VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, MI, USA.
Suicide Life Threat Behav. 2010 Dec;40(6):597-608. doi: 10.1521/suli.2010.40.6.597.
Using data from the 1999 Large Health Survey of Veterans, Veterans Affairs' medical records, and the National Death Index (N = 260,254), the association between self-reported pain severity and suicide among veterans as examined, after accounting for demographic variables and psychiatric diagnoses. A Cox proportional hazards regression demonstrated that veterans with severe pain were more likely to die by suicide than patients experiencing none, mild, or moderate pain (HR: 1.33; 95% CI: 1.15, 1.54), after controlling for demographic and psychiatric characteristics. These results indicate that pain evaluations should be included in comprehensive suicide assessments and suicide prevention efforts.
利用退伍军人 1999 年大型健康调查、退伍军人事务部的医疗记录和国家死亡指数的数据（N=260254），在考虑人口统计学变量和精神科诊断的情况下，研究了退伍军人自我报告的疼痛严重程度与自杀之间的关联。Cox 比例风险回归表明，在控制了人口统计学和精神科特征后，疼痛剧烈的退伍军人自杀的可能性高于无疼痛、轻度或中度疼痛的患者（HR：1.33；95%CI：1.15，1.54）。这些结果表明，疼痛评估应该纳入全面的自杀评估和预防自杀的努力中。
