疼痛和自殺

Pain and Suicide

本篇論文整理關於疼痛患者自殺盛行率與其危險因子的相關文獻，並予以探討。疼痛病患自殺死亡率至少是一般人的二倍，自殺意念的終生盛行率介於5%至32%之間，而自殺企圖的盛行率則介於2至6%。慢行疼痛患者的自殺危險因子包括：疼痛種類，特別是偏頭痛、社會人口學因子如失業、疼痛相關因子、憂鬱、睡眠品質、及疼痛災難化思考等。對於疼痛病患的自殺率及其相關危險因子應有更多瞭解。並在未來相關研究中，增加對於目前所知危險因子的預防計畫，使得因疼痛而擅加的自殺危險性得以降低。

This paper integrates literature on non-cancer chronic pain in terms of prevalence and risk factors for suicide. The risk of death by suicide was two-fold higher in patients with chronic pain. The lifetime prevalence of suicidal ideation was between 5-32% in individuals with chronic pain, and the prevalence of suicide attempt was 2-6%. Risk factors that were identified for suicidal tendency in chronic pain included type of pain (i.e. migraine), socio-demographic factors(i.e. unemployment), pain variables, depression, sleep quality, and pain catastrophizing. There is a need for increased awarenessof suicide risk as well as risk factors in individuals with chronic pain. Future research in this area, such as suicide prevention programs targeting specific risk factors, should consider the large numbers of individuals at elevated risk of suicide due to pain.