Acta Neuropsychiatrica最新文献

{"title":"Research and Diagnostic Algorithmic Rules (RADAR) for mood disorders, recurrence of illness, suicidal behaviors, and the patients lifetime trajectory","authors":"Michael Maes, Juliana Brum Moraes, A. Congio, H. Vargas, S. Nunes","doi":"10.1101/2022.09.15.22279968","DOIUrl":"https://doi.org/10.1101/2022.09.15.22279968","url":null,"abstract":"The top-down DSM/ICD categories of mood disorders are inaccurate, and their dogmatic nature precludes both deductive (as indisputable) and inductive (as top-down) remodeling of case definitions. In trials, psychiatric rating scale scores employed as outcome variables are invalid and rely on folk psychology-like narratives. Using machine learning techniques we developed a new precision nomothetic model of mood disorders with a recurrence of illness (ROI) index, a new endophenotype class, namely Major Dysmood Disorder (MDMD), characterized by increased ROI, a more severe phenome, and more disabilities Nonetheless, our previous studies did not compute Research and Diagnostic Algorithmic Rules (RADAR) to diagnose MDMD and score ROI, lifetime (LT), and current suicidal behaviors, as well as the phenome of mood disorders. Here we provide rules to compute bottom-up RADAR scores for MDMD, ROI, lifetime (LT) and current suicidal SI and SA, the phenome of mood disorders, and the lifetime trajectory of mood disorder patients from a family history of mood disorders and substance abuse to adverse childhood experiences, ROI, and the phenome. We also demonstrate how to plot the 12 major scores in a single RADAR graph, which displays all features in a two-dimensional plot. These graphs allow the characteristics of a patient to be displayed as an idiomatic fingerprint, allowing one to estimate the key traits and severity of the illness at a glance. Consequently, biomarker research into mood disorders should use our RADAR scores to examine pan-omics data, which should be used to enlarge our precision models and RADAR graph.","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"1 1","pages":"1-42"},"PeriodicalIF":3.8,"publicationDate":"2022-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41833368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lexical Stability of Psychiatric Clinical Notes from Electronic Health Records over a Decade","authors":"L. Hansen, Kenneth C. Enevoldsen, M. Bernstorff, E. Perfalk, A. Danielsen, K. Nielbo, S. Østergaard","doi":"10.1101/2022.09.05.22279610","DOIUrl":"https://doi.org/10.1101/2022.09.05.22279610","url":null,"abstract":"Natural Language Processing methods hold promise for improving clinical prediction by utilising information otherwise hidden in the clinical notes of electronic health records. However, clinical practice-as well as the systems and databases in which clinical notes are recorded and stored-change over time. As a consequence, the content of clinical notes may also change over time, which could degrade the performance of prediction models. Despite its importance, the stability of clinical notes over time has rarely been tested. Therefore, in this study, we examined the lexical stability of clinical notes from the Psychiatric Services of the Central Denmark Region in the period from January 1, 2011, to November 22, 2021 (a total of 14,811,551 clinical notes describing 129,570 patients) by quantifying sentence length, readability, syntactic complexity and clinical content - and estimating changepoints in these metrics. We find lexical and syntactic stability over time, which bodes well for the use of Natural Language Processing for predictive modelling in clinical practice.","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"1 1","pages":"1-29"},"PeriodicalIF":3.8,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43137925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring interleukin-6, lipopolysaccharide-binding protein and brain-derived neurotrophic factor following 12 weeks of adjunctive minocycline treatment for depression.","authors":"Kyoko Hasebe,&nbsp;Mohammadreza Mohebbi,&nbsp;Laura Gray,&nbsp;Adam J Walker,&nbsp;Chiara C Bortolasci,&nbsp;Alyna Turner,&nbsp;Michael Berk,&nbsp;Ken Walder,&nbsp;Michael Maes,&nbsp;Buranee Kanchanatawan,&nbsp;Melanie M Ashton,&nbsp;Lesley Berk,&nbsp;Chee H Ng,&nbsp;Gin S Malhi,&nbsp;Ajeet B Singh,&nbsp;Olivia M Dean","doi":"10.1017/neu.2021.44","DOIUrl":"https://doi.org/10.1017/neu.2021.44","url":null,"abstract":"<p><p>This study aimed to explore effects of adjunctive minocycline treatment on inflammatory and neurogenesis markers in major depressive disorder (MDD). Serum samples were collected from a randomised, placebo-controlled 12-week clinical trial of minocycline (200 mg/day, added to treatment as usual) for adults (<i>n</i> = 71) experiencing MDD to