Prevalence and correlates of suicidal thoughts and suicide attempts in people prescribed pharmaceutical opioids for chronic pain

Campbell, Gabrielle, Bruno, Raimondo, Darke, Shane, Shand, Fiona, Hall, Wayne, Farrell, Michael and Degenhardt, Louisa (2016) Prevalence and correlates of suicidal thoughts and suicide attempts in people prescribed pharmaceutical opioids for chronic pain. Clinical Journal of Pain, 32 4: 292-301. doi:10.1097/AJP.0000000000000283


Author Campbell, Gabrielle
Bruno, Raimondo
Darke, Shane
Shand, Fiona
Hall, Wayne
Farrell, Michael
Degenhardt, Louisa
Title Prevalence and correlates of suicidal thoughts and suicide attempts in people prescribed pharmaceutical opioids for chronic pain
Journal name Clinical Journal of Pain   Check publisher's open access policy
ISSN 1536-5409
0749-8047
Publication date 2016-03-04
Year available 2016
Sub-type Article (original research)
DOI 10.1097/AJP.0000000000000283
Open Access Status Not Open Access
Volume 32
Issue 4
Start page 292
End page 301
Total pages 10
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2017
Language eng
Formatted abstract
Objectives: The main objectives of the paper were (1) to examine the prevalence of suicidality in a large community-based chronic pain sample taking prescribed opioids for chronic pain; and (2) to examine general and pain-specific factors that predict such ideation, and the transition from ideation to making a suicide attempt (ideation-to-action).

Materials and Methods: Baseline data from the Pain and Opioids IN Treatment (POINT) study with a cohort of 1514 communitybased people prescribed opioids for chronic noncancer pain across Australia.

Results: Past 12-month suicidal ideation was reported by 36.5% of the cohort and 16.4% had made a lifetime suicide attempt (2.5% in the last 12 mo), after the onset of their pain condition. Suicidal ideation in the past 12 months was independently associated with a past suicide attempt [adjusted odds ratio (AOR)=4.82; 95% confidence interval, 2.43-9.56] and past 12-month depression (AOR=4.07, 95% confidence interval, 1.88-8.78). Only a lower pain self-efficacy score was independently associated with past 12-month ideation-to-action (AOR=0.98, 95%CI0.88-0.99). Notably, only general-suicide risk factors were associated with 12-month suicidal ideation; but for past year ideation-to-action, pain-specific factors also had independent associations.

Discussion: The study is one of the first to comprehensively examine general and pain-specific risk factors for suicidality in a large chronic pain sample in which suicidal ideation was common. A low pain self-efficacy score was the only factor independently associated past 12-month ideation-to-action.
Keyword Attempt
Chronic pain
Cohort
Ideation-to-action
Prescription opioids
Suicide
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Centre for Youth Substance Abuse Research Publications
 
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