Suicidal Ideation Profiles in Patients with Fibromyalgia Using Transdiagnostic Psychological and Fibromyalgia-Associated Variables.
Several studies have emphasized the heterogeneity of fibromyalgia patients. Furthermore, fibromyalgia patients are considered a high-risk suicide group. The ideation-to-action framework proposes a set of transdiagnostic psychological factors involved in the development of suicidal ideation. The present study aims to explore the existence of different subgroups according to their vulnerability to suicidal ideation through these transdiagnostic psychological variables and a set of variables typically associated with fibromyalgia. In this cross-sectional study, 151 fibromyalgia patients were assessed through the Revised Fibromyalgia Impact Questionnaire, Beck Depression Inventory-II, Plutchik Suicide Risk Scale, Interpersonal Needs Questionnaire, Defeat Scale, Entrapment Scale, Psychache Scale, and Beck Hopelessness Scale. A K-means cluster analysis identified two clusters, one (45.70%) according to a low vulnerability, and a second (54.30%) with a high vulnerability to suicidal ideation. These clusters showed statistically significant differences in suicidal ideation and suicide risk. However, no differences were observed in most socio-demographic variables. In conclusion, fibromyalgia patients who present a clinical condition characterized by a moderate-high degree of physical dysfunction, overall disease impact and intensity of fibromyalgia-associated symptoms, along with a high degree of perceived burdensomeness, thwarted belongingness, defeat, entrapment, psychological pain and hopelessness, form a homogeneous group at high risk for suicidal ideation.
['Ordóñez-Carrasco|Jorge L|JL|0000-0002-2259-2639', 'Sánchez-Castelló|María|M|', 'Calandre|Elena P|EP|0000-0003-2469-4564', 'Cuadrado-Guirado|Isabel|I|0000-0002-0946-2696', 'Rojas-Tejada|Antonio J|AJ|']
D003430:Cross-Sectional Studies D005260:Female D005356:Fibromyalgia D006801:Humans D007398:Interpersonal Relations D008297:Male D011582:Psychological Theory D012307:Risk Factors D059020:Suicidal Ideation D013405:Suicide
suicidal ideation suicide profiles fibromyalgia transdiagnostic psychological factors