Suicidal risk and resilience in juvenile fibromyalgia syndrome: a cross-sectional cohort study

Pediatric Rheumatology Online Journal

Rui Xiao¹  Jeffrey S. Gerber¹  Kimberly S. Miller²  Pamela F. Weiss²  Maitry Sonagra²  Sabrina Gmuca²  David D. Sherry²  Jami F. Young³  Nina H. Thomas⁴ 

[1] Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia;Department of Pediatrics, Division of Rheumatology, Children’s Hospital of Philadelphia;PolicyLab, Children’s Hospital of Philadelphia;University of Pennsylvania Perelman School of Medicine and Children’s Hospital of Philadelphia;

关键词: Resilience;    Suicidality;    Adolescence;    Chronic pain;    Juvenile fibromyalgia;   

DOI  :  10.1186/s12969-020-00487-w

来源: DOAJ

【 摘 要 】

Abstract Background To characterize suicidality among youth with juvenile fibromyalgia syndrome (JFMS) receiving treatment from pediatric rheumatologists at a tertiary care center in order to determine the prevalence of suicidality in JFMS and to explore risk factors for persistent suicidal ideation. Methods We performed a cross-sectional cohort study of children 12–17 years old with JFMS seen in a specialty pediatric rheumatology pain clinic from 7/2017–9/2019. All subjects completed patient-reported outcomes measures, complemented by retrospective chart review. Subjects who endorsed item 8 on the Children’s Depression Inventory, 2nd Edition (CDI-2) were categorized as endorsing suicidal ideation. We assessed for differences between the suicidal and non-suicidal patients using Wilcoxon-rank sum test. Logistic regression modeling was performed to identify psychosocial factors associated with suicidality. Results Of the 31 subjects, more than one-quarter endorsed suicidality. Nearly 90% of teens with suicidal ideation were established in outpatient counseling. In bivariate analyses, suicidality was associated with lower resilience and greater depression and anxiety (all p < 0.05). Pain intensity trended towards a statistically significant positive association (OR: 1.16 [0.99–1.37]; p = 0.06). Lower resilience was independently associated with suicidality (OR: 0.90 [95% CI: 0.82–0.98]; p < 0.02). Conclusions Suicidality was prevalent among youth with JFMS and persistent despite concurrent receipt of mental health services. Higher patient-level resilience was independently associated with a reduced odds of suicidality. Future work should examine the role of resilience training on reducing psychological distress and mitigating the risk of suicidality in JFMS.

【 授权许可】

Unknown