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An estimated 40,000 people die annually secondary to suicide in the United States, and approximately 800,000 die worldwide. Risk factors for suicidal behavior include substance abuse, physical abuse, chronic pain, and various psychiatric disorders. An outcome of completed suicide often occurs when these risk factors combine with personality traits such as aggression and impulsivity. A review of completed suicides demonstrated nearly 60% of individuals who documented a physical illness as the reason for suicide, listed cancer or chronic pain as their motive. Additionally, chronic pain, depression, and anxiety are the leading causes of disability in the United States and worldwide. The following chapter will discuss suicide, chronic pain-related conditions, their physical and psychiatric comorbid conditions, and their associations with suicidal behavior. |
