{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T06:01:49Z","timestamp":1771135309078,"version":"3.50.1"},"reference-count":104,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Fibromyalgia (FM) is associated with increased suicidal behavior (SB). This critical review integrates the ideation-to-action models\u2014Interpersonal Theory of Suicide (IPTS), Three-Step Theory (3ST), and Integrated Motivational\u2013Volitional (IMV) Model\u2014with clinical and neuropsychological correlates to discriminate between suicidal ideation (the motivational component) and suicidal action (the volitional component) in FM. Ideation is related to hopelessness, perceived burden, thwarted belongingness, and entrapment, as well as to pain\/interference, sleep disturbances, fatigue, mood, pain catastrophizing, and attentional pain vigilance. The transition to action is associated with impulsivity, executive dysfunction (including inhibitory control, flexibility, and decision-making under ambiguity\/risk), acquired capability due to repeated exposure to pain and medical procedures, and access to lethal means. Suicidal planning is conceptualized as high-severity ideation, while action includes preparatory behaviors and suicide attempts. Evidence from Spanish instruments is synthesized\u2014Columbia Suicide Severity Rating Scale (C-SSRS), Plutchik Suicide Risk Scale (PSRS), Beck Depression Inventory-II (Item 9 of the BDI-II), and Suicide Behaviors Questionnaire\u2014Revised (SBQ-R)\u2014pointing out overlaps with pain\/depression and the lack of specific validation in FM. Prospective cohorts, standardization of definitions\/windows, comparable neuropsychological batteries, and mechanistic trials on motivational and volitional targets and interventions focused on pain reduction are proposed.<\/jats:p>","DOI":"10.3390\/bs16020258","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:10:52Z","timestamp":1770743452000},"page":"258","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fibromyalgia: Neuropsychological and Clinical Correlates in Suicidal Behavior Based on Ideation-to-Action Models\u2014A Critical Review"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9172-7058","authenticated-orcid":false,"given":"Cristina","family":"Mu\u00f1oz Ladr\u00f3n de Guevara","sequence":"first","affiliation":[{"name":"Department of Psychology, Faculty of Education Sciences, University of C\u00e1diz, 11519 Puerto Real, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3603-0263","authenticated-orcid":false,"given":"Sandra","family":"Melero","sequence":"additional","affiliation":[{"name":"Department of Psychology, Faculty of Education Sciences, University of C\u00e1diz, 11519 Puerto Real, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1007\/s00701-011-0975-8","article-title":"Harvey Cushing\u2019s case series of trigeminal neuralgia at the Johns Hopkins Hospital: A surgeon\u2019s quest to advance the treatment of the \u2018suicide disease\u2019","volume":"153","author":"Adams","year":"2011","journal-title":"Acta Neurochirurgica"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Adawi, M., Chen, W., Bragazzi, N. L., Watad, A., McGonagle, D., Yavne, Y., Kidron, A., Hodadov, H., Amital, D., and Amital, H. (2021). Suicidal behavior in fibromyalgia patients: Rates and determinants of suicide ideation, risk, suicide, and suicidal attempts\u2014A systematic review of the literature and meta-analysis of over 390,000 fibromyalgia patients. Frontiers in Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.629417"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.rpsm.2016.02.002","article-title":"Validaci\u00f3n de la versi\u00f3n en espa\u00f1ol de la Columbia-suicide severity rating scale (escala Columbia para evaluar el riesgo de suicidio)","volume":"9","author":"Garrido","year":"2016","journal-title":"Revista de Psiquiatr\u00eda y Salud Mental"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/PSY.0000000000000975","article-title":"The relationship between pain severity, insomnia, and suicide attempts among a national veteran sample initiating pain care","volume":"83","author":"Ashrafioun","year":"2021","journal-title":"Psychosomatic Medicine"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/j.jpain.2019.01.012","article-title":"The association of pain intensity and suicide attempts among patients initiating pain specialty services","volume":"20","author":"Ashrafioun","year":"2019","journal-title":"The Journal of