Do Headache and Abdominal Pain in Childhood Predict Suicides and Severe Suicide Attempts? Finnish Nationwide 1981 Birth Cohort Study

Terhi Luntamo, Andre Sourander, David Gyllenberg, Lauri Sillanmäki, Minna Aromaa, Tuula Tamminen, Kirsti Kumpulainen, Irma Moilanen, Jorma Piha

This study investigated associations between pain symptoms in mid-childhood and severe suicidality in adolescence and early adulthood. Severe suicidality was defined as completed suicide or suicidal attempt requiring hospital admission. In a nationwide prospective population-based study (n = 6,017), parents and children were asked about the child's headache and abdominal pain at age eight. The outcome was register-based data on suicide or suicidal attempt requiring hospital treatment by age 24. Family composition, parental educational level, and the child's psychiatric symptoms reported by the child, parents and teacher at baseline were included as covariates in statistical analyses. Boys' abdominal pain reported by the parents was associated with later severe suicidality after adjusting for family composition, parental educational level, and childhood psychiatric symptoms at baseline. In addition, the association between boys' own report of headache and later severe suicidality reached borderline significance in unadjusted analysis. Girls' pain symptoms did not predict later severe suicidality.