{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:21:32Z","timestamp":1782260492532,"version":"3.54.5"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objectives. The perception of being a burden or self-perceived burden (SPB) is associated with suicide ideation in chronic pain patients (CPPs). The objective of this study was to determine if SPB is associated with five types of suicidality (wish to die, active suicide ideation, presence of suicide plan, history of suicide attempts, and preference for death over being disabled) in CPPs and acute pain patients (APPs).<\/jats:p>\n                  <jats:p>Methods. Affirmation of SPB was statistically compared between community nonpatients without pain (CNPWP), APPs, and CPPs. APPs and CPPs who had affirmed any of the five types of suicidality were compared statistically for affirmation of SPB. Hierarchical regression analysis was utilized to determine the significance of SPB in predicting each of the five types of suicidality in APPs and CPPs controlling for age, gender, race, education status, and two types of measures of depression (current depression and vegetative depression).<\/jats:p>\n                  <jats:p>Results. APPs and CPPs were statistically more likely to affirm SPB than CNPWPs and CPPs were more likely than APPs to do so. There were no differences between APPs and CPPs in affirming SPB in APPs and CPPs who had affirmed any of the five types of suicidality. In CPPs, SPB predicted each type of suicidality in a significant fashion utilizing both types of depression measures. For APPs, SPB predicted each type of suicidality in a significant fashion except for history of\u00a0suicide attempt controlling for vegetative depression.<\/jats:p>\n                  <jats:p>Conclusions. SPB is associated with the vast majority of different types of suicidality in APPs and CPPs.<\/jats:p>","DOI":"10.1111\/pme.12889","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T14:20:38Z","timestamp":1441203638000},"page":"530-538","source":"Crossref","is-referenced-by-count":10,"title":["The Perception of Being a Burden in Acute and Chronic Pain Patients Is Associated with Affirmation of Different Types of Suicidality"],"prefix":"10.1093","volume":"17","author":[{"given":"David A.","family":"Fishbain","sequence":"first","affiliation":[{"name":"*Departments of *Psychiatry"},{"name":"\u2020 Neurological Surgery"},{"name":"\u2021 Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida"},{"name":"\u00a7 Department of Psychiatry at Miami Veterans Administration Hospital, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Bruns","sequence":"additional","affiliation":[{"name":"\u00b6 Health Psychology Associates, Greeley, Colorado"},{"name":"\u2016 Integrated Therapies, Lakewood, Colorado"},{"name":"\u2016| University of Denver, Graduate School of Professional Psychology, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Bruns","sequence":"additional","affiliation":[{"name":"\u00b6 Health Psychology Associates, Greeley, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinrun","family":"Gao","sequence":"additional","affiliation":[{"name":"****American International Group, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Lewis","sequence":"additional","affiliation":[{"name":"*Departments of *Psychiatry"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura J.","family":"Meyer","sequence":"additional","affiliation":[{"name":"\u2016| University of Denver, Graduate School of Professional Psychology, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Mark","family":"Disorbio","sequence":"additional","affiliation":[{"name":"\u00b6 Health Psychology Associates, Greeley, Colorado"},{"name":"\u2016| University of Denver, Graduate School of Professional Psychology, Denver, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,9,1]]},"reference":[{"key":"2025112723364849500_pme.12889-B1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.socscimed.2006.09.013","article-title":"Feeling like a burden: Exploring the perspectives of patients at the end of life","volume":"64","author":"McPherson","year":"2007","journal-title":"Soc Sci Med"},{"key":"2025112723364849500_pme.12889-B2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1097\/01.NCC.0000290816.37442.af","article-title":"Self-perceived burden in cancer 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