Pain"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1038\/s41577-019-0147-2","article-title":"Pain and immunity: Implications for host defence","volume":"19","author":"Baral","year":"2019","journal-title":"Nature Reviews Immunology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/sltb.12727","article-title":"Incorporating psychopathology into the interpersonal-psychological theory of suicidal behavior (IPTS)","volume":"51","author":"Batterham","year":"2021","journal-title":"Suicide and Life-Threatening Behavior"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Bayliss, L. T., Christensen, S., Lamont-Mills, A., and Du Plessis, C. (2022). Suicide capability within the ideation-to-action framework: A systematic scoping review. PLoS ONE, 17, (10).","DOI":"10.1371\/journal.pone.0276070"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Beck, A. T., Steer, R. A., and Brown, G. K. (1996). Manual for the beck depression inventory\u2013II (BDI\u2013II), The Psychological Corporation.","DOI":"10.1037\/t00742-000"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jad.2019.09.005","article-title":"A test of the interpersonal theory of suicide in college students","volume":"260","author":"Becker","year":"2020","journal-title":"Journal of Affective Disorders"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1080\/13803395.2017.1422699","article-title":"Meta-analysis of cognitive performance in fibromyalgia","volume":"40","author":"Bell","year":"2018","journal-title":"Journal of Clinical and Experimental Neuropsychology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"101965","DOI":"10.1016\/j.disamonth.2025.101965","article-title":"Fibromyalgia: Advances in pathophysiology, diagnostic biomarkers, genetic insights, multisystemic involvement, and treatment updates and multidisciplinary interventions","volume":"71","author":"Benjamin","year":"2025","journal-title":"Disease-a-Month"},{"key":"ref_13","unstructured":"Bhargava, J., and Goldin, J. (2025, October 06). Fibromyalgia, StatPearls, Available online: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK540974\/."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2439748","DOI":"10.1080\/20008066.2024.2439748","article-title":"The interpersonal theory of suicide risk in male US service members\/veterans: The independent effects of perceived burdensomeness and thwarted belongingness","volume":"16","author":"Blais","year":"2025","journal-title":"European Journal of Psychotraumatology"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1176\/jnp.23.2.jnp173","article-title":"Differential effects of executive functioning on suicide attempts","volume":"23","author":"Burton","year":"2011","journal-title":"The Journal of Neuropsychiatry and Clinical Neurosciences"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.medcli.2017.06.008","article-title":"Fibromialgia: Prevalencia, perfiles epidemiol\u00f3gicos y costes econ\u00f3micos","volume":"149","year":"2017","journal-title":"Medicina Cl\u00ednica"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1111\/papr.12164","article-title":"Suicidal ideation in patients with fibromyalgia: A cross-sectional study","volume":"15","author":"Calandre","year":"2015","journal-title":"Pain Practice"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"89","DOI":"10.55563\/clinexprheumatol\/pufzd6","article-title":"Marital adjustment in patients with fibromyalgia: Its association with suicidal ideation and related factors. A cross-sectional study","volume":"39","author":"Calandre","year":"2021","journal-title":"Clinical and Experimental Rheumatology"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1093\/rheumatology\/ker203","article-title":"Suicide attempts and risk of suicide in patients with fibromyalgia: A survey in Spanish patients","volume":"50","author":"Calandre","year":"2011","journal-title":"Rheumatology"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.jpsychires.2015.09.004","article-title":"The impact of physical pain on suicidal thoughts and behaviors: Meta-analyses","volume":"71","author":"Calati","year":"2015","journal-title":"Journal of Psychiatric Research"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Carneiro, B. D., Pozza, D. H., and Tavares, I. (2025a). Can gratitude ease the burden of fibromyalgia? A systematic review. Behavioral Sciences, 15.","DOI":"10.3390\/bs15081079"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Carneiro, B. D., Torres, S., Costa-Pereira, J. T., Pozza, D. H., and Tavares, I. (2025b). Descending pain modulation in