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04-03-2024 | Original Article

Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples

Auteurs: Hannah R. Krall, Allison K. Ruork, Shireen L. Rizvi, Evan M. Kleiman

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2024

Abstract

Purpose

Although there is research establishing that physical pain is a risk factor for suicidal ideation, there is limited understanding of how physical pain confers risk.

Methods

The current study uses ecological momentary assessment to explore hopelessness as a potential mechanism of physical pain’s effect on suicidal ideation in two distinct samples: an undergraduate population reporting elevated levels of suicidal ideation and an outpatient population with borderline personality disorder receiving comprehensive dialectical behavior therapy.

Results

Our results demonstrated that hopelessness significantly mediated the relationship between physical pain and suicidal ideation in both samples. This implies that physical pain might increase hopelessness, which may in turn increase suicidal ideation.

Conclusions

Our study adds to a growing body of research of risk factors for suicide, and future research should explore this relationship between physical pain and hopelessness with suicidal behavior.

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Al-Dajani, N., Uliaszek, A. A., & Hamdullahpur, K. (2019). It’s the thought that counts: Belief in suicide as an escape moderates the relationship between emotion dysregulation and suicidal ideation cross-sectionally and longitudinally. Borderline Personality Disorder and Emotion Dysregulation, 6(1), 16. https://doi.org/10.1186/s40479-019-0112-5.CrossRefPubMedPubMedCentral

Al-Obaidi, S. M., Nelson, R. M., Al-Awadhi, S., & Al-Shuwaie, N. (2000). The role of anticipation and fear of pain in the persistence of avoidance behavior in patients with chronic low back pain. Spine, 25(9), 1126–1131. https://doi.org/10.1097/00007632-200005010-00014.CrossRefPubMed

Aldrich, S., Eccleston, C., & Crombez, G. (2000). Worrying about chronic pain: Vigilance to threat and misdirected problem solving. Behaviour Research and Therapy, 38(5), 457–470. https://doi.org/10.1016/s0005-7967(99)00062-5.CrossRefPubMed

Arntz, A., van Eck, M., de Jong, P., & van den Hout, M. A. (1990). The relationship between underpredicted pain and escape. Behaviour Research and Therapy, 28(1), 87–90. https://doi.org/10.1016/0005-7967(90)90059-r.CrossRefPubMed

Asparouhov, T., & Muthén, B. (2019). Latent variable centering of predictors and mediators in Multilevel and Time-Series models. Structural Equation Modeling: A Multidisciplinary Journal, 26(1), 119–142. https://doi.org/10.1080/10705511.2018.1511375.CrossRef

Basten-Günther, J., Peters, M., & Lautenbacher, S. (2019). Optimism and the experience of Pain: A systematic review. Behavioral Medicine (Washington D C), 45(4), 323–339. https://doi.org/10.1080/08964289.2018.1517242.CrossRefPubMed

Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90–113. https://doi.org/10.1037/0033-295x.97.1.90.CrossRefPubMed

Beck, A. T., Kovacs, M., & Weissman, A. (1975). Hopelessness and suicidal behavior: An overview. Journal of the American Medical Association, 234(11), 1146–1149. https://doi.org/10.1001/jama.1975.03260240050026.CrossRefPubMed

Beck, A. T., Brown, G., & Steer, R. A. (1989). Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. Journal of Consulting and Clinical Psychology, 57, 309–310. https://doi.org/10.1037/0022-006X.57.2.309.CrossRefPubMed

Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients. The American Journal of Psychiatry, 147(2), 190–195. https://doi.org/10.1176/ajp.147.2.190.CrossRefPubMed

Beck, A. T., Steer, R. A., Beck, J. S., & Newman, C. F. (1993). Hopelessness, Depression, suicidal ideation, and clinical diagnosis of Depression. Suicide and Life-Threatening Behavior, 23(2), 139–145. https://doi.org/10.1111/j.1943-278X.1993.tb00378.x.CrossRefPubMed

Burr, E. M., Rahm-Knigge, R. L., & Conner, B. T. (2018). The differentiating role of state and trait hopelessness in suicidal ideation and suicide attempt. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 22(3), 510–517. https://doi.org/10.1080/13811118.2017.1366960.CrossRefPubMed

