Instituto de Neurociencias, Universidad de Granada, Avenida de Madrid 11, 18012 Granada, Spain.
Rheumatology (Oxford). 2011 Oct;50(10):1889-93. doi: 10.1093/rheumatology/ker203. Epub 2011 Jul 12.
Depression, chronic pain and sleep disturbances frequently co-exist in FM and have shown to be independently related with suicidal behaviours. The present survey was performed to evaluate the prevalence of previous suicide attempts in patients with FM and its potential relationship with sociodemographic and clinical characteristics of the disease.
A concise survey was sent to patients of seven associations of patients with FM. In addition to the inquiry concerning the number, if any, and characteristics of suicide attempts, the survey included questions about sociodemographic and clinical data of patients as well as the revised FM impact questionnaire (FIQR) and the Plutchik suicide risk scale.
One hundred and eighty patients answered the survey. Thirty (16.7%) of them reported one to three previous suicide attempts. Drug poisoning was the most frequently employed method for suicide attempt (70%). No relevant differences were found between suicide attempters and non-attempters in relation to age, education and marital status, but a significant difference was found in relation to employment status. Plutchik's scale scores, both in suicide attempters and non-attempters, were higher than those found in the literature. FIQR scores were significantly higher in suicide attempters than in non-attempters. A high-positive correlation was found between FIQR and Plutchik suicide risk scale scores. Pain, poor sleep quality, anxiety and depression were positively correlated with suicide risk.
FM is associated with an increased risk of suicide and suicide attempts. Suicidal behaviour seems to be related with the global severity of the disease.
抑郁、慢性疼痛和睡眠障碍在纤维肌痛（FM）中经常同时存在，并已被证明与自杀行为独立相关。本调查旨在评估 FM 患者既往自杀未遂的发生率及其与疾病的社会人口学和临床特征的潜在关系。
向七个 FM 患者协会的患者发送了一份简明调查。除了询问是否有自杀未遂以及其特征外，调查还包括患者的社会人口学和临床数据以及修订后的纤维肌痛影响问卷（FIQR）和普卢奇克自杀风险量表的问题。
180 名患者回答了调查。其中 30 名（16.7%）报告了 1 至 3 次既往自杀未遂。药物中毒是自杀未遂最常采用的方法（70%）。自杀未遂者和非未遂者在年龄、教育程度和婚姻状况方面没有差异，但在就业状况方面存在显著差异。自杀未遂者和非未遂者的普卢奇克量表评分均高于文献中的评分。FIQR 评分在自杀未遂者中明显高于非未遂者。FIQR 和普卢奇克自杀风险量表评分之间存在高度正相关。疼痛、睡眠质量差、焦虑和抑郁与自杀风险呈正相关。
FM 与自杀和自杀未遂的风险增加相关。自杀行为似乎与疾病的整体严重程度有关。
