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Cited by 36Suicide and Self-Harm StudiesPsychosomatic Disorders and Their TreatmentsOpioid Use Disorder Treatment

The interaction of dissociation, pain tolerance, and suicidal ideation in predicting suicide attempts

Rabasco, Ana, Andover, Margaret S.·2020·Psychiatry Research
DOI 10.1016/j.psychres.2019.112661
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Abstract

Pain tolerance and dissociation have individually been shown to be risk factors for suicidal behaviors. The aim of the current study was to investigate how dissociation and physiological pain tolerance influence the relation between suicidal thoughts and behaviors. The sample consisted of 70 undergraduate college students who completed self-report measures of suicidality and dissociation and an electrical stimulation task to measure physiological pain tolerance. Results showed that dissociation and suicidal ideation, but not pain tolerance, were independently associated with increased suicide attempts. A three-way interaction of suicidal ideation, physiological pain tolerance, and dissociation statistically predicted number of suicide attempts, with an increased number of suicide attempts associated with high suicidal ideation and dissociation, regardless of pain tolerance. These results suggest that dissociation plays a significant role in predicting suicide attempts, perhaps by engendering a state of disconnect from one's body.

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  • Relative to psychiatric controls and healthy volunteers, individuals with prior suicide attempts showed elevated pain tolerance.

    “Relative to psychiatric controls and healthy volunteers, individuals with prior suicide attempts showed elevated pain tolerance (Orbach et al., 1996a,b, 1997) (for an exception, see Rabasco & Andover, 2020).”

    From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Rabasco & Andover, 2020

  • High levels of dissociation are associated with an increased number of suicide attempts, regardless of an individual's ability to tolerate pain.

    “These theoretical ideas are consistent with evidence from existing literature that high levels of dissociation are associated with an increased number of suicide attempts, regardless of an individual’s ability to tolerate pain (Rabasco and Andover, 2020).”

    From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Rabasco and Andover, 2020

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Authors
Rabasco, A., & Andover, M. S.
Affiliations
Fordham University (US)
Corresponding author
Andover, Margaret S.
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2020-02
Volume
284
Pages
112661
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2019.112661
OpenAlex
W2983070957
Cited by
35
References
27
Citations by year
2026: 4 · 2025: 5 · 2024: 3 · 2023: 12 · 2022: 5 · 2021: 6
FWCI
3.21
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
dissociation, pain tolerance, suicidal ideation, suicide attempts, university students, suicide risk prediction
MeSH terms
Adolescent, Adult, Dissociative Disorders, Female, Humans, Male, Pain Measurement, Predictive Value of Tests, Risk Factors, Students, Suicide, Attempted, Universities, Pain Threshold, Young Adult, Self Report, Suicidal Ideation

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