['To determine the extent to which pain contributes to risk for suicidal ideation after burn injury.', 'This longitudinal cohort study evaluated participants at discharge, 6 months, and 1 year after burn injury.', 'Inpatient rehabilitation units of multiple regional burn centers.', 'Survivors of major burns (N=128).', 'Not applicable.', 'Pain severity, assessed using the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain subscale, and passive and active suicidal ideation, assessed by self-report.', 'At each time point, approximately one quarter to one third of the sample reported some form of suicidal ideation. In logistic regression analyses, pain severity at discharge was the sole consistent predictor of suicidal ideation at follow-up, with greater pain severity being associated with enhanced risk for both passive and active suicidal ideation. These associations were observed even after controlling for discharge mental health.'] Is acute pain at discharge from hospitalization a prospective predictor of long-term suicidal ideation after burn injury?