fibromyalgia: A short review of mechanisms and biomarkers. Diagnostics, 15, (21).","DOI":"10.3390\/diagnostics15212702"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s11916-016-0556-x","article-title":"Fibromyalgia pathogenesis and treatment options update","volume":"20","author":"Chinn","year":"2016","journal-title":"Current Pain and Headache Reports"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1037\/bul0000123","article-title":"The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research","volume":"143","author":"Chu","year":"2017","journal-title":"Psychological Bulletin"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.amjmed.2009.09.006","article-title":"Fibromyalgia: An overview","volume":"122","author":"Clauw","year":"2009","journal-title":"The American Journal of Medicine"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.berh.2015.04.024","article-title":"Diagnosing and treating chronic musculoskeletal pain based on the underlying mechanism(s)","volume":"29","author":"Clauw","year":"2015","journal-title":"Best Practice & Research Clinical Rheumatology"},{"key":"ref_27","unstructured":"Crosby, A. E., Ortega, L., and Melanson, C. (2011). Self-directed violence surveillance: Uniform definitions and recommended data elements."},{"key":"ref_28","first-page":"229","article-title":"Psychological pain, hopelessness and suicide ideation in female patients with fibromyalgia","volume":"21","author":"Remigio","year":"2024","journal-title":"Clinical Neuropsychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"3101","DOI":"10.1002\/art.27623","article-title":"Mortality in a cohort of Danish patients with fibromyalgia: Increased frequency of suicide","volume":"62","author":"Dreyer","year":"2010","journal-title":"Arthritis & Rheumatism"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1821684","DOI":"10.1155\/2022\/1821684","article-title":"Variability of reaction time as a marker of executive function impairments in fibromyalgia","volume":"2022","author":"Duschek","year":"2022","journal-title":"Behavioural Neurology"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/20494637231221451","article-title":"The efficacy, acceptability and safety of acceptance and commitment therapy for fibromyalgia\u2014A systematic review and meta-analysis","volume":"18","author":"Eastwood","year":"2024","journal-title":"British Journal of Pain"},{"key":"ref_32","first-page":"1027","article-title":"The hidden burden of fibromyalgia: Exploring work impairment and quality of life in caregivers","volume":"43","author":"Ferahman","year":"2025","journal-title":"Clinical and Experimental Rheumatology"},{"key":"ref_33","first-page":"221","article-title":"The association of chronic pain and suicide","volume":"4","author":"Fishbain","year":"1999","journal-title":"Seminars in Clinical Neuropsychiatry"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2003","DOI":"10.2147\/JPR.S493649","article-title":"Suicidal ideation and self-injury in trigeminal neuralgia","volume":"18","author":"Fishbein","year":"2025","journal-title":"Journal of Pain Research"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Garc\u00eda-Dom\u00ednguez, M. (2025). Fibromyalgia and inflammation: Unrevealing the connection. Cells, 14, (4).","DOI":"10.3390\/cells14040271"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1080\/08870446.2022.2085705","article-title":"Is reduced health-related quality of life a primary manifestation of fibromyalgia? A comparative study with Rheumatoid arthritis","volume":"39","author":"Duschek","year":"2024","journal-title":"Psychology & Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.1007\/s11136-020-02457-x","article-title":"Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia","volume":"29","author":"Montoro","year":"2020","journal-title":"Quality of Life Research"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"G\u00e1lvez-S\u00e1nchez, C. M., Reyes Del Paso, G. A., and Duschek, S. (2018). Cognitive impairments in fibromyalgia syndrome: Associations with positive and negative affect, alexithymia, pain catastrophizing and self-esteem. Frontiers in Psychology, 9.","DOI":"10.3389\/fpsyg.2018.00377"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Giakas, A., Mangold, K., Androulakis, A., Hyduke, N., Galynker, I., Thiam, M., Cai, G., and Androulakis, X. M. (2023). Risks of suicide in migraine, non-migraine headache, back, and neck pain: A systematic review and meta-analysis. Frontiers in Neurology, 