determine changes in interleukin-6 (IL-6), lipopolysaccharide binding protein (LBP) and brain derived neurotrophic factor (BDNF). General Estimate Equation modelling explored moderation effects of baseline markers and exploratory analyses investigated associations between markers and clinical outcomes. There was no difference between adjunctive minocycline or placebo groups at baseline or week 12 in the levels of IL-6 (week 12; placebo 2.06 ± 1.35 pg/ml; minocycline 1.77 ± 0.79 pg/ml; <i>p</i> = 0.317), LBP (week 12; placebo 3.74 ± 0.95 µg/ml; minocycline 3.93 ± 1.33 µg/ml; <i>p</i> = 0.525) or BDNF (week 12; placebo 24.28 ± 6.69 ng/ml; minocycline 26.56 ± 5.45 ng/ml; <i>p</i> = 0.161). Higher IL-6 levels at baseline were a predictor of greater clinical improvement. Exploratory analyses suggested that the change in IL-6 levels were significantly associated with anxiety symptoms (HAMA; <i>p</i> = 0.021) and quality of life (Q-LES-Q-SF; <i>p</i> = 0.023) scale scores. No other clinical outcomes were shown to have this mediation effect, nor did the other markers (LBP or BDNF) moderate clinical outcomes. There were no overall changes in IL-6, LBP or BDNF following adjunctive minocycline treatment. Exploratory analyses suggest a potential role of IL-6 on mediating anxiety symptoms with MDD. Future trials may consider enrichment of recruitment by identifying several markers or a panel of factors to better represent an inflammatory phenotype in MDD with larger sample size.</p>","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 4","pages":"220-227"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peripheral inflammatory markers associated with brain volume reduction in patients with bipolar I disorder.","authors":"Shang-Ying Tsai,&nbsp;Martha Sajatovic,&nbsp;Jung-Lung Hsu,&nbsp;Kuo-Hsuan Chung,&nbsp;Pao-Huan Chen,&nbsp;Yu-Jui Huang","doi":"10.1017/neu.2021.39","DOIUrl":"https://doi.org/10.1017/neu.2021.39","url":null,"abstract":"BACKGROUND Neuroinflammation and brain structural abnormalities are found in bipolar disorder (BD). Elevated levels of cytokines and chemokines have been detected in the serum and cerebrospinal fluid of patients with BD. This study investigated the association between peripheral inflammatory markers and brain subregion volumes in BD patients. METHODS Euthymic patients with bipolar I disorder (BD-I) aged 20 to 45 years underwent whole-brain magnetic resonance imaging. Plasma levels of monocyte chemoattractant protein-1, chitinase-3-like protein 1 (also known as YKL-40), fractalkine, soluble tumor necrosis factor receptor-1 (sTNF-R1), interleukin-1β, and transforming growth factor-β1 were measured on the day of neuroimaging. Clinical data were obtained from medical records and interviewing patients and reliable others. RESULTS We recruited 31 patients with a mean age of 29.5 years. In multivariate regression analysis, plasma level YKL-40, a chemokine, was the most common inflammatory marker among these measurements displaying significantly negative association with the volume of various brain subareas across the frontal, temporal, and parietal lobes. Higher YKL-40 and sTNF-R1 levels were both significantly associated with lower volumes of the left anterior cingulum, left frontal lobe, right superior temporal gyrus and supramarginal gyrus. A greater number of total lifetime mood episodes was also associated with smaller volumes of the right caudate nucleus and bilateral frontal lobes. CONCLUSIONS The volume of brain regions known to be relevant to BD-I may be diminished in relation to higher plasma level of YKL-40, sTNF-R1, and more lifetime mood episodes. Macrophage and macrophage-like cells may be involved in brain volume reduction among BD-I patients.","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 4","pages":"191-200"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cholecystokinin B receptor gene polymorphism (rs2941026) is associated with anxious personality and suicidal thoughts in a longitudinal study.","authors":"Aneth Lvovs,&nbsp;Denis Matrov,&nbsp;Triin Kurrikoff,&nbsp;Toomas Veidebaum,&nbsp;Jaanus Harro","doi":"10.1017/neu.2021.41","DOIUrl":"https://doi.org/10.1017/neu.2021.41","url":null,"abstract":"<p><strong>Objectives: </strong>Cholecystokinin is a neuropeptide with a role in the neurobiology of adaptive behaviour that is implicated in anxiety disorders, while the underlying mechanisms currently remain insufficiently explained. The rs2941026 variation in the cholecystokinin B receptor gene has previously been associated with trait anxiety. Our aim was to investigate associations between the CCK_B receptor gene polymorphism rs2941026 with anxiety, personality, depressiveness and suicidality in a longitudinal study of late adolescence and early adulthood.