Suicide and suicidality in somatic symptom and related disorders: A systematic review

Michael E Torres; Bernd Löwe; Samantha Schmitz; John N Pienta; Christina Van Der Feltz-Cornelis; Jess G Fiedorowicz

doi:10.1016/j.jpsychores.2020.110290

Suicide and suicidality in somatic symptom and related disorders: A systematic review

Standard

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, Vol. 140, 01.2021, p. 110290.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Torres, ME, Löwe, B, Schmitz, S, Pienta, JN, Van Der Feltz-Cornelis, C & Fiedorowicz, JG 2021, 'Suicide and suicidality in somatic symptom and related disorders: A systematic review', J PSYCHOSOM RES, vol. 140, pp. 110290. https://doi.org/10.1016/j.jpsychores.2020.110290

APA

Torres, M. E., Löwe, B., Schmitz, S., Pienta, J. N., Van Der Feltz-Cornelis, C., & Fiedorowicz, J. G. (2021). Suicide and suicidality in somatic symptom and related disorders: A systematic review. J PSYCHOSOM RES, 140, 110290. https://doi.org/10.1016/j.jpsychores.2020.110290

Vancouver

Torres ME, Löwe B, Schmitz S, Pienta JN, Van Der Feltz-Cornelis C, Fiedorowicz JG. Suicide and suicidality in somatic symptom and related disorders: A systematic review. J PSYCHOSOM RES. 2021 Jan;140:110290. https://doi.org/10.1016/j.jpsychores.2020.110290

Bibtex

@article{5b8552c29ed74b26a681ad8a7cfe3105,

title = "Suicide and suicidality in somatic symptom and related disorders: A systematic review",

abstract = "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.",

keywords = "Cross-Sectional Studies, Female, Humans, Male, Medically Unexplained Symptoms, Risk Factors, Suicide/psychology",

author = "Torres, {Michael E} and Bernd L{\"o}we and Samantha Schmitz and Pienta, {John N} and {Van Der Feltz-Cornelis}, Christina and Fiedorowicz, {Jess G}",

year = "2021",

month = jan,

doi = "10.1016/j.jpsychores.2020.110290",

language = "English",

volume = "140",

pages = "110290",

journal = "J PSYCHOSOM RES",

issn = "0022-3999",

publisher = "Elsevier Inc.",

}

RIS

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

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 -