Pain and suicidality in children and adolescents: a longitudinal population-based study.
Suicidality is a common public health concern in young people. Previous research has highlighted pain as a key correlate of suicidality in young people. However, the long-term experience of pain may vary between individuals, and the relationship between distinct pain trajectories and suicidality is...
| Published in: | European Child & Adolescent Psychiatry Vol. 32; no. 8; pp. 1507 - 1518 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Aug2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164747538&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164747538 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Aug2023 vid: 32 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 164747538 155520338 164747538 164747538 10.1007/s00787-022-01963-2 164747538 ppf: 1507 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pain and suicidality in children and adolescents: a longitudinal population-based study. aug: au: Hinze, Verena Karl, Anke Ford, Tamsin Gjelsvik, Bergljot affil: Department of Psychiatry, University of Oxford, Warneford Lane, OX3 7JX, Oxford, UK sug: subj: Pain Psychosocial Factors Pain Psychosocial Factors Suicidal Ideation Psychosocial Factors Suicidal Ideation Psychosocial Factors Psychological Theory Psychological Distress Human Female Prospective Studies Correlational Studies Adolescence Child Surveys Descriptive Statistics Odds Ratio Confidence Intervals Funding Source Adolescent: 13-18 years Child: 6-12 years Female ab: Suicidality is a common public health concern in young people. Previous research has highlighted pain as a key correlate of suicidality in young people. However, the long-term experience of pain may vary between individuals, and the relationship between distinct pain trajectories and suicidality is poorly understood. This study aims to describe the number and nature of distinct pain trajectories, their demographic and clinical correlates, including baseline suicidality, and whether identified pain trajectories may predict future suicidality. Secondary data analyses were performed, using longitudinal data from the British Child and Adolescent Mental Health Survey (N = 7977), collected at five timepoints between 2004 and 2007 on a population-based sample of UK youth (5–16 years). Data were collected from up to three respondents (parents, teachers, and 11 + year-olds). Latent Class Growth Analysis was used to identify distinct pain trajectories, explore predictors of these trajectories, and establish whether trajectories predicted future suicidality. We identified the following four pain trajectories: increasing (33.6%), decreasing (4.5%), persistent/recurrent probability of pain (15.7%), and no pain (46.2%). Pain trajectories were associated with unique demographic and clinical correlates. Only the persistent/recurrent (vs. no-pain) trajectory was predicted by baseline suicidality (aOR = 2.24; 95% bootstrap-CI = 1.59–3.26). Furthermore, the persistent/recurrent trajectory predicted future suicidality (aOR = 1.03, 95% bootstrap-CI = 1.01–1.06), after controlling for baseline suicidality, psychiatric disorder, age, and gender. Findings provide a better understanding of correlates associated with distinct pain trajectories and long-term risk of suicidality in young people, suggesting a bidirectional pain–suicidality association and emphasising the need of targeted support for young people with persistent/recurrent pain. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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