Cáceda, R., Kordsmeier, N. C., Golden, E., Gibbs, H. M., & Delgado, P. L. (2017). Differential Processing of Physical and Psychological Pain during Acute Suicidality. Psychotherapy and Psychosomatics, 86(2), 116–118. https://doi.org/10.1159/000450713.CrossRefPubMed

Cáceda, R., Kim, D. J., Carbajal, J. M., & Hou, W. (2022). The experience of Pain is strongly Associated with Poor Sleep Quality and increased risk for suicide. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 26(3), 1572–1586. https://doi.org/10.1080/13811118.2021.1939208.CrossRefPubMed

Calati, R., Laglaoui Bakhiyi, C., Artero, S., Ilgen, M., & Courtet, P. (2015). The impact of physical pain on suicidal thoughts and behaviors: Meta-analyses. Journal of Psychiatric Research, 71, 16–32. https://doi.org/10.1016/j.jpsychires.2015.09.004.CrossRefPubMed

Chatard, A., & Selimbegović, L. (2011). When self-destructive thoughts flash through the mind: Failure to meet standards affects the accessibility of suicide-related thoughts. Journal of Personality and Social Psychology, 100, 587–605. https://doi.org/10.1037/a0022461.CrossRefPubMed

Chochinov, H. M., Wilson, K. G., Enns, M., & Lander, S. (1998). Depression, hopelessness, and suicidal ideation in the terminally ill. Psychosomatics, 39(4), 366–370. https://doi.org/10.1016/S0033-3182(98)71325-8.CrossRefPubMed

Conversano, C., Rotondo, A., Lensi, E., Della Vista, O., Arpone, F., & Reda, M. A. (2010). Optimism and its impact on Mental and Physical Well-Being. Clinical Practice and Epidemiology in Mental Health: CP & EMH, 6, 25–29. https://doi.org/10.2174/1745017901006010025.CrossRef

Corbett, M., Foster, N. E., & Ong, B. N. (2007). Living with low back pain—stories of hope and despair. Social Science & Medicine, 65(8), 1584–1594. https://doi.org/10.1016/j.socscimed.2007.06.008.CrossRef

Czyz, E. K., Horwitz, A. G., Arango, A., & King, C. A. (2019). Short-term change and prediction of suicidal ideation among adolescents: A daily diary study following psychiatric hospitalization. Journal of Child Psychology and Psychiatry and Allied Disciplines, 60(7), 732–741. https://doi.org/10.1111/jcpp.12974.CrossRefPubMed

Durant, T., Mercy, J., Kresnow, M., Simon, T., Potter, L., & Hammond, W. (2006). Racial differences in hopelessness as a risk factor for a nearly Lethal suicide attempt. Journal of Black Psychology - J BLACK PSYCHOL, 32, 285–302. https://doi.org/10.1177/0095798406290468.CrossRef

Eccleston, C., & Crombez, G. (1999). Pain demands attention: A cognitive-affective model of the interruptive function of pain. Psychological Bulletin, 125(3), 356–366. https://doi.org/10.1037/0033-2909.125.3.356.CrossRefPubMed

Edwards, R. R., Smith, M. T., Kudel, I., & Haythornthwaite, J. (2006). Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain. Pain, 126(1–3), 272–279. https://doi.org/10.1016/j.pain.2006.07.004.CrossRefPubMed

Facts About Suicide | Suicide | CDC. (2023, May 17). https://www.cdc.gov/suicide/facts/index.html.

Franklin, J. C., Hessel, E. T., & Prinstein, M. J. (2011). Clarifying the role of pain tolerance in suicidal capability. Psychiatry Research, 189(3), 362–367. https://doi.org/10.1016/j.psychres.2011.08.001.CrossRefPubMed

Groholt, B., Ekeberg, Ø., & Haldorsen, T. (2006). Adolescent suicide attempters: What predicts future suicidal acts? Suicide & Life-Threatening Behavior, 36(6), 638–650. https://doi.org/10.1521/suli.2006.36.6.638.CrossRef

Hall, R. C., Platt, D. E., & Hall, R. C. (1999). Suicide risk assessment: A review of risk factors for suicide in 100 patients who made severe suicide attempts. Evaluation of suicide risk in a time of managed care. Psychosomatics, 40(1), 18–27. https://doi.org/10.1016/S0033-3182(99)71267-3.CrossRefPubMed

