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Published in:

01-04-2018 | Review

Suicidal behaviors in patients with rheumatic diseases: a narrative review

Authors: Elena P. Calandre, Fernando Rico-Villademoros, Mahmoud Slim

Published in: Rheumatology International | Issue 4/2018

Abstract

Chronic rheumatic disorders are characterized by inflammation and chronic pain, and both anxiety and depression have been frequently observed in these patients. Depression and chronic pain are recognized as risk factors for the development of suicidal behaviors. Accordingly, the objective of the present review is to provide a comprehensive review of suicidal behaviors associated with rheumatic diseases. Medline and EMBASE were searched for English language publications using key words related with rheumatic diseases, suicide, suicide attempts, and suicidal ideation. 34 records (30 full-length published papers and 4 studies published in abstract form) that included data related to the frequency and/or potential determinants of suicidal behaviors in rheumatic diseases were included in the review. It was found that both suicidal ideation and completed suicide seem to be more frequent in patients experiencing systemic lupus erythematosus, fibromyalgia and arthritis. Major determinants were comorbid depression in fibromyalgia and arthritis, and neuropsychiatric disease in systemic lupus erythematosus. Based on these findings, suicide risk should be assessed in patients suffering from systemic lupus erythematosus, fibromyalgia and/or arthritis.

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Title: Suicidal behaviors in patients with rheumatic diseases: a narrative review
Authors: Elena P. Calandre
Fernando Rico-Villademoros
Mahmoud Slim
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Rheumatology International / Issue 4/2018
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-017-3909-9

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