Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12, Supplement 2 , Pages S36-S42 , December 2007

Acute Pain at Discharge From Hospitalization is a Prospective Predictor of Long-Term Suicidal Ideation After Burn Injury

  • Robert R. Edwards, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
    • Corresponding Author InformationReprint requests to Robert R. Edwards, PhD, Dept of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, 600 N Wolfe St, Meyer 1-108, Baltimore, MD 21287
  • ,
  • Gina Magyar-Russell, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
    • Johns Hopkins Burn Center, Johns Hopkins Bayview Medical Center, Baltimore, MD
  • ,
  • Brett Thombs, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
    • Johns Hopkins Burn Center, Johns Hopkins Bayview Medical Center, Baltimore, MD
  • ,
  • Michael T. Smith, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
  • ,
  • Radha K. Holavanahalli, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
    • University of Texas–Southwestern Medical Center, Dallas, TX
  • ,
  • David R. Patterson, MD

      Affiliations

    • University of Washington, Harborview Burn Center, Seattle, WA
  • ,
  • Patricia Blakeney, PhD

      Affiliations

    • Galveston Burn Center, Shriners Hospitals for Children, University of Texas Medical Branch, Galveston, TX
  • ,
  • Dennis C. Lezotte, PhD

      Affiliations

    • University of Colorado, Health Sciences Center, Denver, CO.
  • ,
  • Jennifer A. Haythornthwaite, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
  • ,
  • James A. Fauerbach, PhD

      Affiliations

    • Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
    • Johns Hopkins Burn Center, Johns Hopkins Bayview Medical Center, Baltimore, MD