14.","DOI":"10.3389\/fneur.2023.1160204"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1080\/07481187.2019.1671544","article-title":"The suicidal behaviors questionnaire-revised. Spanish form","volume":"45","author":"Limonero","year":"2021","journal-title":"Death Studies"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"338","DOI":"10.11607\/ofph.1229","article-title":"The association between temporomandibular disorders and suicide ideation in a representative sample of the south korean population","volume":"28","author":"Han","year":"2018","journal-title":"Journal of Oral & Facial Pain and Headache"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"47","DOI":"10.20452\/pamw.3877","article-title":"Management of fibromyalgia: Practical guides from recent evidence-based guidelines","volume":"127","author":"Ablin","year":"2017","journal-title":"Polish Archives of Internal Medicine"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1001\/jamapsychiatry.2013.908","article-title":"Noncancer pain conditions and risk of suicide","volume":"70","author":"Ilgen","year":"2013","journal-title":"JAMA Psychiatry"},{"key":"ref_44","unstructured":"Instituto Nacional de Estad\u00edstica (INE) (2025, October 06). Estad\u00edstica de defunciones seg\u00fan la causa de muerte, Available online: https:\/\/www.ine.es\/dyngs\/Prensa\/es\/pEDCM2024.htm."},{"key":"ref_45","unstructured":"International Association for the Study of Pain (2026, January 19). Terminology (entry: \u201cNociplastic pain\u201d), Available online: https:\/\/www.iasp-pain.org\/resources\/terminology."},{"key":"ref_46","first-page":"625","article-title":"Suicidal ideation and the risk of suicide in patients with fibromyalgia: A comparison with non-pain controls and patients suffering from low-back pain","volume":"10","author":"Elena","year":"2014","journal-title":"Neuropsychiatric Disease and Treatment"},{"key":"ref_47","unstructured":"Joiner, T. (2005). Why people die by suicide., Harvard University Press."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Jurado-Priego, L. N., Cueto-Ure\u00f1a, C., Ram\u00edrez-Exp\u00f3sito, M. J., and Mart\u00ednez-Martos, J. M. (2024). Fibromyalgia: A review of the pathophysiological mechanisms and multidisciplinary treatment strategies. Biomedicines, 12, (7).","DOI":"10.3390\/biomedicines12071543"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1521\/ijct.2015.8.2.114","article-title":"The three-step theory (3ST): A new theory of suicide rooted in the \u201cIdeation-to-Action\u201d framework","volume":"8","author":"Klonsky","year":"2015","journal-title":"International Journal of Cognitive Therapy"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1146\/annurev-clinpsy-021815-093204","article-title":"Suicide, suicide attempts, and suicidal ideation","volume":"12","author":"Klonsky","year":"2016","journal-title":"Annual Review of Clinical Psychology"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/YCO.0000000000000294","article-title":"Recent advances in differentiating suicide attempters from suicide ideators","volume":"30","author":"Klonsky","year":"2017","journal-title":"Current Opinion in Psychiatry"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.copsyc.2017.07.020","article-title":"Ideation-to-action theories of suicide: A conceptual and empirical update","volume":"22","author":"Klonsky","year":"2018","journal-title":"Current Opinion in Psychology"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"Journal of General Internal Medicine"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1111\/j.1399-6576.2012.02760.x","article-title":"Cognitive function in patients with chronic pain treated with opioids: Characteristics and associated factors","volume":"56","author":"Kurita","year":"2012","journal-title":"Acta Anaesthesiologica Scandinavica"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Kwon, C.