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Association Between Lifetime Headache and History of Suicide Attempts in the Elderly

Published online by Cambridge University Press:  31 January 2017

R. Calati ,
P. Courtet ,
J. Norton ,
K. Ritchie  and
S. Artero
R. Calati*
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France FondaMental Foundation, Créteil, France Department of Emergency Psychiatry and Post Acute Care, CHU Montpellier, Hôpital Lapeyronie, 371, avenue Gaston-Giraud, 34295Montpellier, France
P. Courtet
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France FondaMental Foundation, Créteil, France Department of Emergency Psychiatry and Post Acute Care, CHU Montpellier, Hôpital Lapeyronie, 371, avenue Gaston-Giraud, 34295Montpellier, France
J. Norton
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France
K. Ritchie
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France Centre for Clinical Brain Sciences, University of Edinburgh, 49, Little France Crescent, EH16 4SBEdinburgh, Scotland
S. Artero
Affiliation:
Inserm U1061 - Hôpital La Colombière, Pavillon 42, 39, avenue Charles-Flahault, B.P. 34493 34093Montpellier Cedex 5, France University of Montpellier, 34000Montpellier, France
*
⁎Corresponding author. Inserm U1061, University of Montpellier UM1, Montpellier, France. E-mail address:raffaella.calati@gmail.com (R. Calati).
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Abstract

Background

Pain-related conditions have been reported to play a key role among risk factors for suicide. Headache in particular has been repeatedly associated with suicidal thoughts and behaviors. The aims of this study were: 1) to assess the association between lifetime headache (both non-migrainous headache and migraine) and lifetime suicide attempts (SA); 2) to differentiate, within subjects with lifetime SA, patients with and without lifetime headache in terms of socio-demographic and clinical features.

Methods

We studied 1965 subjects from a cohort of community-dwelling persons aged 65 years and over without dementia (the ESPRIT study), divided in two groups: those with (n = 75), and those without a lifetime SA (n = 1890). Logistic regression analyses were used to compare these groups according to lifetime headache status.

Results

After adjusting for gender, living alone, tobacco and alcohol consumption, and depressive, manic/hypomanic and anxiety disorders, lifetime headache frequency was significantly higher in subjects with a lifetime SA compared with controls (OR = 1.92 [1.17–3.15]). Additionally, different factors were identified as being associated with lifetime SA in participants with lifetime headache (female gender, a lower level of high-density lipoprotein cholesterol, insomnia, lifetime major depression) versus participants without headache (glycemia and lifetime major depression).

Conclusions

Lifetime headache was associated with lifetime SA. Subjects who are women and report the co-occurrence of headache and insomnia as well as lifetime major depression require higher attention and a careful screening for suicidal thoughts and behaviors.

Keywords

HeadacheSuicideCommunity Mental healthElderly
Type
Original article
Information
European Psychiatry , Volume 41 , Issue 1 , March 2017 , pp. 132 - 139
Copyright
Copyright © European Psychiatric Association 2017

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