Suicidal Ideation Profiles in Patients with Fibromyalgia Using Transdiagnostic Psychological and Fibromyalgia-Associated Variables

Jorge L. Ordóñez-Carrasco, María Sánchez-Castelló, Elena P. Calandre, Isabel Cuadrado-Guirado and Antonio J. Rojas-Tejada
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Jorge L. Ordóñez-Carrasco: Department of Psychology, University of Almería, 04120 Almería, Spain
María Sánchez-Castelló: Department of Psychology, University of Almería, 04120 Almería, Spain
Elena P. Calandre: Instituto de Neurociencias “F. Oloriz”, University of Granada, 18013 Granada, Spain
Isabel Cuadrado-Guirado: Department of Psychology, University of Almería, 04120 Almería, Spain
Antonio J. Rojas-Tejada: Department of Psychology, University of Almería, 04120 Almería, Spain

IJERPH, 2020, vol. 18, issue 1, 1-14

Abstract: 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.

Keywords: suicidal ideation; suicide; fibromyalgia; profiles; transdiagnostic psychological factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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