pain suicidality association: a narrative review. Pain Med 2014;15:1835–1849.CrossRefGoogle ScholarPubMed
Tang, N.K.Crane, C.Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychol Med 2006;36:575–586.CrossRefGoogle ScholarPubMed
Trinanes, Y.Gonzalez-Villar, A.Gomez-Perretta, C.Carrillo-De-La-Pena, M.T.Suicidality in chronic pain: predictors of suicidal ideation in fibromyalgia. Pain Pract 2015;15:323–332.CrossRefGoogle ScholarPubMed
Campbell, G.Darke, S.Bruno, R.Degenhardt, L.The prevalence and correlates of chronic pain and suicidality in a nationally representative sample. Aust N Z J Psychiatry 2015;49(9):803–811. http://dx.doi.org/10.1177/0004867415569795.CrossRefGoogle Scholar
Ilgen, M.A.Kleinberg, F.Ignacio, R.V.Bohnert, A.S.Valenstein, M.Mccarthy, J.F., et al.Noncancer pain conditions and risk of suicide. JAMA Psychiatry 2013;70:692–697.CrossRefGoogle ScholarPubMed
Fishbain, D.A.Bruns, D.Disorbio, J.M.Lewis, J.E.Risk for five forms of suicidality in acute pain patients and chronic pain patients vs pain-free community controls. Pain Med 2009;10:1095–1105.CrossRefGoogle ScholarPubMed
Van Tilburg, M.A.Spence, N.J.Whitehead, W.E.Bangdiwala, S.Goldston, D.B.Chronic pain in adolescents is associated with suicidal thoughts and behaviors. J Pain 2011;12:1032–1039.CrossRefGoogle ScholarPubMed
Smith, M.T.Edwards, R.R.Robinson, R.C.Dworkin, R.H.Suicidal ideation, plans, and attempts in chronic pain patients: factors associated with increased risk. Pain 2004;111:201–208.CrossRefGoogle ScholarPubMed
Magni, G.Rigatti-Luchini, S.Fracca, F.Merskey, H.Suicidality in chronic abdominal pain: an analysis of the Hispanic Health and Nutrition Examination Survey (HHANES). Pain 1998;76:137–144.CrossRefGoogle Scholar
Olie, E.Courtet, P.Poulain, V.Guillaume, S.Ritchie, K.Artero, S.History of suicidal behaviour and analgesic use in community-dwelling elderly. Psychother Psychosom 2013;82:341–343.CrossRefGoogle ScholarPubMed
Madadi, P.Persaud, N.Suicide by means of opioid overdose in patients with chronic pain. Curr Pain Headache Rep 2014;18:460.CrossRefGoogle ScholarPubMed
Yovell, Y.Bar, G.Mashiah, M.Baruch, Y.Briskman, I.Asherov, J., et al.Ultra-low-dose buprenorphine as a time-limited treatment for severe suicidal ideation: a randomized controlled trial. Am J Psychiatry 2016;173:491–498.CrossRefGoogle ScholarPubMed
Novic, A.Kolves, K.O’dwyer, S.De Leo, D.Migraine and suicidal behaviors: a systematic literature review. Clin J Pain 2016;32:351–364.CrossRefGoogle ScholarPubMed
Fornaro, M.Stubbs, B.A meta-analysis investigating the prevalence and moderators of migraines among people with bipolar disorder. J Affect Disord 2015;178:88–97.CrossRefGoogle ScholarPubMed
IHS H.C.C.O.T.I.H.S., The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808.Google Scholar
Manack, A.N.Buse, D.C.Lipton, R.B.Chronic migraine: epidemiology and disease burden. Curr Pain Headache Rep 2011;15:70–78.CrossRefGoogle ScholarPubMed
Abu Bakar, N.Tanprawate, S.Lambru, G.Torkamani, M.Jahanshahi, M.Matharu, M.Quality of life in primary headache disorders: a review. Cephalalgia 2016;36:67–91.CrossRefGoogle ScholarPubMed
Rossi, P.Vollono, C.Valeriani, M.Sandrini, G.The contribution of clinical neurophysiology to the comprehension of the tension-type headache mechanisms. Clin Neurophysiol 2011;122:1075–1085.CrossRefGoogle ScholarPubMed
Van Orden, K.A.Witte, T.K.Cukrowicz, K.C.Braithwaite, S.R.Selby, E.A.Joiner, T.E. Jr.The interpersonal theory of suicide. Psychol Rev 2010;117:575–600.CrossRefGoogle ScholarPubMed
Hooley, J.M.Franklin, J.C.Nock, M.K.Chronic pain and suicide: understanding the association. Curr Pain Headache Rep 2014;18:435.CrossRefGoogle ScholarPubMed
Ritchie, K.Artero, S.Beluche, I.Ancelin, M.L.Mann, A.Dupuy, A.M., et al.Prevalence of DSM-IV psychiatric disorder in the French elderly population. Br J Psychiatry 2004;184:147–152.CrossRefGoogle ScholarPubMed
Norton, J.Portet, F.Gabelle, A.Debette, S.Ritchie, K.Touchon, J., et al.Are migraine and non-migrainous headache risk factors for stroke in the elderly? Findings from a 12-year cohort follow-up. Eur J Neurol 2016;23(9):1463–1470. http://dx.doi.org/10.1111/ene.13060.CrossRefGoogle ScholarPubMed
Sheehan, D.V.Lecrubier, Y.Sheehan, K.H.Amorim, P.Janavs, J.Weiller, E., et al.The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59(Suppl 20):22–33 [quiz 34–57].Google ScholarPubMed