-Y., and Lee, B. (2023). Prevalence of suicidal behavior in patients with chronic pain: A systematic review and meta-analysis of observational studies. Frontiers in Psychology, 14.","DOI":"10.3389\/fpsyg.2023.1217299"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1007\/s00296-018-4067-4","article-title":"Perceived burdensomeness, thwarted belongingness and suicidal ideation in patients with fibromyalgia and healthy subjects: A cross-sectional study","volume":"38","author":"Calandre","year":"2018","journal-title":"Rheumatology International"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Laroche, F., Azoulay, D., Trouvin, A. P., Coste, J., and Perrot, S. (2019). Fibromyalgia in the workplace: Risk factors for sick leave are related to professional context rather than fibromyalgia characteristics\u2014A French national survey of 955 patients. BMC Rheumatology, 3, (1).","DOI":"10.1186\/s41927-019-0089-0"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/NMD.0000000000000799","article-title":"Suicide behavior and chronic pain: An exploration of pain-related catastrophic thinking, disability, and descriptions of the pain experience","volume":"206","author":"Legarreta","year":"2018","journal-title":"Journal of Nervous & Mental Disease"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Lempp, H. K., Hatch, S. L., Carville, S. F., and Choy, E. H. (2009). Patients\u2019 experiences of living with and receiving treatment for fibromyalgia syndrome: A qualitative study. BMC Musculoskeletal Disorders, 10, (1).","DOI":"10.1186\/1471-2474-10-124"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Levine, D., and Horesh, D. (2020). Suicidality in fibromyalgia: A systematic review of the literature. Frontiers in Psychiatry, 11.","DOI":"10.3389\/fpsyt.2020.535368"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","article-title":"EULAR revised recommendations for the management of fibromyalgia","volume":"76","author":"Macfarlane","year":"2017","journal-title":"Annals of the Rheumatic Diseases"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1136\/bmj.323.7314.662","article-title":"Widespread body pain and mortality: Prospective population based study Commentary: An interesting finding, but what does it","volume":"323","author":"Macfarlane","year":"2001","journal-title":"BMJ"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1002\/acr.23748","article-title":"Outpatient engagement and predicted risk of suicide attempts in fibromyalgia","volume":"71","author":"McKernan","year":"2019","journal-title":"Arthritis Care & Research"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.paid.2015.05.017","article-title":"Personality and fibromyalgia: Relationships with clinical, emotional, and functional variables","volume":"85","author":"Montoro","year":"2015","journal-title":"Personality and Individual Differences"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"2285","DOI":"10.1097\/j.pain.0000000000002927","article-title":"Evidence of neuroinflammation in fibromyalgia syndrome: A [18F]DPA-714 positron emission tomography study","volume":"164","author":"Mueller","year":"2023","journal-title":"Pain"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Mu\u00f1oz Ladr\u00f3n de Guevara, C., Fern\u00e1ndez-Serrano, M. J., Reyes Del Paso, G. A., and Duschek, S. (2018). Executive function impairments in fibromyalgia syndrome: Relevance of clinical variables and body mass index. PLoS ONE, 13, (4).","DOI":"10.1371\/journal.pone.0196329"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Mu\u00f1oz Ladr\u00f3n de Guevara, C., Reyes Del Paso, G. A., Fern\u00e1ndez Serrano, M. J., and Montoro, C. I. (2022). Fibromyalgia syndrome and cognitive decline: The role of body mass index and clinical symptoms. Journal of Clinical Medicine, 11, (12).","DOI":"10.3390\/jcm11123404"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1146\/annurev.clinpsy.121208.131258","article-title":"Self-injury","volume":"6","author":"Nock","year":"2010","journal-title":"Annual Review of Clinical Psychology"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/j.1943-278X.1996.tb00609.x","article-title":"Beyond the tower of babel: A nomenclature for suicidology","volume":"26","author":"Berman","year":"1996","journal-title":"Suicide and Life-Threatening Behavior"},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"O\u2019Connor, R. C., Platt, S., and Gordon, J. (2011). Towards an integrated motivational\u2013volitional model of suicidal behaviour. International handbook of suicide prevention, Wiley. [1st ed.].","DOI":"10.1002\/9781119998556.ch11"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"20170268","DOI":"10.1098\/rstb.2017.0268","article-title":"The integrated motivational\u2013volitional model of suicidal behaviour","volume":"373","author":"Kirtley","year":"2018","journal-title":"Philosophical Transactions of the Royal Society B: Biological Sciences"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Ord\u00f3\u00f1ez-Carrasco, J. L., S\u00e1nchez-Castell\u00f3, M., Calandre, E. P., Cuadrado-Guirado, I., and Rojas-Tejada, A. J. (2021). Suicidal ideation profiles in patients with