References 

  1. Hinkley BS, Jaremko ME. Effects of pain duration on psychosocial adjustment in orthopedic patients: the importance of early diagnosis and treatment of pain. J Pain Symptom Manage. 1994;9:175–185
  2. Hitchcock LS, Ferrell BR, McCaffery M. The experience of chronic nonmalignant pain. J Pain Symptom Manage. 1994;9:312–318
  3. Breslau N. Migraine, suicidal ideation, and suicide attempts. Neurology. 1992;42:392–395
  4. Magni G, Rigatti-Luchini S, Fracca F, Merskey H. Suicidality in chronic abdominal pain: an analysis of the Hispanic Health and Nutrition Examination Survey (HHANES). Pain. 1998;76:137–144
  5. Smith MT, Edwards RR, Robinson RC, Dworkin RH. Suicidal ideation, plans, and attempts in chronic pain patients: factors associated with increased risk. Pain. 2004;111:201–208
  6. Edwards RR, Smith MT, Kudel I, Haythornthwaite J. Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain. Pain. 2006;126:272–279
  7. Meier DE, Emmons CA, Litke A, Wallenstein S, Morrison RS. Characteristics of patients requesting and receiving physician-assisted death. Arch Intern Med. 2003;163:1537–1542
  8. Fishbain DA. The association of chronic pain and suicide. Semin Clin Neuropsychiatry. 1999;4:221–227
  9. Fishbain DA. Current research on chronic pain and suicide. Am J Public Health. 1996;86:1320–1321
  10. Penttinen J. Back pain and risk of suicide among Finnish farmers. [letter] Am J Public Health. 1995;85:1452–1453
  11. Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004;164:1179–1184
  12. Stenager EN, Stenager E, Jensen K. Attempted suicide, depression and physical diseases: a 1-year follow-up study. Psychother Psychosom. 1994;61:65–73
  13. Hoyert DL, Kung HC, Smith BL. Deaths: preliminary data for 2003. Natl Vital Stat Rep. 2005;53(15):1–48
  14. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617–626
  15. Smith MT, Perlis ML, Haythornthwaite JA. Suicidal ideation in outpatients with chronic musculoskeletal pain: an exploratory study of the role of sleep onset insomnia and pain intensity. Clin J Pain. 2004;20:111–118
  16. Fisher BJ, Haythornthwaite JA, Heinberg LJ, Clark M, Reed J. Suicidal intent in patients with chronic pain. Pain. 2001;89:199–206
  17. Benjamin S, Morris S, McBeth J, Macfarlane GJ, Silman AJ. The association between chronic widespread pain and mental disorder: a population-based study. Arthritis Rheum. 2000;43:561–567
  18. McBeth J, Macfarlane GJ, Silman AJ. Does chronic pain predict future psychological distress?. Pain. 2002;96:239–245
  19. Fauerbach JA, Lawrence JW, Haythornthwaite JA, Richter L. Coping with the stress of a painful medical procedure. Behav Res Ther. 2002;40:1003–1015
  20. Onarheim H, Vindenes HA. High risk for accidental death in previously burn-injured adults. Burns. 2005;31:297–301
  21. Ptacek JT, Patterson DR, Heimbach DM. Inpatient depression in persons with burns. J Burn Care Rehabil. 2002;23:1–9
  22. Willebrand M, Andersson G, Ekselius L. Prediction of psychological health after an accidental burn. J Trauma. 2004;57:367–374
  23. Gear AJ, Wright H, Nguyen WD, Drake DB, Edlich RF. Self-inflicted burn injury. Am J Emerg Med. 1997;15:617–618
  24. Palmu R, Isometsa E, Suominen K, Vuola J, Leppavuori A, Lonnqvist J. Self-inflicted burns: an eight year retrospective study in Finland. Burns. 2004;30:443–447
  25. Mohanty MK, Arun M, Monteiro FN, Palimar V. Self-inflicted burns fatalities in Manipal, India. Med Sci Law. 2005;45:27–30
  26. Zor F, Deveci M, Bozkurt M, Dikkatli S, Duman H, Sengezer M. Psychological evaluation of self-inflicted burn patients: suicide or parasuicide?. Burns. 2005;31:178–181
  27. Patterson DR, Everett JJ, Bombardier CH, Questad KA, Lee VK, Marvin JA. Psychological effects of severe burn injuries. Psychol Bull. 1993;113:362–378
  28. Patterson DR, Tininenko J, Ptacek JT. Pain during burn hospitalization predicts long-term outcome. J Burn Care Res. 2006;27:676–681
  29. Ptacek JT, Patterson DR, Montgomery BK, Heimbach DM. Pain, coping, and adjustment in patients with burns: preliminary findings from a prospective study. J Pain Symptom Manage. 1995;10:446–455
  30. Keefe FJ, Abernethy AP, Campbell C. Psychological approaches to understanding and treating disease-related pain. Annu Rev Psychol. 2005;56:601–630
  31. Perry S, Heidrich G. Management of pain during debridement: a survey of U.S. burn units. Pain. 1982;13:267–280
  32. Melzack R. The tragedy of needless pain. Sci Am. 1990;262:27–33
  33. American Burn Association. Appendix B to hospital resources document (Guidelines for service standards and severity classifications in the treatment of burn injury). Bull Am Coll Surg. 1984;69(10):24–28
  34. Fauerbach JA, Lezotte D, Hills RA, et al. Burden of burn: a norm-based inquiry into the influence of burn size and distress on recovery of physical and psychosocial function. J Burn Care Rehabil. 2005;26:21–32
  35. Bronfort G, Bouter LM. Responsiveness of general health status in chronic low back pain: a comparison of the COOP charts and the SF-36. Pain. 1999;83:201–209
  36. Brown K. A review to examine the use of SF-36 in cardiac rehabilitation. Br J Nurs. 2003;12:904–909
  37. McHorney CA, Ware JE, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II (Psychometric and clinical tests of validity in measuring physical and mental health constructs). Med Care. 1993;31:247–263
  38. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36) (I. Conceptual framework and item selection). Med Care. 1992;30:473–483
  39. Derogatis LR, Melisaratos N. The Brief Symptom Inventory: an introductory report. Psychol Med. 1983;13:595–605
  40. Edwards RR, Smith MT, Kudel I, Haythornthwaite J. Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain. Pain. 2006;126:272–279
  41. De Leo D, Spathonis K. Suicide and euthanasia in late life. Aging Clin Exp Res. 2003;15:99–110
  42. Tempereau CE, Grossman AR, Brones MF. Volitional collapse (loss of the will to live) in patients with burn injuries (Treatment strategy). J Burn Care Rehabil. 1989;10:464–468
  43. Moller HJ. Suicide, suicidality and suicide prevention in affective disorders. Acta Psychiatr Scand Suppl. 2003;(418):73–80
  44. Dafoe ME, Stewart KE. Pain and psychiatric disorders contribute independently to suicidal ideation in HIV-positive persons. Arch Suicide Res. 2004;8:215–226
  45. Akechi T, Okamura H, Nishiwaki Y, Uchitomi Y. Predictive factors for suicidal ideation in patients with unresectable lung carcinoma. Cancer. 2002;95:1085–1093
  46. Karp JF, Weiner D, Seligman K, et al. Body pain and treatment response in late-life depression. Am J Geriatr Psychiatry. 2005;13:188–194
  47. Karp JF, Scott J, Houck P, Reynolds CF, Kupfer DJ, Frank E. Pain predicts longer time to remission during treatment of recurrent depression. J Clin Psychiatry. 2005;66:591–597
  48. Edwards RR. Individual differences in endogenous pain modulation as a risk factor for chronic pain. Neurology. 2005;65:437–443
  49. Harris T, Cook DG, Victor C, Dewilde S, Beighton C. Onset and persistence of depression in older people—results from a 2-year community follow-up study. Age Ageing. 2006;35:25–32
  50. Edwards RR, Bingham CO, Bathon J, Haythornthwaite JA. Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis Rheum. 2006;55:325–332
  51. Berkman LF, Glass T, Brissette I, Seeman TE. From social integration to health: Durkheim in the new millennium. Soc Sci Med. 2000;51:843–857
  52. McCracken LM. Social context and acceptance of chronic pain: the role of solicitous and punishing responses. Pain. 2005;113:155–159
  53. Schwartz L, Jensen MP, Romano JM. The development and psychometric evaluation of an instrument to assess spouse responses to pain and well behavior in patients with chronic pain: the Spouse Response Inventory. J Pain. 2005;6:243–252
  54. Fyrand L, Moum T, Wichstrom L, Finset A, Glennas A. Social network size of female patients with rheumatoid arthritis compared to healthy controls. Scand J Rheumatol. 2000;29:38–43
  55. Fyrand L, Moum T, Finset A, Glennas A. The impact of disability and disease duration on social support of women with rheumatoid arthritis. J Behav Med. 2002;25:251–268
  56. Dersh J, Polatin PB, Gatchel RJ. Chronic pain and psychopathology: research findings and theoretical considerations. Psychosom Med. 2002;64:773–786
  57. Ramirez-Maestre C, Lopez Martinez AE, Zarazaga RE. Personality characteristics as differential variables of the pain experience. J Behav Med. 2004;27:147–165
  58. Tang NK, Crane C. Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychol Med. 2006;1–12

 Supported by Burn Model Systems grants from the National Institute on Disability and Rehabilitation Research, Office of Special Education and Rehabilitative Services, U.S. Department of Education (grant no. H133A020101), and by the National Institutes of Health (grants nos. AR 051315, NS02225).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)00441-8

doi: 10.1016/j.apmr.2007.05.031

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 12, Supplement 2 , Pages S36-S42 , December 2007