Commentary: Suicide as Psychache

SHNEIDMAN, EDWIN S.

doi:10.1097/00005053-199303000-00001

Cited by 775Suicide and Self-Harm StudiesPsychological Treatments and DisordersMental Health and Psychiatry

Commentary: Suicide as Psychache

SHNEIDMAN, EDWIN S.·1993·The Journal of Nervous and Mental Disease

DOI 10.1097/00005053-199303000-00001

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“Though it is usually psychological pain that contributes to suicidal desire (Shneidman, 1993), pain of any form can contribute in Step 1.”
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Self-citation
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“Building on our work with the STS, and related studies, we have expanded the scope of the assessment to include items assessing emotional pain (Orbach, 2003; Shneidman, 1993) and panic with fear of dying (Katz et al., 2011; Rappaport, Moskowitz, Galynker, & Yaseen, 2014; Yaseen et al., 2013).”
BackgroundMethod
The Psychological Pain Assessment Scale
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“For instance, Shneidman, Neuringer, and Beck proposed that psychological pain [11], cognitive rigidity [12], and hopelessness [13], respectively, are particularly important causal factors.”
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“That said, promising risk factors from Shneidman’s Psychache Theory (e.g., emotional distress; Shneidman, 1993), Joiner’s Interpersonal Theory of Suicide (Van Orden et al.”
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“NSSI is commonly used to decrease or avoid aversive negative affect (Chapman, Gratz, & Brown, 2006; Klonsky, 2007), and suicidality can be a response to complex negative affective experiences, such as psychache (Shneidman, 1993) and hopelessness (Beck, Kovacs, & Weissman, 1975).”
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“The ability to forgive others for transgressions or one’s self for mistakes, or to feel forgiven by God, may help to assuage the feeling of ‘‘psychache’’ that often precipitates a suicidal crisis (Shneidman, 1993).”
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“…pain (i.e., the perception of negative feelings and changes in the Self that encompass shame, guilt, dread, fear, humiliation and loneliness (Shneidman, 1993)) and psychotic experiences predict suicidal behaviour independently of the underlying mental disorder (Ducasse, Holden, et al.,…”
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“…for linking resources and disseminating information about services such as those available for people suffering from psychache, a term coined by Edwin Shneidman (1993a, 1993b, 2001), Dean of Suicidology, for conveying a sense of the unendurable psychological pain that people with suicidal…”
BackgroundInfluential
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Authors: SHNEIDMAN, E. S.
Affiliations: University of California, Los Angeles (US)
Corresponding author: SHNEIDMAN, EDWIN S.
Venue: The Journal of Nervous and Mental Disease
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1993-03
Volume: 181
Issue: 3
Pages: 145-147
ISSN: 0022-3018 (ISSN-L)
DOI: 10.1097/00005053-199303000-00001
OpenAlex: W2224716391
Cited by: 775
References: 0
Citations by year: 2026: 39 · 2025: 84 · 2024: 58 · 2023: 43 · 2022: 50 · 2021: 49 · 2020: 59 · 2019: 42 · 2018: 32 · 2017: 38 · 2016: 34 · 2015: 25 · 2014: 31 · 2013: 22 · 2012: 20
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Nervous and Mental Disease (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: suicide, emotional pain, psychological suffering
MeSH terms: Depressive Disorder, Frustration, Happiness, Humans, Models, Psychological, Pain, Personality, Q-Sort, Stress, Psychological, Suicide

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