Pain, functional disability and mental disorders as potential mediators of the association between chronic physical conditions and suicidal ideation in community living older adults

Vasiliadis, Helen‐Maria; D’Aiuto, Carina; Lamoureux‐Lamarche, Catherine; Pitrou, Isabelle; Guerra, Samantha Gontijo; Berbiche, Djamal

doi:10.1080/13607863.2021.1913478

Cited by 6 publications

(2 citation statements)

References 83 publications

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“…Current pain severity was self‐reported at baseline using a three‐level ordinal scale: no/low, moderate, or extreme pain or discomfort 29 . The type of pain was also ascertained in the 3 years before baseline using diagnostic codes (Table ) and included inflammatory, nociceptive, neuropathic, nociplastic, and other pain 30 …”

Section: Methodsmentioning

confidence: 99%

Factors associated with potentially inappropriate opioid use in community‐living older adults consulting in primary care

D’Aiuto

Lunghi

Guénette

et al. 2022

Int J Geriat Psychiatry

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Objective To study the factors associated with opioid use and potentially inappropriate opioid use (PIOU) in primary care older adults with non‐cancer pain referring to the conceptual framework developed by the American Agency for Healthcare Research and Quality. Methods This is a secondary analysis of health survey and medico‐administrative data from Québec, Canada. Individuals aged ≥65 were recruited between 2011 and 2013 in primary care clinics to participate in face‐to‐face interviews. The sample included 945 older adults without a malignant tumor over the study period or any tumor in the 2 years surrounding opioid use. Opioid use within a 3 year follow‐up period was identified from the public drug plan database. Potentially inappropriate opioid use (PIOU) was defined using the American Geriatrics Society Beers 2019 list. Multinomial regression analyses were performed to study the factors (patient, pain, substance use, provider, healthcare system) associated with opioid use and PIOU. Results In this sample of older adults, 26.2% used an opioid and 18.4% were categorized as PIOU. Factors associated with PIOU compared to opioid use included female sex, higher psychological distress, number of emergency department visits, and recruitment type of healthcare practice. Factors associated with PIOU compared to no use included female sex, country of origin, presence of a trauma, physical/psychiatric multimorbidity, number of outpatient consultations, pain severity/type, and number of prescribers. Conclusions Mental health and health system factors were associated with PIOU. Results highlights the importance of a multidisciplinary approach for pain management, and the urgent need for implementing organizational efforts to optimize opioid use in primary care.

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Section: Methodsmentioning

confidence: 99%

Factors associated with potentially inappropriate opioid use in community‐living older adults consulting in primary care

D’Aiuto

Lunghi

Guénette

et al. 2022

Int J Geriat Psychiatry

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“…Suicidal ideation is known to be associated with the presence of mental disorders (Nock et al, 2009) with increased burden of disease (Jaffe et al, 2019), disability, physical illnesses (Alexopoulos et al, 2009; Lutz et al, 2016; Vasiliadis, D’Aiuto et al, 2022), and decrease in quality of life (Goldney et al, 2001). In a national vital statistics registry study in the US on 174,001 adult suicide decedents, 58% had no known mental illness, while 9% and 33% had a known severe mental illness and other mental disorder (Schmutte et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Husky

Léon

Roscoät

et al. 2023

Int J Soc Psychiatry

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Background: The objective of the study is to assess the sociodemographic and clinical factors associated with past-year medication use and/or psychotherapy among adults with suicidal ideation in the past 12 months. Methods: Data were drawn from the 2017 Health Barometer survey, a large computer-assisted telephone survey on a representative sample of the general population aged 18 to 75 years living in metropolitan France ( n = 25,319). Logistic and multinomial regression analyses were used to study past-year medication use and/or psychotherapy as a function of sociodemographic and clinical factors. Analyses were restricted to individuals reporting suicidal ideation in the past year ( n = 1,148). Results: Overall, 43.6% of adults with suicidal ideation reported no treatment for a mental health reason in the past year; 36.6% reported using medication only, 4.8% psychotherapy only, and 15.0% both. Sociodemographic and clinical factors associated with increased probability of treatment varied as a function of the type of treatment received. Adjusting for key factors including clinical factors, older adults with suicidal ideation were more likely than younger adults to receive medication only. Conclusions: The findings point to differential inequalities in access to medication and psychotherapy among adults with suicidal ideation in the general population of France.

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Factors associated with late-life psychosis in primary care older adults without a diagnosis of dementia

Vasiliadis

Pitrou

Lamoureux‐Lamarche

et al. 2021

Soc Psychiatry Psychiatr Epidemiol

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Pain, functional disability and mental disorders as potential mediators of the association between chronic physical conditions and suicidal ideation in community living older adults

Abstract: functional disability and mental disorders as potential mediators of the association between chronic physical conditions and suicidal ideation in community living older adults.

Cited by 6 publications

References 83 publications

Factors associated with potentially inappropriate opioid use in community‐living older adults consulting in primary care

Factors associated with potentially inappropriate opioid use in community‐living older adults consulting in primary care

Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Factors associated with late-life psychosis in primary care older adults without a diagnosis of dementia

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