TY  - JOUR
PY  - 2021//
TI  - Suicidal risk and resilience in juvenile fibromyalgia syndrome: a cross-sectional cohort study
JO  - Pediatric rheumatology online journal
A1  - Gmuca, Sabrina
A1  - Sonagra, Maitry
A1  - Xiao, Rui
A1  - Miller, Kimberly S.
A1  - Thomas, Nina H.
A1  - Young, Jami F.
A1  - Weiss, Pamela F.
A1  - Sherry, David D.
A1  - Gerber, Jeffrey S.
SP  - e3
EP  - e3
VL  - 19
IS  - 1
N2  - BACKGROUND: To characterize suicidality among youth with juvenile fibromyalgia syndrome (JFMS) receiving treatment from pediatric rheumatologists at a tertiary care center in order to determine the prevalence of suicidality in JFMS and to explore risk factors for persistent suicidal ideation.  METHODS: We performed a cross-sectional cohort study of children 12-17 years old with JFMS seen in a specialty pediatric rheumatology pain clinic from 7/2017-9/2019. All subjects completed patient-reported outcomes measures, complemented by retrospective chart review. Subjects who endorsed item 8 on the Children's Depression Inventory, 2nd Edition (CDI-2) were categorized as endorsing suicidal ideation. We assessed for differences between the suicidal and non-suicidal patients using Wilcoxon-rank sum test. Logistic regression modeling was performed to identify psychosocial factors associated with suicidality.  RESULTS: Of the 31 subjects, more than one-quarter endorsed suicidality. Nearly 90% of teens with suicidal ideation were established in outpatient counseling. In bivariate analyses, suicidality was associated with lower resilience and greater depression and anxiety (all p < 0.05). Pain intensity trended towards a statistically significant positive association (OR: 1.16 [0.99-1.37]; p = 0.06). Lower resilience was independently associated with suicidality (OR: 0.90 [95% CI: 0.82-0.98]; p < 0.02).  CONCLUSIONS: Suicidality was prevalent among youth with JFMS and persistent despite concurrent receipt of mental health services. Higher patient-level resilience was independently associated with a reduced odds of suicidality. Future work should examine the role of resilience training on reducing psychological distress and mitigating the risk of suicidality in JFMS.<p /> <p>Language: en</p>
LA  - en
SN  - 1546-0096
UR  - http://dx.doi.org/10.1186/s12969-020-00487-w
ID  - ref1
ER  -