Pain and suicide: what should we tell our trainees?

IF 3.8 4区 医学 Q1 Medicine
Acta Neuropsychiatrica Pub Date : 2022-06-01 Epub Date: 2021-12-23 DOI:10.1017/neu.2021.46
Soroush Pakniyat-Jahromi, Panagiota Korenis, Leo Sher
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引用次数: 4

Abstract

OBJECTIVE This paper will emphasize the necessity to improve education about pain, its close relationship with suicide, and effective suicide screening as well as management strategies for medical providers. METHODS A review of the relevant literature. RESULTS Chronic pain is a debilitating medical condition affecting a significant percentage of the population worldwide. Considerable evidence suggests that pain is an independent risk factor for suicide and inadequately managing pain has been identified as a risk for suicidal behavior. Additionally, medications used to treat pain may also contribute to suicidal behavior. Extensive research on pain highlights deficiencies in the clinical management of pain with more gaps in care when patients have pain in combination with mental illness and suicidal behavior. CONCLUSION Providing trainees with additional knowledge and equipping them with relevant tools to screen and manage chronic pain efficiently is a potential strategy to mitigate suicide risk. Also, trainees need to be educated on how to screen for suicidality in individuals with pain and apply suicide prevention interventions. With additional research, it is the hope that novel treatment modalities will be developed to treat pain to improve the quality of life of individuals suffering from this condition and to decrease suicide risk in this patient population.
痛苦和自杀:我们应该告诉我们的学员什么?
慢性疼痛是一种使人衰弱的疾病,影响着全世界很大一部分人口。相当多的证据表明,疼痛是自杀的独立风险因素,不适当的疼痛管理已被确定为自杀行为的风险。此外,用于治疗疼痛的药物也可能导致自杀行为。对疼痛的广泛研究突出了临床对疼痛管理的不足,当患者同时患有精神疾病和自杀行为时,在护理方面存在更多空白。为受训者提供额外的知识,并为他们配备相关的工具,以有效地筛查和管理慢性疼痛,这是降低自杀风险的潜在策略。此外,需要对受训者进行教育,让他们了解如何筛查有疼痛的个人的自杀倾向,并应用自杀预防干预措施。本文将强调必要性,以提高教育疼痛,它与自杀和有效的自杀筛查和管理策略的医疗服务提供者的密切关系。随着进一步的研究,人们希望能够开发出新的治疗方法来治疗疼痛,以改善患有这种疾病的个体的生活质量,并降低这类患者的自杀风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Neuropsychiatrica
Acta Neuropsychiatrica 医学-精神病学
CiteScore
8.50
自引率
5.30%
发文量
30
审稿时长
6-12 weeks
期刊介绍: Acta Neuropsychiatrica is an international journal focussing on translational neuropsychiatry. It publishes high-quality original research papers and reviews. The Journal''s scope specifically highlights the pathway from discovery to clinical applications, healthcare and global health that can be viewed broadly as the spectrum of work that marks the pathway from discovery to global health.
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