Suicide and suicidality in somatic symptom and related disorders: A systematic review
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Suicide and suicidality in somatic symptom and related disorders: A systematic review. / Torres, Michael E; Löwe, Bernd; Schmitz, Samantha; Pienta, John N; Van Der Feltz-Cornelis, Christina; Fiedorowicz, Jess G.
in: J PSYCHOSOM RES, Jahrgang 140, 01.2021, S. 110290.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Suicide and suicidality in somatic symptom and related disorders: A systematic review
AU - Torres, Michael E
AU - Löwe, Bernd
AU - Schmitz, Samantha
AU - Pienta, John N
AU - Van Der Feltz-Cornelis, Christina
AU - Fiedorowicz, Jess G
N1 - Copyright © 2020 Elsevier Inc. All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - OBJECTIVE: We sought to determine the frequency of and risk factors for suicide outcomes in somatic symptom and related disorders and whether any risk was independent of co-occurring mental disorders.METHODS: We conducted a systematic review of studies on suicide death, suicide attempts, and suicidal ideation in those with somatic symptom disorders published prior to September 22, 2020 and indexed in PubMED, MEDLINE, PsycARTICLES, PsycINFO, EMBASE, or SCOPUS according to PRISMA guidelines.RESULTS: Our search yielded 33 articles with significant heterogeneity in study design, sample selection, and assessment for suicide or risk factors. While suicide deaths have not been adequately studied, somatic symptom and related disorders are associated with increased risk for suicidal ideation and suicide attempts, with estimates ranging from 24 to 34% of participants who endorsed current active suicidal ideation and 13-67% of participants who endorsed a prior suicide attempt. The risk appeared independent of co-occurring mental disorders. Identified risk factors for suicide attempts in samples with somatic symptom and related disorders include scores on measures of anger, alexithymia, alcohol use, past hospitalizations, dissociation, and emotional abuse.CONCLUSION: Although the literature is sparse, there exists evidence for an association, even independent of other mental disorders, between somatic symptom and related disorders and suicide outcomes. Practice guidelines for the management of these disorders should incorporate recommendations for the assessment and management of suicide risk. Future study is necessary to more fully elucidate potential unique risk factors for those suffering from these complex disorders.
AB - OBJECTIVE: We sought to determine the frequency of and risk factors for suicide outcomes in somatic symptom and related disorders and whether any risk was independent of co-occurring mental disorders.METHODS: We conducted a systematic review of studies on suicide death, suicide attempts, and suicidal ideation in those with somatic symptom disorders published prior to September 22, 2020 and indexed in PubMED, MEDLINE, PsycARTICLES, PsycINFO, EMBASE, or SCOPUS according to PRISMA guidelines.RESULTS: Our search yielded 33 articles with significant heterogeneity in study design, sample selection, and assessment for suicide or risk factors. While suicide deaths have not been adequately studied, somatic symptom and related disorders are associated with increased risk for suicidal ideation and suicide attempts, with estimates ranging from 24 to 34% of participants who endorsed current active suicidal ideation and 13-67% of participants who endorsed a prior suicide attempt. The risk appeared independent of co-occurring mental disorders. Identified risk factors for suicide attempts in samples with somatic symptom and related disorders include scores on measures of anger, alexithymia, alcohol use, past hospitalizations, dissociation, and emotional abuse.CONCLUSION: Although the literature is sparse, there exists evidence for an association, even independent of other mental disorders, between somatic symptom and related disorders and suicide outcomes. Practice guidelines for the management of these disorders should incorporate recommendations for the assessment and management of suicide risk. Future study is necessary to more fully elucidate potential unique risk factors for those suffering from these complex disorders.
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Medically Unexplained Symptoms
KW - Risk Factors
KW - Suicide/psychology
U2 - 10.1016/j.jpsychores.2020.110290
DO - 10.1016/j.jpsychores.2020.110290
M3 - SCORING: Review article
C2 - 33227556
VL - 140
SP - 110290
JO - J PSYCHOSOM RES
JF - J PSYCHOSOM RES
SN - 0022-3999
ER -