Hanssen, M. M., Peters, M. L., Vlaeyen, J. W. S., Meevissen, Y. M. C., & Vancleef, L. M. G. (2013). Optimism lowers pain: Evidence of the causal status and underlying mechanisms. Pain, 154(1), 53–58. https://doi.org/10.1016/j.pain.2012.08.006.CrossRefPubMed

Juurlink, D. N., Herrmann, N., Szalai, J. P., Kopp, A., & Redelmeier, D. A. (2004). Medical illness and the risk of suicide in the elderly. Archives of Internal Medicine, 164(11), 1179–1184. https://doi.org/10.1001/archinte.164.11.1179.CrossRefPubMed

Kim, S. H. (2016). Suicidal ideation and suicide attempts in older adults: Influences of chronic illness, functional limitations, and pain. Geriatric Nursing (New York, N.Y.), 37(1), 9–12. https://doi.org/10.1016/j.gerinurse.2015.07.006.

Kim, D. J., Job, A., Gokarakonda, S., Huang, C., Chekuri, L., Carbajal, J. M., & Cáceda, R. (2022). Synergistic effect of chronic pain and nonsuicidal self-harm on pain sensitivity. European Archives of Psychiatry and Clinical Neuroscience, 272(3), 371–380. https://doi.org/10.1007/s00406-021-01283-7.CrossRefPubMed

Kirtley, O. J., Rodham, K., & Crane, C. (2020). Understanding suicidal ideation and behaviour in individuals with chronic pain: A review of the role of novel transdiagnostic psychological factors. The Lancet Psychiatry, 7(3), 282–290. https://doi.org/10.1016/S2215-0366(19)30288-3.CrossRefPubMed

Kleiman, E. M., Turner, B. J., Fedor, S., Beale, E. E., Huffman, J. C., & Nock, M. K. (2017). Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies. Journal of Abnormal Psychology, 126, 726–738. https://doi.org/10.1037/abn0000273.CrossRefPubMed

Kleiman, E. M., Yeager, A. L., Grove, J. L., Kellerman, J. K., & Kim, J. S. (2020). Real-time Mental Health Impact of the COVID-19 pandemic on College students: Ecological momentary Assessment Study. JMIR Mental Health, 7(12), e24815. https://doi.org/10.2196/24815.CrossRefPubMedPubMedCentral

Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the ideation-to-action framework. International Journal of Cognitive Therapy, 8(2), 114–129. https://doi.org/10.1521/ijct.2015.8.2.114.CrossRef

Kraemer, H. C., Gullion, C. M., Rush, A. J., Frank, E., & Kupfer, D. J. (1994). Can state and trait variables be disentangled? A methodological framework for psychiatric disorders. Psychiatry Research, 52(1), 55–69. https://doi.org/10.1016/0165-1781(94)90120-1.CrossRefPubMed

Leeuw, M., Goossens, M., Linton, S., Crombez, G., Boersma, K., & Vlaeyen, J. (2007). The fear-avoidance model of Musculoskeletal Pain: Current state of scientific evidence. Journal of Behavioral Medicine, 30, 77–94. https://doi.org/10.1007/s10865-006-9085-0.CrossRefPubMed

Lew, B., Huen, J., Yu, P., Yuan, L., Wang, D. F., Ping, F., Talib, M. A., Lester, D., & Jia, C. X. (2019). Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students. PLOS ONE, 14(7), e0217372. https://doi.org/10.1371/journal.pone.0217372.CrossRefPubMedPubMedCentral

O’Connor, R. C., & Cassidy, C. (2007). Predicting hopelessness: The interaction between optimism/pessimism and specific future expectancies. Cognition and Emotion, 21, 596–613. https://doi.org/10.1080/02699930600813422.CrossRef

Orbach, I., Stein, D., Palgi, Y., Asherov, J., Har-Even, D., & Elizur, A. (1996). Perception of physical pain in accident and suicide attempt patients: Self-preservation vs self-destruction. Journal of Psychiatric Research, 30(4), 307–320. https://doi.org/10.1016/0022-3956(96)00008-8.CrossRefPubMed

