Increased suicidality in patients with cluster headache
Autor: | Mi Ji Lee, Kwang Soo Lee, Soo Kyoung Kim, Min Kyung Chu, Kyungmi Oh, Tae Jin Song, Soo-Jin Cho, Soohyun Cho, Chin-Sang Chung, Jong Hee Sohn, Yun Ju Choi, Kwang-Yeol Park, Jae Myun Chung, Jeong Wook Park, Pil-Wook Chung, Jin Young Ahn, Byung Su Kim, Heui Soo Moon, Byung Kun Kim |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cluster Headache Suicidal Ideation Suicide Assisted Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Internal medicine Humans Medicine In patient 030212 general & internal medicine Disease burden Aged business.industry Cluster headache General Medicine Middle Aged medicine.disease Comorbidity Multicenter study Female Neurology (clinical) business 030217 neurology & neurosurgery |
Zdroj: | Cephalalgia. 39:1249-1256 |
ISSN: | 1468-2982 0333-1024 |
Popis: | Objective To investigate suicidality related to cluster headache and factors associated with increased suicidality in cluster headache patients. Methods In this multicenter study, 193 cluster headache patients were recruited between September 2016 and August 2018. Patients were asked about their suicidality during and between attacks, specifically about passive suicidal ideation, active suicidal ideation, suicide plan, and suicide attempt. Univariable and multivariable logistic regression analyses were performed to evaluate the factors associated with high ictal suicidality (sum of positive response ≥ 2). Patients were followed up when they were in the between-bouts period. Results A total of 175 cluster headache patients in the in-bout period were included in this study. Passive suicidal ideation, active suicidal ideation, suicidal planning, and suicidal attempt were reported by 111 (64.2%), 62 (35.8%), 10 (5.8%), and four (2.3%) patients during attacks; seven (4.0%), six (3.5%), five (2.9%) and two (1.2%) patients interictally; and none (0%), one (1.9%), one (1.9%), and none (0%) among patients in the between-bouts period. Factors associated with high ictal suicidality were longer disease duration, the Headache Impact Test score, and the Patient Health Question-9 score (multivariable OR = 1.90 per 10-year increase in disease duration, 95% CI = 1.18–3.05, p = 0.008; multivariable OR = 3.19 per 10-point increase in HIT-6, 95% CI = 1.73–5.87, p Conclusions Cluster headache attack carries a high suicidality compared to the interictal or between-bouts state. An intensive treatment to reduce cluster headache burden may be helpful to alleviate suicide risk in cluster headache patients. |
Databáze: | OpenAIRE |
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