1. Suicidal risk and resilience in juvenile fibromyalgia syndrome: a cross-sectional cohort study
- Author
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Nina H. Thomas, David D. Sherry, Kimberly S Miller, Pamela F. Weiss, Rui Xiao, Sabrina Gmuca, Jeffrey S. Gerber, Maitry Sonagra, and Jami F. Young
- Subjects
Male ,medicine.medical_specialty ,Fibromyalgia ,lcsh:Diseases of the musculoskeletal system ,Adolescent ,Chronic pain ,Logistic regression ,Suicidality ,Suicidal Ideation ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Risk Factors ,Surveys and Questionnaires ,medicine ,Humans ,Psychology ,Immunology and Allergy ,Child ,Psychiatry ,Suicidal ideation ,Depression (differential diagnoses) ,Psychiatric Status Rating Scales ,030203 arthritis & rheumatology ,Resilience ,business.industry ,lcsh:RJ1-570 ,lcsh:Pediatrics ,Syndrome ,Resilience, Psychological ,medicine.disease ,Mental health ,Adolescence ,Cross-Sectional Studies ,Logistic Models ,Pediatrics, Perinatology and Child Health ,Pain Clinics ,Anxiety ,Female ,medicine.symptom ,lcsh:RC925-935 ,business ,Psychosocial ,Juvenile fibromyalgia ,030217 neurology & neurosurgery ,Research Article ,Cohort study - Abstract
BackgroundTo characterize suicidality among youth with juvenile fibromyalgia syndrome (JFMS) receiving treatment from pediatric rheumatologists at a tertiary care center in order to determine the prevalence of suicidality in JFMS and to explore risk factors for persistent suicidal ideation.MethodsWe performed a cross-sectional cohort study of children 12–17 years old with JFMS seen in a specialty pediatric rheumatology pain clinic from 7/2017–9/2019. All subjects completed patient-reported outcomes measures, complemented by retrospective chart review. Subjects who endorsed item 8 on the Children’s Depression Inventory, 2nd Edition (CDI-2) were categorized as endorsing suicidal ideation. We assessed for differences between the suicidal and non-suicidal patients using Wilcoxon-rank sum test. Logistic regression modeling was performed to identify psychosocial factors associated with suicidality.ResultsOf the 31 subjects, more than one-quarter endorsed suicidality. Nearly 90% of teens with suicidal ideation were established in outpatient counseling. In bivariate analyses, suicidality was associated with lower resilience and greater depression and anxiety (allp p = 0.06). Lower resilience was independently associated with suicidality (OR: 0.90 [95% CI: 0.82–0.98];p ConclusionsSuicidality was prevalent among youth with JFMS and persistent despite concurrent receipt of mental health services. Higher patient-level resilience was independently associated with a reduced odds of suicidality. Future work should examine the role of resilience training on reducing psychological distress and mitigating the risk of suicidality in JFMS.
- Published
- 2021