Orbach, I., Palgi, Y., Stein, D., Har-even, D., Lotem-peleg, M., Asherov, J., & Elizur, A. (1996a). Tolerance for physical pain in suicidal subjects. Death Studies, 20(4), 327–341. https://doi.org/10.1080/07481189608252786.CrossRefPubMed

Qiu, T., Klonsky, E. D., & Klein, D. N. (2017). Hopelessness predicts suicide ideation but not attempts: A 10-Year longitudinal study. Suicide and Life-Threatening Behavior, 47(6), 718–722. https://doi.org/10.1111/sltb.12328.CrossRefPubMed

Racine, M. (2018). Chronic pain and suicide risk: A comprehensive review. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 87(Pt B), 269–280. https://doi.org/10.1016/j.pnpbp.2017.08.020.CrossRef

Rizvi, S. L., Hughes, C. D., Hittman, A. D., & Vieira Oliveira, P. (2017). Can trainees effectively deliver Dialectical Behavior Therapy for individuals with Borderline personality disorder? Outcomes from a training clinic. Journal of Clinical Psychology, 73(12), 1599–1611. https://doi.org/10.1002/jclp.22467.CrossRefPubMed

Rosseel, Y. (2012). Lavaan: An R Package for Structural equation modeling. Journal of Statistical Software, 48, 1–36. https://doi.org/10.18637/jss.v048.i02.CrossRef

Santos, J., Martins, S., Azevedo, L. F., & Fernandes, L. (2020). Pain as a risk factor for suicidal behavior in older adults: A systematic review. Archives of Gerontology and Geriatrics, 87, 104000. https://doi.org/10.1016/j.archger.2019.104000.CrossRefPubMed

Smith, J. M., Alloy, L. B., & Abramson, L. Y. (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: Multiple pathways to self-injurious thinking. Suicide & Life-Threatening Behavior, 36(4), 443–454. https://doi.org/10.1521/suli.2006.36.4.443.CrossRef

Stewart, S. M., Kennard, B. D., Lee, P. W. H., Mayes, T., Hughes, C., & Emslie, G. (2005). Hopelessness and suicidal ideation among adolescents in two cultures. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46(4), 364–372. https://doi.org/10.1111/j.1469-7610.2004.00364.x.CrossRefPubMed

Tang, N. K. Y., & Crane, C. (2006). Suicidality in chronic pain: A review of the prevalence, risk factors and psychological links. Psychological Medicine, 36(5), 575–586. https://doi.org/10.1017/S0033291705006859.CrossRefPubMed

Treede, R. D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., Giamberardino, M. A., Kaasa, S., Kosek, E., Lavand’homme, P., Nicholas, M., Perrot, S., Scholz, J., Schug, S., Smith, B. H., & Wang, S. J. (2015). A classification of chronic pain for ICD-11. Pain, 156(6), 1003–1007. https://doi.org/10.1097/j.pain.0000000000000160.CrossRefPubMedPubMedCentral

Wang, Y., Jiang, N., Cheung, E. F. C., Sun, H., & Chan, R. C. K. (2015). Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder. Journal of Affective Disorders, 183, 83–89. https://doi.org/10.1016/j.jad.2015.05.001.CrossRefPubMed

Wetzel, R. D. (1976). Hopelessness, depression, and suicide intent. Archives of General Psychiatry, 33(9), 1069–1073. https://doi.org/10.1001/archpsyc.1976.01770090059005.CrossRefPubMed

Zhang, L., Cai, H., Bai, W., Zou, S. Y., Feng, K. X., Li, Y. C., Liu, H. Z., Du, X., Zeng, Z. T., Lu, C. M., Zhang, L., Mi, W. F., Ding, Y. H., Yang, J. J., Jackson, T., Cheung, T., Su, Z., An, F. R., & Xiang, Y. T. (2022). Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic. Journal of Affective Disorders, 307, 142–148. https://doi.org/10.1016/j.jad.2022.03.042.CrossRefPubMedPubMedCentral

Titel: Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples
Auteurs: Hannah R. Krall
Allison K. Ruork
Shireen L. Rizvi
Evan M. Kleiman
Publicatiedatum: 04-03-2024
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2024
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-024-10472-2

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Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples

Abstract

Purpose

Methods

Results

Conclusions

Andere artikelen Uitgave 4/2024

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