TY  - JOUR
PY  - 2022//
TI  - Association between headache and suicidality: an analysis of universal suicide screening data at a large urban county hospital
JO  - Annals of clinical psychiatry
A1  - Ho, Charles
A1  - Cole, Lilian
A1  - Davis-Bordovsky, Kaylee
A1  - Eichenberger, Audrey
A1  - Faubion, Anna
A1  - Faubion, Matthew
A1  - Kendrick, Colette
A1  - Khonsari, Neema
A1  - Lampley, Joshua
A1  - Masood, Adeeb
A1  - Nuako, Kwame
A1  - Mirabal, Eduardo Rivera
A1  - Spiller, Natalie
A1  - Walther, Joshua
A1  - Yau, Bernice
A1  - Yung, Matthew
A1  - Raitt, Josh M.
A1  - Kulikova, Alexandra
A1  - North, Carol S.
A1  - Roaten, Kimberly
A1  - Brown, E. Sherwood
SP  - 114
EP  - 122
VL  - 34
IS  - 2
N2  - BACKGROUND: Identifying individuals at increased risk of suicide is important, particularly those who present for treatment for nonpsychiatric chief complaints who may go undetected. It has been found that pain symptoms, such as headache, are associated with suicide, although this association requires further characterization. This study examined specific components of suicidality in relation to headache subtypes. <br><br>METHODS: This study retrospectively reviewed 2,832,835 nonpsychiatric adult clinical encounters at a large county hospital, where a standardized suicide risk screening tool, the Columbia-Suicide Severity Rating Scale (C-SSRS), was universally implemented. The C-SSRS assesses specific components of suicidality: wish to be dead and suicidal ideation, method, intent, plan, and action. Multivariate logistic regressions were performed to assess the association between headache, as well as headache subtype (migraine, tension, or cluster), and each component of suicidality. <br><br>RESULTS: There were significant positive associations between presenting with a headache and 2 specific components of suicidality: wish to be dead and suicidal action. Individuals with tension headache may have a lower risk of wishing to be dead compared to those with migraine and cluster headaches. <br><br>CONCLUSIONS: The association of headaches with specific elements of sui-cidality demonstrates the potential yield of identification of suicide risk among individuals with nonpsychiatric presentations.<p />  <p>Language: en</p>
LA  - en
SN  - 1040-1237
UR  - http://dx.doi.org/10.12788/acp.0068
ID  - ref1
ER  -