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition., Washington DC: American Psychiatric Association; 1994.Google Scholar
Lecrubier, Y.Sheehnan, D.Weiller, E.Amorim, P.Bonora, I.Janavs, J., et al.The Mini International Neuropsychiatric Interview (MINI), a short diagnostic interview: reliability and validity according to the CIDI. Eur Psychiatr 1997;12:224–231.CrossRefGoogle Scholar
World Health Organization. International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10). Geneva: WHO; 1992.Google Scholar
IHS H.C.C.O.T.I.H.S., Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988;7(Suppl. 8):1–96.Google Scholar
Colhoun, H.M.Dong, W.Poulter, N.R.Blood pressure screening, management and control in England: results from the health survey for England 1994. J Hypertens 1998;16:747–752.CrossRefGoogle ScholarPubMed
Sever, P.Beevers, G.Bulpitt, C.Lever, A.Ramsay, L.Reid, J., et al.Management guidelines in essential hypertension: report of the second working party of the British Hypertension Society. BMJ 1993;306:983–987.CrossRefGoogle ScholarPubMed
Bernstein, D.P.Stein, J.A.Newcomb, M.D.Walker, E.Pogge, D.Ahluvalia, T., et al.Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 2003;27:169–190.CrossRefGoogle ScholarPubMed
Harwood, R.H.Prince, M.J.Mann, A.H.Ebrahim, S.The prevalence of diagnoses, impairments, disabilities and handicaps in a population of elderly people living in a defined geographical area: the Gospel Oak project. Age Ageing 1998;27:707–714.CrossRefGoogle Scholar
Folstein, M.F.Folstein, S.E.Mchugh, P.R.“Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–198.CrossRefGoogle ScholarPubMed
Cohen, J.Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988.Google Scholar
Breslau, N.Migraine, suicidal ideation, and suicide attempts. Neurology 1992;42:392–395.CrossRefGoogle ScholarPubMed
Wiktorsson, S.Runeson, B.Skoog, I.Ostling, S.Waern, M.Attempted suicide in the elderly: characteristics of suicide attempters 70 years and older and a general population comparison group. Am J Geriatr Psychiatry 2010;18:57–67.CrossRefGoogle Scholar
Brady, J.The association between alcohol misuse and suicidal behaviour. Alcohol Alcohol 2006;41:473–478.CrossRefGoogle ScholarPubMed
Lamis, D.A.Malone, P.S.Alcohol use and suicidal behaviors among adults: a synthesis and theoretical model. Suicidol Online 2012;3:4–23.Google ScholarPubMed
Marti, C.N.Choi, N.G.Dinitto, D.M.Choi, B.Y.Associations of lifetime abstention and past and current alcohol use with late-life mental health: a propensity score analysis. Drug Alcohol Depend 2015;149:245–251.CrossRefGoogle ScholarPubMed
Iliopoulos, P.Damigos, D.Kerezoudi, E.Limpitaki, G.Xifaras, M.Skiada, D., et al.Trigger factors in primary headaches subtypes: a cross-sectional study from a tertiary centre in Greece. BMC Res Notes 2015;8:393.CrossRefGoogle Scholar
Smitherman, T.A.Ward, T.N.Psychosocial factors of relevance to sex and gender studies in headache. Headache 2011;51:923–931.CrossRefGoogle ScholarPubMed
Tana, C.Santilli, F.Martelletti, P.Di Vincenzo, A.Cipollone, F.Davi, G., et al.Correlation between migraine severity and cholesterol levels. Pain Pract 2015;15:662–670.CrossRefGoogle ScholarPubMed
Koponen, H.Kautiainen, H.Leppanen, E.Mantyselka, P.Vanhala, M.Association between suicidal behaviour and impaired glucose metabolism in depressive disorders. BMC Psychiatry 2015;15:163.CrossRefGoogle ScholarPubMed
Pompili, M.Serafini, G.Di Cosimo, D.Dominici, G.Innamorati, M.Lester, D., et al.Psychiatric comorbidity and suicide risk in patients with chronic migraine. Neuropsychiatr Dis Treat 2010;6:81–91.CrossRefGoogle ScholarPubMed
Pompili, M.Di Cosimo, D.Innamorati, M.Lester, D.Tatarelli, R.Martelletti, P.Psychiatric comorbidity in patients with chronic daily headache and migraine: a selective overview including personality traits and suicide risk. J Headache Pain 2009;10:283–290.CrossRefGoogle ScholarPubMed
Breslau, N.Schultz, L.Lipton, R.Peterson, E.Welch, K.M.Migraine headaches and suicide attempt. Headache 2012;52:723–731.CrossRefGoogle ScholarPubMed
Tepper, S.J.Antiepilepsy drugs in migraine prevention: editorial. Headache 2016;56:601–602.CrossRefGoogle ScholarPubMed
Colman, I.Kingsbury, M.Sareen, J.Bolton, J.Van Walraven, C.Migraine headache and risk of self-harm and suicide: a population-based study in Ontario, Canada. Headache 2016;56(1):132–140. http://dx.doi.org/10.1111/head.12710.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.