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Physical pain-suicidality association in all ages: a complete and updated meta-analysis

Published online by Cambridge University Press:  01 September 2022

M. Rignanese ,
E. Salmè ,
M. De Filippi ,
F. Madeddu ,
M. De Prisco ,
M. Fornaro  and
R. Calati
M. Rignanese*
Affiliation:
Università degli Studi di Milano-Bicocca, Psychology, Milan, Italy
E. Salmè
Affiliation:
Università degli Studi di Milano-Bicocca, Psychology, Milan, Italy
M. De Filippi
Affiliation:
Università degli Studi di Milano-Bicocca, Psychology, Milan, Italy
F. Madeddu
Affiliation:
University of Milano-Bicocca, Psychology, Milan, Italy
M. De Prisco
Affiliation:
University School of Medicine Federico II, Section Of Psychiatry - Department Of Neuroscience, Reproductive Sciences And Dentistry, Naples, Italy
M. Fornaro
Affiliation:
University School of Medicine Federico II, Section Of Psychiatry - Department Of Neuroscience, Reproductive Sciences And Dentistry, Naples, Italy
R. Calati
Affiliation:
University of Milan-Bicocca, Department Of Psychology, Milan, Italy Nîmes University Hospital, Department Of Adult Psychiatry, Nîmes, France
*
*Corresponding author.

Abstract

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Introduction

This work represents the continuation of the studies presented in two e-posters during the EPA 2021 conference (De Filippi et al., 2021; Rignanese et al., 2021), which addressed the physical pain-suicidality association (k=44 studies).

Objectives

The aim of this meta-analysis is to provide an update of those studies, integrating data relating to adolescents, adults, and olders.

Methods

We started with the analysis of three papers, in particular a meta-analysis (Calati et al., 2015) and two systematic reviews (Hinze et al., 2019; Santos et al., 2019). After searching on Pubmed (until September 2020), data were extracted from articles comparing the rates of current and lifetime suicidal thoughts and behaviours (death wish, suicidal ideation, suicidal planning, suicide attempt and suicide death: DW, SI, SP, SA, and SD) in adolescents, adults, and olders with any type of physical pain and in individuals who did not report this condition. Data were analysed using Comprehensive Meta-Analysis Software (CMA) version 2.

Results

67 studies were included, of which 16 on adolescents, 29 on adults, 16 on olders, and 6 on mixed ages. Although quite high between-study heterogeneity was detected in most analyses, results suggested that individuals with physical pain are more likely to report any form of suicidal outcome if compared to those not affected by pain.

Conclusions

Collected data are therefore in line with previous literature on this topic, which considered physical pain an extremely predictive risk factor for suicidal thoughts and behaviours. However, further research on this topic would be extremely useful.

Disclosure

No significant relationships.

Keywords

suicidal behaviourssuicidal thoughtsphysical painmeta-analysis
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S326
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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