fibromyalgia using transdiagnostic psychological and fibromyalgia-associated variables. International Journal of Environmental Research and Public Health, 18, (1).","DOI":"10.3390\/ijerph18010209"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"key":"ref_74","first-page":"e10276","article-title":"The influence of pro-inflammatory cytokines and genetic variants in the development of fibromyalgia: A traditional review","volume":"2","author":"Peck","year":"2020","journal-title":"Cureus"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.2105\/AJPH.85.10.1452-a","article-title":"Back pain and risk of suicide among Finnish farmers","volume":"85","author":"Penttinen","year":"1995","journal-title":"American Journal of Public Health"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/0010-440X(89)90053-9","article-title":"Correlates of suicide and violence risk 1: The suicide risk measure","volume":"30","author":"Plutchik","year":"1989","journal-title":"Comprehensive Psychiatry"},{"key":"ref_77","unstructured":"Posner, K., Brent, D., Lucas, C., Gould, M., and Stanley, B. (2010). Columbia-suicide severity rating scale (C-SSRS) [Measurement instrument], Columbia University Medical Center."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1176\/appi.ajp.2011.10111704","article-title":"The Columbia\u2013suicide severity rating scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults","volume":"168","author":"Posner","year":"2011","journal-title":"American Journal of Psychiatry"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.pnpbp.2017.08.020","article-title":"Chronic pain and suicide risk: A comprehensive review","volume":"87","author":"Racine","year":"2018","journal-title":"Progress in Neuro-Psychopharmacology and Biological Psychiatry"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1017\/S0033291713002304","article-title":"A meta-analysis of neuropsychological markers of vulnerability to suicidal behavior in mood disorders","volume":"44","author":"Berlim","year":"2014","journal-title":"Psychological Medicine"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/YCO.0000000000000314","article-title":"Psychological and physical pain as predictors of suicide risk: Evidence from clinical and neuroimaging findings","volume":"30","author":"Rizvi","year":"2017","journal-title":"Current Opinion in Psychiatry"},{"key":"ref_82","first-page":"143","article-title":"Validaci\u00f3n de la Escala de Riesgo Suicida de Plutchik en poblaci\u00f3n espa\u00f1ola [Assessing the validity of the Plutchik suicide risk scale in a Spanish sample]","volume":"2","author":"Rubio","year":"1998","journal-title":"Archivos de Neurobiolog\u00eda"},{"key":"ref_83","first-page":"e12227","article-title":"Do neurocognitive abilities distinguish suicide attempters from suicide ideators? A systematic review of an emerging research area","volume":"25","author":"Saffer","year":"2018","journal-title":"Clinical Psychology: Science and Practice"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"101817","DOI":"10.1016\/j.nicl.2019.101817","article-title":"Neural correlates of cognitive dysfunction in fibromyalgia patients: Reduced brain electrical activity during the execution of a cognitive control task","volume":"23","year":"2019","journal-title":"NeuroImage Clinical"},{"key":"ref_85","first-page":"239","article-title":"Adaptaci\u00f3n espa\u00f1ola del Inventario para la Depresi\u00f3n de Beck-II (BDI-II): 1. Propiedades psicom\u00e9tricas en estudiantes universitarios","volume":"124","author":"Sanz","year":"2003","journal-title":"An\u00e1lisis y Modificaci\u00f3n de Conducta"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1038\/s41584-020-00506-w","article-title":"Fibromyalgia: An update on clinical characteristics, aetiopathogenesis and treatment","volume":"16","author":"Giorgi","year":"2020","journal-title":"Nature Reviews Rheumatology"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1521\/suli.2007.37.3.264","article-title":"Rebuilding the tower of babel: A revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors","volume":"37","author":"Silverman","year":"2007","journal-title":"Suicide and Life-Threatening Behavior"},{"key":"ref_88","doi-asserted-by":"crossref","unstructured":"Siracusa, R., Paola, R. D., Cuzzocrea, S., and Impellizzeri, D. (2021). Fibromyalgia: Pathogenesis, mechanisms, diagnosis and treatment options update. International Journal of Molecular Sciences, 22, (8).","DOI":"10.3390\/ijms22083891"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1016\/j.jpain.2010.03.002","article-title":"Duloxetine