SynthesisJournal of psychosomatic research2021
Suicide and suicidality in somatic symptom and related disorders: A systematic review.
Synthesis in Journal of psychosomatic research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Prevalence of suicidal thoughts and behaviors among individuals with mental disorders in Africa: a systematic review and meta-analysis of the past 25 years.BMC psychiatry · 2026Pooled it
- Irritable bowel syndrome and suicide risk among adolescents: a prospective cohort study.The Lancet regional health. Western Pacific · 2026Article
- Prediction of self-harm in people with newly-diagnosed depression: development and validation of risk prediction models.Molecular psychiatry · 2026Article
- Article
- Comparative Evaluation of Pretrained Large Language Models for Suicide Risk Prediction from Clinical Notes in U.S. Veterans.medRxiv : the preprint server for health sciences · 2026Article
- Suicidal Behavior Patterns and Correlates in High-Risk Adults After Emergency Department Discharge: A One-Year Prospective Study.Suicide & life-threatening behavior · 2026Article
- Correlation between clinical features of acute episode of major depressive disorder and hypothalamic-pituitary-adrenal axis (HPA) function: a cross-sectional study.BMC psychiatry · 2026Article
- Identifying past-year self-reported suicidality in outpatients with somatic symptom disorder using an interpretable machine-learning model: a multicenter study with an online calculator.BMC psychiatry · 2026Observational
- Understanding the interplay between somatic symptoms, depression, self-efficacy, and suicide risk among Latinx college students.Journal of affective disorders · 2026Article
- The Network Ties between Sleep Quality, Suicidality, and Psychopathology.Neuropsychobiology · 2026Article
- Direct and indirect associations of hypochondriasis with suicidality in psychiatric outpatients: mediating roles of anxiety and depression.Frontiers in psychiatry · 2026Article
- Different faces of anxiety in sexual dysfunction: key features, effective interventions, and critical implications for health care professionals-ESSM position statements.Sexual medicine · 2025Review
- The often missed diagnosis of somatic symptom disorder in sexual dysfunction: recognizing symptoms and management tips for clinicians.International journal of impotence research · 2025Article
- The epidemiology of ICD-11 bodily distress disorder and DSM-5 somatic symptom disorder in new large-scale population surveys within the World Mental Health Survey Initiative.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Associations between somatic symptoms and suicidal behavior: a cohort study in Chinese adolescents.BMC psychology · 2025Article
- Network Analysis of Psychopathological Dimensions in Patients with and Without Suicidal Ideation.Behavioral sciences (Basel, Switzerland) · 2025Article
- Network Analysis of Anxiety, Insomnia, Depression, and Suicide Attempts in Chinese Outpatients with Somatic Symptom Disorder.Neuropsychiatric disease and treatment · 2025Article
- The overlooked burden of persistent physical symptoms: a call for action in European healthcare.The Lancet regional health. Europe · 2025Review
- The impact of depression and anxiety on the correlation between somatic symptom disorder and subjective cognitive decline in the Chinese elderly population: an exploration by simple, serial, and moderated mediation models.Frontiers in psychology · 2025Article
- Longitudinal association between somatic symptoms and suicidal ideation in adults with major depressive disorder.Frontiers in psychiatry · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 4 countries.
Funding
Abstract
objectiveWe sought to determine the frequency of and risk factors for suicide outcomes in somatic symptom and related disorders and whether any risk was independent of co-occurring mental disorders.
methodsWe conducted a systematic review of studies on suicide death, suicide attempts, and suicidal ideation in those with somatic symptom disorders published prior to September 22, 2020 and indexed in PubMED, MEDLINE, PsycARTICLES, PsycINFO, EMBASE, or SCOPUS according to PRISMA guidelines.
resultsOur search yielded 33 articles with significant heterogeneity in study design, sample selection, and assessment for suicide or risk factors. While suicide deaths have not been adequately studied, somatic symptom and related disorders are associated with increased risk for suicidal ideation and suicide attempts, with estimates ranging from 24 to 34% of participants who endorsed current active suicidal ideation and 13-67% of participants who endorsed a prior suicide attempt. The risk appeared independent of co-occurring mental disorders. Identified risk factors for suicide attempts in samples with somatic symptom and related disorders include scores on measures of anger, alexithymia, alcohol use, past hospitalizations, dissociation, and emotional abuse.
conclusionAlthough the literature is sparse, there exists evidence for an association, even independent of other mental disorders, between somatic symptom and related disorders and suicide outcomes. Practice guidelines for the management of these disorders should incorporate recommendations for the assessment and management of suicide risk. Future study is necessary to more fully elucidate potential unique risk factors for those suffering from these complex disorders.
Indexed as
Identifiers
What OpenQuestion holds
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.