</p><p><strong>Methods: </strong>We used reports on trait and state anxiety, depressiveness and suicidal thoughts, as well as Affective Neuroscience Personality Scales, from the two birth cohorts of the Estonian Children Personality, Behaviour and Health Study. We measured associations between the <i>CCKBR</i> gene rs2941026 and anxiety-related phenotypes both longitudinally and cross-sectionally at ages 15, 18, 25 and 33.</p><p><strong>Results: </strong>Homozygosity for both alleles of the <i>CCKBR</i> rs2941026 was associated with higher trait and state anxiety in the longitudinal analysis. Cross-sectional comparisons were statistically significant at ages 18 and 25 for trait anxiety and at ages 25 and 33 for state anxiety. Higher depressiveness and suicidal thoughts were associated with the A/A genotype at age 18. Additionally, homozygosity for the A-allele was related to higher FEAR and SADNESS in the Affective Neuroscience Personality Scales. The genotype effects were more apparent in females, who displayed higher levels of negative affect overall.</p><p><strong>Conclusions: </strong><i>CCKBR</i> genotype is persistently associated with negative affect in adolescence and young adulthood. The association of the <i>CCKBR</i> rs2941026 genotype with anxiety-related phenotypes is more pronounced in females.</p>","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 4","pages":"201-211"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39737731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classical complement pathway factor alterations in narcolepsy.","authors":"Hande Yüceer,&nbsp;Duygu Gezen Ak,&nbsp;Gülçin Benbir Şenel,&nbsp;Erdinç Dursun,&nbsp;Vuslat Yılmaz,&nbsp;Derya Karadeniz,&nbsp;Erdem Tüzün,&nbsp;Cem İsmail Küçükali","doi":"10.1017/neu.2021.42","DOIUrl":"https://doi.org/10.1017/neu.2021.42","url":null,"abstract":"<p><strong>Objective: </strong>Narcolepsy is a chronic sleep disorder long hypothesised to be an autoimmune disease. Complement-mediated immune mechanisms have not been investigated in detail in narcolepsy. Our aim was to establish the significance of classical pathway activation in narcolepsy.</p><p><strong>Methods: </strong>Sera of 42 narcolepsy patients and 26 healthy controls were screened with ELISA to determine the levels of C1q, C3a, C4d and complement component 4 binding protein (C4BP). A home-made ELISA method was developed to detect antibodies to C4BP-alpha (anti-C4BPA). The correlation between complement levels and clinical findings was examined.</p><p><strong>Results: </strong>C1q levels were significantly higher in narcolepsy patients while C4d and C4BP levels were significantly lower compared to healthy controls. C3a levels were comparable among patients and controls. Eleven narcolepsy patients showed serum anti-C4BPA levels. Total rapid eye movements (REM) time, sleep onset latency, REM sleep latency, sleep activity, percentage of wakefulness after sleep onset and Epworth sleepiness scale scores were correlated with levels of different complement factors.</p><p><strong>Conclusion: </strong>Complement-mediated immune mechanisms might partake in narcolepsy pathogenesis. The precise role of autoantibodies on complement level alterations needs to be investigated. Levels of complement factors and degradation products may potentially be utilised as biomarkers to predict the clinical severity of narcolepsy.</p>","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 4","pages":"212-219"},"PeriodicalIF":3.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between the Fear of COVID-19 Scale and regional brain atrophy in mild cognitive impairment.","authors":"Takumi Takahashi,&nbsp;Miho Ota,&nbsp;Yuriko Numata,&nbsp;Ayako Kitabatake,&nbsp;Kiyotaka Nemoto,&nbsp;Masashi Tamura,&nbsp;Masayuki Ide,&nbsp;Asaki Matsuzaki,&nbsp;Yuko Kaneda,&nbsp;Tetsuaki Arai","doi":"10.1017/neu.2022.7","DOIUrl":"https://doi.org/10.1017/neu.2022.7","url":null,"abstract":"<p><strong>Background: </strong>Several studies have reported that the pandemic of coronavirus disease 2019 (COVID-19) influenced cognitive function in the elderly. However, the effect of COVID-19-related fear on brain atrophy has not been evaluated. In this study, we evaluated the relation between brain atrophy and the effect of COVID-19-related fear by analysing changes in brain volume over time using magnetic resonance imaging (MRI).</p><p><strong>Methods: </strong>Participants were 25 Japanese patients with mild cognitive impairment (MCI) or subjective cognitive decline (SCD), who underwent 1.5-tesla MRI scan twice, once before and once after the pandemic outbreak of COVID-19, and the Fear of Coronavirus Disease 2019 Scale (FCV-19S) assessment during that period. We computed regional brain atrophy per day between the 1st and 2nd scan, and evaluated the relation between the FCV-19S scores and regional shrinkage.