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Cited 37 time in webofscience Cited 47 time in scopus
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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
Issue Date
Sep-2019
Publisher
SAGE Publications
Keywords
Cluster headache; suicide; disease burden; comorbidity
Citation
Cephalalgia, v.39, no.10, pp 1249 - 1256
Pages
8
Indexed
SCI
SCIE
SCOPUS
Journal Title
Cephalalgia
Volume
39
Number
10
Start Page
1249
End Page
1256
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/1670
DOI
10.1177/0333102419845660
ISSN
0333-1024
1468-2982
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.
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