• David A Fishbain, Daniel Bruns, Laura J Meyer, John E Lewis, Jinrao Gao, and John Mark Disorbio.
• Department of Psychiatry, Miller School of Medicine at University of Miami, Miami, Florida 33136, USA. d.fishbain@miami.edu
• Pain Med. 2012 Apr 1;13(4):552-61.

HypothesisPassive, active, and historical suicidality are associated with preference for death over disability.DesignCommunity nonpatients without pain, community patients with pain, and patients with acute and chronic pain were compared for endorsement of disability perception and preference for death over disability. Phi correlations and chi-square analyses were calculated between preference for death over disability and six suicidality items representing passive, active, and historical suicidality. Logistic regression was used to predict preference for death over disability in patients with acute and chronic pain.ResultsFor patients with acute and chronic pain, endorsement of preference for death over disability correlated significantly with all six suicidality items. The logistic regression models identified the following variables as predictors for preference for death over disability in patients with acute pain: the Behavior Health Inventory (BHI 2) family dysfunction scale, history of wanting to die, and disability perception. For patients with chronic pain, predictors were the BHI 2 Borderline scale, history of wanting to die, treated fairly by family item, frequent suicide ideation, people I trust turn on me item, and disability perception. Preference for death over disability was a statistically significant predictor in patients with chronic pain for disability perception, recent suicide ideation, having a suicidal plan, and a history of wanting to die but was not a significant predictor for any suicide items in patients with acute pain.ConclusionPreference for death over disability is associated with passive and active suicide ideation and historical suicidality in patients with chronic pain.Wiley Periodicals, Inc.

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