{"ok":true,"api":{"name":"SAIMSARA Evidence Object Discovery API","version":"v1"},"mode":"doc_key","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"object":{"object_type":"saimsara_evidence_object_metadata","doc_key":"pain::SUICIDE_AND_PAIN_PM","issue_slug":"pain","doc_id":"SUICIDE_AND_PAIN_PM","title":"Suicide and Chronic Pain","doi":"10.62487/saimsara5e0bf3a7","doi_url":"https://doi.org/10.62487/saimsara5e0bf3a7","version":"2026-04-04","source_name":"PubMed","article_url":"https://saimsara.com/sessions/suicide-chronic-pain-20260404-152611-5e0bf3a7/","image_url":"","topic_tags":"Chronic pain,Suicidal ideation,Suicide attempt,Major depressive disorder,Perceived burdensomeness,Catastrophic thinking,Psychiatric comorbidity,Opioid use disorder,Mental defeat,Suicide risk","keywords":["Chronic pain","Suicidal ideation","Suicide attempt","Major depressive disorder","Perceived burdensomeness","Catastrophic thinking","Psychiatric comorbidity","Opioid use disorder","Mental defeat","Suicide risk"],"metrics":{"included_all":298,"included_original":239,"reference_index":115,"total_participants":4265434},"discover_url":"https://saimsara.com/api/v1/discover.php?doc_key=pain%3A%3ASUICIDE_AND_PAIN_PM","paid_evidence_url":"https://saimsara.com/api/v1/evidence.php?doc_key=pain%3A%3ASUICIDE_AND_PAIN_PM","price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"payment_methods":["api_key","stripe_checkout","object_grant","x402"],"text_length":16190,"preview":"Results Key finding aligned to the query: Chronic pain is an independent risk factor for suicidal ideation and behavior across the lifespan, with risk mediated significantly by psychological distress and sleep quality. Representative numeric associations include a 2.29-fold increase in the odds of screening positive for suicide risk among medical inpatients (OR 2.29; 95% CI 1.21-4.43) and increased odds for both suicide attempts (OR 1.67; CI 1.21-2.35) and death by suicide (OR 2.00; CI 1.10-3.62) in large-scale genomic analyses. Consistently replicated independent predictors of this risk include Major Depressive Disorder (MDD), mental defeat, and perceived burdensomeness. Original research t…","trust_label":"machine_generated_human_reviewed","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"checkout":{"method":"POST","url":"https://saimsara.com/create_checkout_session.php","content_type":"application/x-www-form-urlencoded","params":{"plan":"evidence_object","doc_key":"pain::SUICIDE_AND_PAIN_PM"},"optional_params":{"customer_email":"user@example.com"},"price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"curl_example":"curl -X POST https://saimsara.com/create_checkout_session.php -d \"plan=evidence_object\" -d \"doc_key=pain::SUICIDE_AND_PAIN_PM\" -d \"customer_email=user@example.com\""},"access_after_payment":{"header":"X-SAIMSARA-Payment-Proof","endpoint":"https://saimsara.com/api/v1/evidence.php?doc_key=pain%3A%3ASUICIDE_AND_PAIN_PM","curl_example":"curl -H \"X-SAIMSARA-Payment-Proof: YOUR_PAYMENT_PROOF_TOKEN\" \"https://saimsara.com/api/v1/evidence.php?doc_key=pain%3A%3ASUICIDE_AND_PAIN_PM\""}}}