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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board Member: Birch, Diana ML / Blum, Robert W. / Furniss, Tilman / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie

4 Issues per year


SCImago Journal Rank (SJR): 0.284
Source Normalized Impact per Paper (SNIP): 0.385

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The underexamined association between posttraumatic stress disorder, medical illness and suicidal behavior

1 / Leo Sher2

1Department of Psychiatry, Mount Sinai School of Medicine, Box 1240, New York, NY 10029, USA

2Mount Sinai School of Medicine and James J Peters Veterans’ Administration Medical Center, New York, NY, USA

Corresponding author: Yuriy Dobry, MD, Department of Psychiatry, Mount Sinai School of Medicine, Box 1240, New York, NY 10029, USA

Citation Information: International Journal of Adolescent Medicine and Health. Volume 25, Issue 3, Pages 279–282, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: 10.1515/ijamh-2013-0063, September 2013

Publication History

Received:
2012-10-18
Accepted:
2012-12-03
Published Online:
2013-09-04

Abstract

Posttraumatic stress disorder (PTSD) is concerning not only because of the severity and chronicity of its symptoms – including distressing nightmares, flashbacks, anxiety attacks and maladaptive patterns of avoidant and nearly paranoid behavior – but also because of the wide spectrum of clinical and social impairments it is tightly associated with. The most striking example of clinical morbidity associated with PTSD is the well-known increase in the risk of suicidal behavior. Given that PTSD and medical illnesses increase the likelihood of suicide separately and independently, it is reasonable to suggest that the risk of suicidal behavior differs between patients suffering from PTSD comorbid with medical illnesses and patients having either condition alone. The available data point toward a novel clinical notion, an altered risk of suicidal behavior in patients suffering from comorbid PTSD and medical illnesses. This area of overlap between medicine and psychiatry is still in its infancy, with many unanswered questions about the rate, patterns and psychobiological mechanisms of suicidal behavior in this patient population. The positive association between PTSD, medical illness and suicidal behavior that appears to exist in the adult population, most likely affects the pediatric population as well. Closer investigation into the significance of the association between chronic medical illnesses, PTSD and suicidality in children, adolescents and adults is necessary.

Keywords: medical illness; pain; posttraumatic stress disorder; suicidality; suicide; traumatic brain injury

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