TY  - JOUR
PY  - 2019//
TI  - The relationship between pain and suicidal vulnerability in adolescence: a systematic review
JO  - Lancet child and adolescent health, The
A1  - Hinze, Verena
A1  - Crane, Catherine
A1  - Ford, Tamsin
A1  - Buivydaite, Ruta
A1  - Qiu, Lin
A1  - Gjelsvik, Bergljot
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Leading suicide theories and research in adults suggest that pain can exacerbate the suicidal risk of an individual. Although pain and suicidality (including suicidal ideation, behaviour, and death by suicide) both increase in prevalence during adolescence, the relationship between these factors remains unclear. We aimed to systematically review the empirical evidence for such an association in adolescence. We included 25 observational studies published between January 1961 and December 2018, exploring the potential association between pain and suicidality in adolescents aged 10-19 years. Across various samples and manifestations of pain and suicidality, we found that pain approximately doubles the suicidal risk in adolescents, with a few studies suggesting that pain can predict suicidality longitudinally. Although depression was an important factor, it did not fully explain the association between pain and suicidality. Evidence for associations between pain characteristics and suicidality is sparse and inconclusive, and potentially hides developmental differences between adolescents and adults. Identification of psychological mediators and moderators is required to develop interventions tailored to the needs of adolescents experiencing pain. This study is registered with the PROSPERO database, number CRD42018097226.<br><br>Copyright © 2019 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 2352-4642
UR  - http://dx.doi.org/10.1016/S2352-4642(19)30267-6
ID  - ref1
ER  -