Association between psychological pain and suicidal behaviour in a cohort of patients at high risk of suicide
Pérez-Balaguer, Ana ; Peñuelas-Calvo, Inmaculada ; de Granda-Beltrán, Ana María ; Merayo-Cano, Jimena María ; Ezquerra, Berta ; Alacreu-Crespo, Adrián (Universidad de Zaragoza) ; Baca-García, Enrique ; Porras-Segovia, Alejandro
Resumen: Background and Objectives: Suicide is a major global public health issue. Pain, both psychological and physical, are potential risks factors for suicidal behaviour (SB). This study aims to explore the relationship between psychological and physical pain and SB in individuals at high risk of suicide.
Methods: This prospective cohort study included 322 participants recruited from emergency departments, psychiatric inpatient units, and outpatient mental health services in two hospitals in Madrid (Spain). Participants completed assessments at baseline and six months. Psychological and physical pain were measured using validated Visual Analog Scales (VAS). The primary outcome was the occurrence of suicidal events, documented through medical records and follow-up interviews. Kaplan-Meier survival analyses estimated the occurrence of suicidal events after 6 months of follow-up. Factors associated with suicidal events were analysed using univariate and multivariate Cox regression models to identify independent predictors of SB.
Results: Severe psychological pain in the previous 15 days was significantly associated with an increased risk of SB (p = 0.017), independently of depression severity. Younger age also emerged as a significant risk factor. No association was found between physical pain and SB.
Conclusions: Psychological pain is a key predictor of SB and should be a focus in suicide risk assessments. Further research is needed to improve measurement tools and develop targeted interventions in order to treat psychological pain effectively.
Idioma: Inglés
DOI: 10.1016/j.ejpsy.2025.100299
Año: 2025
Publicado en: European Journal of Psychiatry 39, 3 (2025), 100299 [8 pp.]
ISSN: 0213-6163
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/JR22-00011
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI20-01555
Financiación: info:eu-repo/grantAgreement/ES/MICINN/TED2021-131120B-I00
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)
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Exportado de SIDERAL (2025-10-17-14:32:03)
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Methods: This prospective cohort study included 322 participants recruited from emergency departments, psychiatric inpatient units, and outpatient mental health services in two hospitals in Madrid (Spain). Participants completed assessments at baseline and six months. Psychological and physical pain were measured using validated Visual Analog Scales (VAS). The primary outcome was the occurrence of suicidal events, documented through medical records and follow-up interviews. Kaplan-Meier survival analyses estimated the occurrence of suicidal events after 6 months of follow-up. Factors associated with suicidal events were analysed using univariate and multivariate Cox regression models to identify independent predictors of SB.
Results: Severe psychological pain in the previous 15 days was significantly associated with an increased risk of SB (p = 0.017), independently of depression severity. Younger age also emerged as a significant risk factor. No association was found between physical pain and SB.
Conclusions: Psychological pain is a key predictor of SB and should be a focus in suicide risk assessments. Further research is needed to improve measurement tools and develop targeted interventions in order to treat psychological pain effectively.
Idioma: Inglés
DOI: 10.1016/j.ejpsy.2025.100299
Año: 2025
Publicado en: European Journal of Psychiatry 39, 3 (2025), 100299 [8 pp.]
ISSN: 0213-6163
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/JR22-00011
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PI20-01555
Financiación: info:eu-repo/grantAgreement/ES/MICINN/TED2021-131120B-I00
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)
Debe reconocer adecuadamente la autoría, proporcionar un enlace a la licencia e indicar si se han realizado cambios. Puede hacerlo de cualquier manera razonable, pero no de una manera que sugiera que tiene el apoyo del licenciador o lo recibe por el uso que hace. No puede utilizar el material para una finalidad comercial. Si remezcla, transforma o crea a partir del material, no puede difundir el material modificado.Exportado de SIDERAL (2025-10-17-14:32:03)
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Artículos > Artículos por área > Personalidad,Evaluación y Tratamiento Psicológicos
Registro creado el 2025-03-10, última modificación el 2025-10-17