Examining interactions between chronic pain, positive mental health and coping on past-year suicidal ideation in a Canadian sample
Notice bibliographique
Résumé
Chronic pain affects approximately 20% of the Canadian population and is related to increases in suicide-related outcomes. Protective factors for suicidal behaviours are understudied, yet they are an important area of research for promoting mental health and preventing suicide. This study examined the relationship between chronic pain and past-year suicidal ideation and the moderating roles of positive mental health and coping. Data were from the 2019/20 cycle of the Canadian Community Health Survey, a cross-sectional Canadian survey (n= 64,654). Chronic pain (yes/no), positive mental health (including self-rated mental health (low/high) and community belonging (low/high)), coping (low/high) and past-year suicidal ideation (yes/no) were measured using self-report survey questions. We used weighted logistic regression to assess relationships between chronic pain, self-rated mental health, community belonging, coping, and suicidal ideation adjusting for sociodemographic, mental health and substance use variables. Additive and multiplicative interactions were used to test moderation between chronic pain, positive mental health and coping on past-year suicidal ideation. Experiencing chronic pain was associated with increased odds of suicidal ideation (adjusted odds ratio [aOR] 2.32, 95% Confidence Interval [CI] 1.85- 2.90). High positive mental health and coping were protective factors for suicidal ideation (aORs of 0.13, 0.57 and 0.24, respectively). Additive interactions showed that experiencing chronic pain, along with low positive mental health or coping was associated with a higher odds of suicidal ideation than the sum of the individual associations. There were no significant multiplicative interactions. This study shows that chronic pain is associated with higher odds of suicidal ideation, and the odds were even higher for those who also reported low positive mental health or coping. In addition to facilitating reductions in chronic pain, providing individuals experiencing chronic pain with mental health support and coping skills may protect against suicidal ideation. Highlights • Chronic pain is a risk factor for suicidal ideation. • Positive mental health (PMH) and coping are protective for suicidal ideation. • Links between chronic pain and suicidal ideation are similar for males and females. • PMH moderates the relationship between chronic pain and suicidal ideation. • Coping moderates the relationship between chronic pain and suicidal ideation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».