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Increased suicidality in patients with cluster headache

Title
Increased suicidality in patients with cluster headache
Authors
Lee, Mi JiCho, Soo-JinPark, Jeong WookChu, Min KyungMoon, Heui-SooChung, Pil-WookChung, Jae MyunSohn, Jong-HeeKim, Byung-KunKim, Byung-SuKim, Soo-KyoungSong, Tae-JinChoi, Yun-JuPark, Kwang-YeolOh, KyungmiAhn, Jin-YoungLee, Kwang-SooCho, SoohyunChung, Chin-Sang
Ewha Authors
송태진
SCOPUS Author ID
송태진scopus
Issue Date
2019
Journal Title
CEPHALALGIA
ISSN
0333-1024JCR Link

1468-2982JCR Link
Citation
CEPHALALGIA vol. 39, no. 10, pp. 1249 - 1256
Keywords
Cluster headachesuicidedisease burdencomorbidity
Publisher
SAGE PUBLICATIONS LTD
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Objective To investigate suicidality related to cluster headache and factors associated with increased suicidality in cluster headache patients. Methods In this multicenter study, 193 cluster headache patients were recruited between September 2016 and August 2018. Patients were asked about their suicidality during and between attacks, specifically about passive suicidal ideation, active suicidal ideation, suicide plan, and suicide attempt. Univariable and multivariable logistic regression analyses were performed to evaluate the factors associated with high ictal suicidality (sum of positive response >= 2). Patients were followed up when they were in the between-bouts period. Results A total of 175 cluster headache patients in the in-bout period were included in this study. Passive suicidal ideation, active suicidal ideation, suicidal planning, and suicidal attempt were reported by 111 (64.2%), 62 (35.8%), 10 (5.8%), and four (2.3%) patients during attacks; seven (4.0%), six (3.5%), five (2.9%) and two (1.2%) patients interictally; and none (0%), one (1.9%), one (1.9%), and none (0%) among patients in the between-bouts period. Factors associated with high ictal suicidality were longer disease duration, the Headache Impact Test score, and the Patient Health Question-9 score (multivariable OR = 1.90 per 10-year increase in disease duration, 95% CI = 1.18-3.05, p = 0.008; multivariable OR = 3.19 per 10-point increase in HIT-6, 95% CI = 1.73-5.87, p < 0.001; multivariable OR = 2.11 per 10-point increase in PHQ-9, 95% CI = 1.13-3.95, p = 0.020, respectively). Conclusions Cluster headache attack carries a high suicidality compared to the interictal or between-bouts state. An intensive treatment to reduce cluster headache burden may be helpful to alleviate suicide risk in cluster headache patients.
DOI
10.1177/0333102419845660
Appears in Collections:
의과대학 > 의학과 > Journal papers
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