ArticleJournal of oral & facial pain and headache2026
Psychological burden as the primary determinant of suicidal ideation in patients with temporomandibular disorders.
Article in Journal of oral & facial pain and headache, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAssessing suicidal ideation (SI) in patients with primary temporomandibular disorders (TMD) is crucial for its early identification and intervention. This study aimed to investigate the biopsychosocial factors associated with SI in the overall TMD sample and across subgroups of painful TMD patients.
methodsA total of 441 TMD patients were enrolled. TMD was diagnosed using the diagnostic criteria for TMD, and SI was assessed via item 9 of the Patient Health Questionnaire-9. SI prevalence was compared across painful TMD subgroups, stratified by pain duration, and classified according to the International Association for the Study of Pain (IASP) diagnostic criteria. Sociodemographic, Axis I and II, and pain characteristics were compared between the SI and non-SI groups using the Chi-square and Mann-Whitney tests. Binary logistic regression, incorporating pain persistence and depression, was performed to identify the key factors independently associated with SI.
resultsIn the overall TMD sample, encompassing both painful and non-painful patients, 8.2% reported SI. Among the painful TMD subgroups, SI prevalence was 5.7% in acute cases and 12.0% in chronic cases by pain duration, rising to 20.9% when chronic pain was defined by IASP criteria (
conclusionsThese findings highlight the substantial psychological burden in TMD patients, particularly those with chronic pain, and underscore the critical role of depression in SI. Incorporating routine biopsychosocial assessment and SI screening into TMD clinical practice is, therefore, highly recommended.
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