</p><p><strong>Results: </strong>There was significant positive correlation between the total FCV-19S score and volume reduction per day in the right posterior cingulate cortex. Regarding the subscales of FCV-19S, we found significant positive correlation between factor 2 of the FCV-19S and shrinkage of the right posterior cingulate cortex.</p><p><strong>Conclusions: </strong>There was positive correlation between the FCV-19S score and regional brain atrophy per day. Although it is already known that the psychological effects surrounding the COVID-19 pandemic cause cognitive function decline, our results further suggest that anxiety and fear related to COVID-19 cause regional brain atrophy.</p>","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 3","pages":"153-162"},"PeriodicalIF":3.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39916823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The less depressive state of Denmark following the second wave of the COVID-19 pandemic.","authors":"Helene Tilma Vistisen,&nbsp;Ziggi Ivan Santini,&nbsp;Kim Mannemar Sønderskov,&nbsp;Søren Dinesen Østergaard","doi":"10.1017/neu.2022.1","DOIUrl":"https://doi.org/10.1017/neu.2022.1","url":null,"abstract":"1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; 2Department of Affective Disorders, Aarhus University Hospital – Psychiatry, Aarhus, Denmark; 3The Danish National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark; 4Department of Political Science, Aarhus University, Aarhus, Denmark and 5Centre for the Experimental-Philosophical Study of Discrimination, Aarhus University, Aarhus, Denmark","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 3","pages":"163-166"},"PeriodicalIF":3.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861543/pdf/S0924270822000011a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39900597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and conspirasism in health care professionals during the spring 2020 COVID-19 lockdown in Greece.","authors":"Konstantinos N Fountoulakis,&nbsp;Maria K Apostolidou,&nbsp;Marina B Atsiova,&nbsp;Anna K Filippidou,&nbsp;Angeliki K Florou,&nbsp;Dimitra S Gousiou,&nbsp;Aikaterini R Katsara,&nbsp;Sofia N Mantzari,&nbsp;Marina Padouva-Markoulaki,&nbsp;Evangelia I Papatriantafyllou,&nbsp;Panagiota I Sacharidi,&nbsp;Aikaterini I Tonia,&nbsp;Eleni G Tsagalidou,&nbsp;Vasiliki P Zymara,&nbsp;Panagiotis E Prezerakos,&nbsp;Sotirios A Koupidis,&nbsp;Nikolaos K Fountoulakis,&nbsp;Anastasia Konsta,&nbsp;Eva Maria Tsapakis,&nbsp;Pavlos N Theodorakis,&nbsp;Elias Mossialos","doi":"10.1017/neu.2021.38","DOIUrl":"https://doi.org/10.1017/neu.2021.38","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to investigate mental health and conspiracy theory beliefs concerning COVID-19 among health care professionals (HCPs).</p><p><strong>Material and methods: </strong>During lockdown, an online questionnaire gathered data from 507 HCPs (432 females aged 33.86 ± 8.63 and 75 males aged 39.09 ± 9.54).</p><p><strong>Statistical analysis: </strong>A post-stratification method to transform the study sample was used; descriptive statistics were calculated.</p><p><strong>Results: </strong>Anxiety and probable depression were increased 1.5-2-fold and were higher in females and nurses. Previous history of depression was the main risk factor. The rates of believing in conspiracy theories concerning the COVID-19 were alarming with the majority of individuals (especially females) following some theory to at least some extend.</p><p><strong>Conclusions: </strong>The current paper reports high rates of depression, distress and suicidal thoughts in the HCPs during the lockdown, with a high prevalence of beliefs in conspiracy theories. Female gender and previous history of depression acted as risk factors, while the belief in conspiracy theories might act as a protective factor. The results should be considered with caution due to the nature of the data (online survey on a self-selected but stratified sample).</p>","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 3","pages":"132-147"},"PeriodicalIF":3.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770848/pdf/S0924270821000387a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39799423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain and suicide: what should we tell our trainees?","authors":"Soroush Pakniyat-Jahromi,&nbsp;Panagiota Korenis,&nbsp;Leo Sher","doi":"10.1017/neu.2021.46","DOIUrl":"https://doi.org/10.1017/neu.2021.46","url":null,"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.","PeriodicalId":7066,"journal":{"name":"Acta Neuropsychiatrica","volume":"34 3","pages":"127-131"},"PeriodicalIF":3.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}