PMID- 24605121
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140307
LR  - 20240323
IS  - 1738-3684 (Print)
IS  - 1976-3026 (Electronic)
IS  - 1738-3684 (Linking)
VI  - 11
IP  - 1
DP  - 2014 Jan
TI  - Risk Factors for Suicidal Ideation among Patients with Complex Regional Pain 
      Syndrome.
PG  - 32-8
LID - 10.4306/pi.2014.11.1.32 [doi]
AB  - OBJECTIVE: Chronic pain frequently coexists with psychiatric symptoms in patients 
      diagnosed with complex regional pain syndrome (CRPS). Previous studies have shown 
      a relationship between CRPS and the risk of suicide. The purpose of this study 
      was to assess risk factors for suicidal ideation in patients with CRPS. METHODS: 
      Based on criteria established by the International Association for the Study of 
      Pain, 39 patients diagnosed with CRPS Type 1 or Type 2 were enrolled in this 
      study. Suicidal ideation was assessed using item 3 of the Hamilton Depression 
      Rating Scale (HAMD), and symptoms of pain were evaluated using the short form of 
      the McGill Pain Questionnaire (SF-MPQ). Psychiatric symptoms were assessed in 
      using the Structured Clinical Interview for DSM-IV Disorders (SCID-I, SCID-II), 
      the HAMD, the Hamilton Anxiety Rating Scale (HAMA), the Global Assessment of 
      Functioning Scale (GAF), and the Pittsburgh Sleep Quality Index (PSQI). RESULTS: 
      Twenty-nine patients (74.4%) were at high risk and 10 (25.6%) were at low risk 
      for suicidal ideation. Risk factors significantly associated with suicidal 
      ideation included depression (p=0.002), severity of pain (p=0.024), and low 
      scores on the GAF (p=0.027). No significant correlations were found between 
      suicidal ideation and anxiety or quality of sleep. CONCLUSION: Significant risk 
      factors for suicidal ideation in patients with CRPS include severity of pain, 
      depressive symptoms, and decreased functioning. These results suggest that 
      psychiatric evaluation and intervention should be included in the treatment of 
      CRPS.
FAU - Lee, Do-Hyeong
AU  - Lee DH
AD  - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 
      Republic of Korea.
FAU - Noh, Eun Chung
AU  - Noh EC
AD  - Interdisciplinary Program of Neuroscience, Seoul National University, Seoul, 
      Republic of Korea.
FAU - Kim, Yong Chul
AU  - Kim YC
AD  - Department of Anesthesiology and Pain Medicine, Seoul National University 
      Hospital, Seoul, Republic of Korea.
FAU - Hwang, Jae Yeon
AU  - Hwang JY
AD  - Department of Psychiatry, SMG-SNU Boramae Medical Center, Seoul, Republic of 
      Korea.
FAU - Kim, Sung Nyun
AU  - Kim SN
AD  - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 
      Republic of Korea.
FAU - Jang, Joon Hwan
AU  - Jang JH
AD  - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 
      Republic of Korea.
FAU - Byun, Min Soo
AU  - Byun MS
AD  - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 
      Republic of Korea.
FAU - Kang, Do-Hyung
AU  - Kang DH
AD  - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 
      Republic of Korea. ; Department of Psychiatry, Seoul National University College 
      of Medicine, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20131016
PL  - Korea (South)
TA  - Psychiatry Investig
JT  - Psychiatry investigation
JID - 101242994
PMC - PMC3942549
OTO - NOTNLM
OT  - Anxiety
OT  - Complex regional pain syndrome
OT  - Depression
OT  - Suicidal ideation
EDAT- 2014/03/08 06:00
MHDA- 2014/03/08 06:01
PMCR- 2014/01/01
CRDT- 2014/03/08 06:00
PHST- 2013/05/12 00:00 [received]
PHST- 2013/08/12 00:00 [revised]
PHST- 2013/08/16 00:00 [accepted]
PHST- 2014/03/08 06:00 [entrez]
PHST- 2014/03/08 06:00 [pubmed]
PHST- 2014/03/08 06:01 [medline]
PHST- 2014/01/01 00:00 [pmc-release]
AID - 10.4306/pi.2014.11.1.32 [doi]
PST - ppublish
SO  - Psychiatry Investig. 2014 Jan;11(1):32-8. doi: 10.4306/pi.2014.11.1.32. Epub 2013 
      Oct 16.