Citation

Fishbain DA, Bruns D, Meyer LJ, Lewis JE, Gao J, Disorbio JM. Pain Med. 2012; 13(4): 552-561.

Affiliation

Departments of Psychiatry Neurological Surgery Anesthesiology, Miller School of Medicine at University of Miami, Miami, Florida Department of Psychiatry at Miami Veterans Administration Hospital, Miami, Florida Rosomoff Comprehensive Pain & Rehabilitation Center at Douglas Gardens, Miami, Florida Health Psychology Associates, Greeley, Colorado Integrated Therapies, Lakewood, Colorado Graduate School of Professional Psychology, University of Denver, Denver, Colorado State Farm Insurance, Bloomington, Illinois, USA.

Copyright

(Copyright © 2012, Oxford University Press)

DOI

10.1111/j.1526-4637.2012.01358.x

PMID

22487542

Abstract

Hypothesis.  Passive, active, and historical suicidality are associated with preference for death over disability. Design.  Community nonpatients without pain, community patients with pain, and patients with acute and chronic pain were compared for endorsement of disability perception and preference for death over disability. Phi correlations and chi-square analyses were calculated between preference for death over disability and six suicidality items representing passive, active, and historical suicidality. Logistic regression was used to predict preference for death over disability in patients with acute and chronic pain. Results.  For patients with acute and chronic pain, endorsement of preference for death over disability correlated significantly with all six suicidality items. The logistic regression models identified the following variables as predictors for preference for death over disability in patients with acute pain: the Behavior Health Inventory (BHI 2) family dysfunction scale, history of wanting to die, and disability perception. For patients with chronic pain, predictors were the BHI 2 Borderline scale, history of wanting to die, treated fairly by family item, frequent suicide ideation, people I trust turn on me item, and disability perception. Preference for death over disability was a statistically significant predictor in patients with chronic pain for disability perception, recent suicide ideation, having a suicidal plan, and a history of wanting to die but was not a significant predictor for any suicide items in patients with acute pain. Conclusion.  Preference for death over disability is associated with passive and active suicide ideation and historical suicidality in patients with chronic pain.

Language: en