versus placebo in patients with chronic low back pain: A 12-week, fixed-dose, randomized, double-blind trial","volume":"11","author":"Skljarevski","year":"2010","journal-title":"The Journal of Pain"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1017\/S0033291705006859","article-title":"Suicidality in chronic pain: A review of the prevalence, risk factors and psychological links","volume":"36","author":"Tang","year":"2006","journal-title":"Psychological Medicine"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1093\/rheumatology\/keg082","article-title":"Suicides in persons suffering from rheumatoid arthritis","volume":"42","author":"Timonen","year":"2003","journal-title":"Rheumatology"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"e003005","DOI":"10.1136\/rmdopen-2023-003005","article-title":"Fibromyalgia and mortality: A systematic review and meta-analysis","volume":"9","author":"Peleg","year":"2023","journal-title":"RMD Open"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1111\/papr.12186","article-title":"Suicidality in chronic pain: Predictors of suicidal ideation in fibromyalgia","volume":"15","year":"2015","journal-title":"Pain Practice"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1093\/pm\/pnad139","article-title":"Suicidal ideation in female individuals with fibromyalgia and comorbid obesity: Prevalence and association with clinical, pain-related, and psychological factors","volume":"25","author":"Varallo","year":"2024","journal-title":"Pain Medicine"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jpsychires.2017.02.006","article-title":"Family history of suicide and high motor impulsivity distinguish suicide attempters from suicide ideators among college students","volume":"90","author":"Wang","year":"2017","journal-title":"Journal of Psychiatric Research"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American college of rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe","year":"2010","journal-title":"Arthritis Care & Research"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/acr.20301","article-title":"Mortality in fibromyalgia: A study of 8186 patients over thirty-five years","volume":"63","author":"Wolfe","year":"2011","journal-title":"Arthritis Care & Research"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/art.1780380104","article-title":"The prevalence and characteristics of fibromyalgia in the general population: Fibromyalgia prevalence and characteristics","volume":"38","author":"Wolfe","year":"1995","journal-title":"Arthritis & Rheumatism"},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1002\/j.1532-2149.2012.00234.x","article-title":"Longitudinal patterns of analgesic and central acting drug use and associated effectiveness in fibromyalgia","volume":"17","author":"Wolfe","year":"2013","journal-title":"European Journal of Pain"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/j.pain.2010.09.030","article-title":"Central sensitization: Implications for the diagnosis and treatment of pain","volume":"152","author":"Woolf","year":"2011","journal-title":"Pain"},{"key":"ref_101","unstructured":"World Health Organization (WHO) (2016). International statistical classification of diseases and related health problems (10th rev.), Volume 1: Tabular list, WHO. [5th ed.]."},{"key":"ref_102","unstructured":"World Health Organization (WHO) (2025). Suicide worldwide in 2021: Global health estimates, WHO."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1097\/PSY.0000000000000575","article-title":"Cognitive impairment in fibromyalgia: A meta-analysis of case-control studies","volume":"80","author":"Wu","year":"2018","journal-title":"Psychosomatic medicine"},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.2147\/NDT.S159312","article-title":"Attention-deficit hyperactivity disorder and impulsivity in female patients with fibromyalgia","volume":"14","author":"Yilmaz","year":"2018","journal-title":"Neuropsychiatric Disease and Treatment"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/2\/258\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T05:11:19Z","timestamp":1771132279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/2\/258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,10]]},"references-count":104,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["bs16020258"],"URL":"https:\/\/doi.org\/10.3390\/bs16020258","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,10]]}}}