ArticleThe journal of pain2018
Chronic Pain, TBI, and PTSD in Military Veterans: A Link to Suicidal Ideation and Violent Impulses?
Article in The journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Prevalence of suicidal behavior in patients with chronic pain: a systematic review and meta-analysis of observational studies.Frontiers in psychology · 2023Pooled it
- Therapeutic benefits of pharmacologic and nonpharmacologic treatments for depressive symptoms after traumatic brain injury: a systematic review and network meta-analysis.Journal of psychiatry & neuroscience : JPN · 2021Pooled it
- Posttraumatic Stress Disorder, Suicidal Ideation, and Suicidal Self-Directed Violence Among U.S. Military Personnel and Veterans: A Systematic Review of the Literature From 2010 to 2018.Frontiers in psychology · 2020Pooled it
- The Effect of Antidepressants on Depression After Traumatic Brain Injury: A Meta-analysis.The Journal of head trauma rehabilitationPooled it
- Examining Overlap in Nonpartner Aggression and Intimate Partner Violence Among Veterans.Violence and victims · 2026Trial
- Mobile Neurofeedback for Pain Management in Veterans with TBI and PTSD.Pain medicine (Malden, Mass.) · 2021Trial
- Development and evaluation of an 1-day Acceptance and Commitment Therapy workshop for Veterans with comorbid chronic pain, TBI, and psychological distress: Outcomes from a pilot study.Contemporary clinical trials · 2020Trial
- Guidance for simultaneous treatment of chronic pain and PTSD: a Delphi study.Journal of behavioral medicine · 2026Article
- Scoping review of risk factors, cognitive and mental health effects, and interventions for chronic pain among military veterans.Discover mental health · 2026Review
- Using Implementation Science to Improve Health Care Access and Quality for People With Traumatic Brain Injury-Related Morbidity (I-HEAL): Protocol for a Translational Multiproject Program Award.JMIR research protocols · 2026Article
- Suicide-related outcomes in veterans with post-traumatic headache: a retrospective cohort study.Lancet regional health. Americas · 2026Article
- Editorial: Neurological and neuropsychiatric disorders affecting military personnel and veterans, volume II.Frontiers in neurology · 2026Article
- Repetitive Blast Exposure Drives Chronic Pain in Female Rats.Journal of neuroscience research · 2025Article
- The Polytrauma Clinical Triad Among Women with a History of Intimate Partner Violence.Journal of neurotrauma · 2025Article
- Traumatic Brain Injury and Suicidal Thoughts and Behaviors among Post-9/11 Veterans: Investigating Longitudinal Change and Interactions with Mental Health.Psychiatry research · 2025Article
- Knowledge, mechanisms, and intervention of the polytrauma clinical triad in military pain medicine.The Korean journal of pain · 2025Review
- Veterans at High Risk for Post-COVID-19 Suicide Attempts or Other Self-Directed Violence.JAMA network open · 2025Article
- Veterans in Northern Ireland: Evaluation of chronic pain experience, service type, and physical and mental health functioning.British journal of pain · 2025Article
- Suicide and suicidality in Australian Defence Force veterans: A systematic scoping review.The Australian and New Zealand journal of psychiatry · 2024Article
- Co-occurring Chronic Pain and PTSD Among US Military Veterans: Prevalence, Correlates, and Functioning.Journal of general internal medicine · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
The polytrauma clinical triad refers to the co-occurrence of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD). Despite research implicating dyadic relationships between these conditions and adverse outcomes, scant research has examined the polytrauma clinical triad's relation to suicide or violence. The present cross-sectional study was designed to examine whether this complex clinical presentation increases risk of suicidal ideation and violent impulses after accounting for other established risk factors. Veterans who served in the military since September 11, 2001 (N = 667) who reported chronic pain completed an interview and self-report battery. Bivariate analyses showed that suicidal ideation and violent impulses both correlated with PTSD, TBI+PTSD, pain intensity and interference, drug abuse, and major depressive disorder (MDD). Multiple regression analyses showed that: 1) race, chronic pain with PTSD, alcohol abuse, and MDD significantly predicted suicidal ideation, 2) pain interference, chronic pain with TBI, chronic pain with PTSD, chronic pain with TBI+PTSD, drug abuse, and MDD significantly predicted violent impulses, and 3) pain interference was a more critical predictor of suicidal and violent ideation than pain intensity. Implications for risk assessment and treatment are discussed. PERSPECTIVE: This article presents results from a study examining predictors of suicide and violence risk among a sample of post-9/11 U.S. Veterans with chronic pain. Health care professionals should assess for pain interference, TBI, PTSD, depression, and alcohol/drug abuse when conducting risk assessments with this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.