Pain tolerance and threshold in suicide attempters: A systematic review and meta-analysis

被引：4

作者：

Risch, Nathan ^{[1
,2
,3
]}

Alacreu-Crespo, Adrian ^{[4
]}

Khan, Shazma ^{[5
]}

Caceda, Ricardo ^{[6
]}

Teismann, Tobias ^{[7
]}

Rogers, Megan L. ^{[8
]}

Courtet, Philippe ^{[1
,2
]}

Olie, Emilie ^{[1
,2
,5
]}

机构：

[1] Univ Montpellier, Inst Funct Genom, CNRS, INSERM, F-34094 Montpellier, France

[2] CHU Montpellier, Dept Emergency Psychiat & Post Acute Care, F-34295 Montpellier, France

[3] Clinea Psychiat, Clin Lironde, F-34980 Saint Clement De Riviere, France

[4] Univ Zaragoza, Dept Psychol & Sociol, Area Personal Assessment & Psychol Treatment, Teruel 44003, Spain

[5] Texas Tech Univ Hlth Sci Ctr TTUHSC, Sch Med, Lubbock, TX USA

[6] Northport VA Med Ctr, Dept Psychiat, Northport, NY 11768 USA

[7] Ruhr Univ Bochum, Mental Hlth Res & Treatment Ctr, D-44799 Bochum, Germany

[8] Texas State Univ, Dept Psychol, San Marcos, TX 78666 USA

来源：

PSYCHIATRY RESEARCH | 2024年 / 331卷

关键词：

Suicide attempt; Pain tolerance; Pain threshold; Ideation-to-action theories; ACQUIRED CAPABILITY; PHYSICAL PAIN; INTERPERSONAL THEORY; CONSTRUCT-VALIDITY; SENSITIVITY; PERCEPTION; IDEATION; BEHAVIORS; HISTORY; PEOPLE;

D O I：

10.1016/j.psychres.2023.115618

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

It has been hypothesized that individuals less sensitive to pain could be at higher risk of suicide. However, data on pain sensitivity in suicide attempters (SA) obtained using experimental procedures are heterogeneous. The aim of this systematic review and meta-analysis was to investigate and compare pain tolerance and threshold in SA (patients with lifetime history of suicide attempt), non-attempters (psychiatric controls, PC), and healthy controls (HC).A random effects meta-analysis was used to estimate the standardized mean differences using data from 16 studies that compared physical pain tolerance and threshold in SA andPC or HC. Pain tolerance and threshold were not significantly different in SA and PC. However, pain tolerance, but not threshold, was higher in SA than HC.Our findings do not support the hypothesis of an altered pain perception related as a trait for suicidal vulnerability, but rather suggest altered pain perception related to psychiatric vulnerability.

引用

页数：10

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