Cited by 125Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

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Mental pain and its communication in medically serious suicide attempts: An “impossible situation”

Levi, Yossi, Horesh, Netta, Fischel, Tzvi, Treves, Ilan, Or, Evgenia, Apter, Alan·2008·Journal of Affective Disorders

DOI 10.1016/j.jad.2008.02.022

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Abstract

Background The study of near-fatal suicide attempters may provide insight into the minds of suicidal subjects. Our aim is to test the hypothesis that mental pain is a general risk factor for suicidal behavior and communication difficulties are a particular risk factor for medically serious suicidal behavior.Methods Thirty five subjects who made medically serious suicide attempts were compared with 67 medically not serious suicide attempters and 71 healthy controls. All were interviewed with the SCID-I and completed questionnaires covering mental pain, communication difficulties and seriousness of suicide attempt.Result Variables from the mental pain domain (e.g. depression) predicted the presence of suicidal behavior, and variables from the communication difficulties domain (e.g., self-disclosure) predicted the lethality and seriousness of the suicide attempts.Limitations Relatively small number of patients with medically serious suicide attempt and the relatively large number of questionnaires which may to some extent have diminished informant reliability.Conclusions Problems with sharing of feelings with others are an important risk factor for near-lethal suicide, over and above the contribution of psychiatric illness and mental pain, including depression and hopelessness.

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Authors: Levi, Y., Horesh, N., Fischel, T., Treves, I., Or, E., & Apter, A.
Affiliations: Tel Aviv University (IL)
Bar-Ilan University (IL)
Lev Hasharon Hospital (IL)
Corresponding author: Levi, Yossi
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2008-12
Volume: 111
Issue: 2-3
Pages: 244-250
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2008.02.022
OpenAlex: W2116196296
Cited by: 125
References: 37
Citations by year: 2026: 3 · 2025: 2 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 11 · 2020: 7 · 2019: 11 · 2018: 6 · 2017: 9 · 2016: 13 · 2015: 10 · 2014: 11 · 2013: 5 · 2012: 4
FWCI: 3.71
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: suicide attempts, psychological suffering, communication difficulties, self-disclosure, depression, hopelessness, suicide risk factors, lethality, suicidal behavior
MeSH terms: Adult, Affective Symptoms, Aged, Aged, 80 and over, Attitude to Health, Depression, Emotions, Female, Humans, Interpersonal Relations, Life Change Events, Male, Middle Aged, Models, Psychological, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Self Disclosure, Suicide, Attempted, Control Groups, Diagnostic and Statistical Manual of Mental Disorders

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Mental pain and its communication in medically serious suicide attempts: An “impossible situation”

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