{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:56:48Z","timestamp":1790755008581,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009187","name":"Medical Research Foundation","doi-asserted-by":"publisher","award":["MRF\u2010FEL\u2010CAMPCF\u201023\u2010105"],"award-info":[{"award-number":["MRF\u2010FEL\u2010CAMPCF\u201023\u2010105"]}],"id":[{"id":"10.13039\/501100009187","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["MRF\u2010FEL\u2010CAMPCF\u201023\u2010105"],"award-info":[{"award-number":["MRF\u2010FEL\u2010CAMPCF\u201023\u2010105"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["23390"],"award-info":[{"award-number":["23390"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Paediatric and Neonatal Pain"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic pain is increasingly recognized as an independent correlate of suicidality in adolescence, yet most evidence comes from community\u2010based studies. This observational, cross\u2010sectional study (NCT04261114) explored the prevalence and correlates of suicidal distress in a pediatric pain service. Adolescents with chronic pain (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200977; 12\u201318\u2009years; 79% female; 96% musculoskeletal pain) completed questionnaires on their pain experience and suicidal distress, including perceived burdensomeness, hopelessness, and self\u2010harm thoughts and behaviors. Self\u2010harm thoughts and behaviors were common (past two\u2010week thoughts\u2009=\u200927%, behaviors\u2009=\u20097%; lifetime thoughts\u2009=\u200958%, behaviors\u2009=\u200947%), with prevalence increasing from mid\u2010adolescence. Perceived burdensomeness and hopelessness were strongly associated with past two\u2010weeks and lifetime self\u2010harm thoughts and behaviors (perceived burdensomeness:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.31\u20130.55; hopelessness:\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.30\u20130.44). After adjustment for sadness and correction for multiple comparisons, higher perceived burdensomeness was associated with greater social impairment (adjusted risk ratio [aRR]\u2009=\u20091.24 [1.09\u20131.41]) and pain\u2010related cognitive intrusions (aRR\u2009=\u20091.25 [1.08\u20131.44]). Similarly, higher levels of hopelessness were associated with higher daily impairment (aRR\u2009=\u20091.21 [1.08\u20131.37]), especially social impairment (aRR\u2009=\u20091.32 [1.17\u20131.48]), and pain\u2010related cognitive intrusions (aRR\u2009=\u20091.26 [1.12\u20131.42]). Pain intensity and physical impairment were not associated with suicidal distress outcomes. Exploratory analyses identified additional correlates associated with hopelessness and self\u2010harm thoughts and behaviors (e.g., constant pain with pain flares, multiple pain locations and widespread pain, greater endorsement of affective and sensory pain descriptors). Suicidal distress is common in pediatric pain services, highlighting the need for routine assessments and integrated psychological support.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    The study was prospectively registered on\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                    (\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT04261114?term=NCT04261114&amp;rank=1\">NCT04261114<\/jats:ext-link>\n                    dated 07\/02\/2020)\n                  <\/jats:p>","DOI":"10.1002\/pne2.70046","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:01:48Z","timestamp":1790751708000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Correlates of Suicidal Distress in Adolescents in a Chronic Pain Service"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7722-2064","authenticated-orcid":false,"given":"Verena","family":"Hinze","sequence":"first","affiliation":[{"name":"Department of Psychiatry Warneford Hospital, University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8844-1323","authenticated-orcid":false,"given":"Bergljot","family":"Gjelsvik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Warneford Hospital, University of Oxford  Oxford UK"},{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Crane","sequence":"additional","affiliation":[{"name":"City and South Learning Disability Team Oxford Health NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konrad","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Oxford Centre for Children and Young People in Pain, Children's Hospital Oxford University Hospitals NHS Foundation Trust  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003267"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.016"},{"key":"e_1_2_13_4_1","unstructured":"World Health Organization \u201cAdolescent Health \u201d (2026) https:\/\/www.who.int\/health\u2010topics\/adolescent\u2010health#tab=tab_1."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(18)30022-1"},{"key":"e_1_2_13_6_1","unstructured":"Oxford University Hospitals NHS Foundation Trust \u201cCommunity Paediatrics Referrals \u201d (2026) https:\/\/www.ouh.nhs.uk\/services\/referrals\/paediatrics\/community\/."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30277-7"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.3039"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30925-9"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2017.08.020"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30267-6"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291705006859"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2025.116371"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.05.100"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101778"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000003769"},{"issue":"15","key":"e_1_2_13_17_1","first-page":"1","article-title":"Exploring the Relationship Between Pain and Self\u2010Harm Thoughts and Behaviours in Young People Using Network Analysis","volume":"52","author":"Hinze V.","year":"2021","journal-title":"Psychological Medicine"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000451"},{"key":"e_1_2_13_19_1","volume-title":"Why People Die by Suicide","author":"Joiner T. 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