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

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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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Reexamining the Mental Pain–Suicidality Link in Adolescence: The Role of Tolerance for Mental Pain
Becker, G., Orbach, I., Mikulincer, M., Iohan, M., Gilboa‐Schechtman, E., & Grossman‐Giron, A. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12506 · Cited by 29
An investigation of the relationships between suicidal ideation, psychache, and meaning in life using network analysis
Li, Y., Guo, Z., Tian, W., Wang, X., Dou, W., Chen, Y., Huang, S., Ni, S., Wang, H., Wang, C., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04700-4 · Cited by 28
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Schechter, M., Ronningstam, E. F., Herbstman, B., & Goldblatt, M. J. (2019) · Medicina · doi:10.3390/medicina55060303 · Cited by 32
“Multiple other terms have been used in the literature to describe this affective state by many differing theoretical orientations, trying to capture essentially the same experience: It has been variously referred to as “desperation” [16], “mental pain” [17], “psychache” [18], “emotional dysregulation” [3], and “annihi…”
Background
Research on Psychache in Suicidal Population: A Bibliometric and Visual Analysis of Papers Published During 1994–2020
Cheng, Y., Zhao, W.-W., Chen, S.-Y., & Zhang, Y.-H. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.727663 · Cited by 26
“The exclusion criteria were as follows: (1) Did not use English as publication language; (2) The citations were “Correction,” “Case Report,” “Commentary,” “Letter,” “Abstract,” “Reply” instead of journal articles; (3) Repetitive publication; (4) The article is without abstract; and (5) The topic only involved psychach…”
Background
Psychometric evaluation of the Tolerance for Mental Pain Scale in United States adults
Meerwijk, E. L., Mikulincer, M., & Weiss, S. J. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.01.101 · Cited by 28
“…could affect the content, and all legal disclaimers that apply to the journal pertain. uthor M anuscript A uthor M anuscript A uthor M anuscript the ability to endure psychological pain and is central to many suicide theories (Baumeister, 1990; Leenaars, 1996; Maltsberger, 2004; Shneidman, 1993).”
Background
Experiences of substance-using suicidal males who present frequently to the emergency department
Spence, J. M., Bergmans, Y., Strıke, C., Links, P. S., Ball, J. S., Rhodes, A. E., Watson, W. J., Eynan, R., & Rufo, C. (2008) · Canadian Journal of Emergency Medicine · doi:10.1017/s1481803500010344 · Cited by 26
Ketamine vs midazolam: Mood improvement reduces suicidal ideation in depression
Hochschild, A., Keilp, J. G., Madden, S. P., Burke, A. K., Mann, J. J., & Grunebaum, M. F. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.055 · Cited by 25
The neural correlates of low social integration as a risk factor for suicide
Cáceda, R., James, G. A., Stowe, Z. N., Delgado, P. L., Kordsmeier, N., & Kilts, C. D. (2020) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-019-00990-6 · Cited by 25
Attempted suicide short intervention program influences coping among patients with a history of attempted suicide
Gysin-Maillart, A., Soravia, L. M., & Schwab, S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.059 · Cited by 29
The Psychoanalytic Study of Suicide, Part I: An Integration of Contemporary Theory and Research
Schechter, M., Goldblatt, M., Ronningstam, E., & Herbstman, B. (2022) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651221086622 · Cited by 21
Polish Adaptation of the Psychache Scale by Ronald Holden and Co-workers
Chodkiewicz, J., Miniszewska, J., Strzelczyk, D., & Gąsior, K. (2016) · Psychiatria Polska · doi:10.12740/pp/onlinefirst/59448 · Cited by 24
Risk Factors for Medically Serious Suicide Attempts
Fowler, J. C., Hilsenroth, M. J., Groat, M., Biel, S., Biedermann, C., & Ackerman, S. A. (2012) · Journal of the American Psychoanalytic Association · doi:10.1177/0003065112442240 · Cited by 25
Implementing an evidence-based psychological intervention for suicidal thoughts and behaviors on an inpatient unit: Process, challenges, and initial findings
Bentley, K. H., Sauer-Zavala, S., Stevens, K. T., & Washburn, J. J. (2020) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2018.09.012 · Cited by 28
An Interpretive Study of Nursing Students' Experiences of Caring for Suicidal Persons
Scheckel, M. M., & Nelson, K. A. (2014) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2014.03.003 · Cited by 24
Examining the unique relations between anxiety sensitivity factors and suicidal ideation and past suicide attempts
Allan, N. P., Norr, A. M., Boffa, J. W., Durmaz, D. A., Raines, A. M., & Schmidt, N. B. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.066 · Cited by 24
Psychoanalytic perspectives on the treatment of an acute suicidal crisis.
Maltsberger, J. T., & Weinberg, I. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20225 · Cited by 22
Parent-offspring conflict and cost-benefit analysis in adolescent suicidal behavior
Andrews, P. W. (2006) · Human Nature · doi:10.1007/s12110-006-1017-8 · Cited by 25
Understanding the Transition from Suicidal Desire to Planning and Preparation: Correlates of Suicide Risk within a Psychiatric Inpatient Sample of Ideators and Attempters
Marie, L., Poindexter, E. K., Fadoir, N. A., & Smith, P. N. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.037 · Cited by 24
Invalidating childhood environments and nonsuicidal self‐injury in university students: Depression and mental pain as potential mediators
Holden, R. R., Lambert, C. E., Rochelle, M. L., Billet, M. I., & Fekken, G. C. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.23052 · Cited by 27
Mental Pain, Psychological Distress, and Suicidal Ideation During the COVID-19 Emergency: the Moderating Role of Tolerance for Mental Pain
Landi, G., Grossman‐Giron, A., Bitan, D. T., Mikulincer, M., Grandi, S., & Tossani, E. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-021-00646-4 · Cited by 27
“Mental pain, also known as “psychache” (Shneidman, 1993), is defined as an acute state of intense psychological pain associated with negative cognitive and emotional aspects of the self—i.e., thoughts of self-disappointment or inadequacies and feelings of guilt, anguish, fear, panic, angst,…”
Background
Perception of social inclusion/exclusion and response inhibition in adolescents with past suicide attempt: a multidomain task-based fMRI study
Gifuni, A. J., Pereira, F., Chakravarty, M. M., Lepage, M., Chase, H. W., Geoffroy, M., Lacourse, É., Phillips, M. L., Turecki, G., Renaud, J., et al. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02485-w · Cited by 25
Anomic suicide: A Durkheimian analysis of European normlessness
Hodwitz, O., & Frey, K. (2016) · Sociological Spectrum · doi:10.1080/02732173.2016.1148652 · Cited by 24
“There are several contemporary frameworks that attempt to explain and predict suicidal behavior (e.g., Joiner 2005; Shneidman 1993), with one of the more influential theories being proposed more than a century ago by the French sociologist Emile Durkheim ([1897] 1951).”
Background
Self-concealment and perfectionistic self-presentation in concealment of psychache and suicide ideation
D’Agata, M. T., & Holden, R. R. (2018) · Personality and Individual Differences · doi:10.1016/j.paid.2017.12.034 · Cited by 26
Highlighting psychological pain avoidance and decision‐making bias as key predictors of suicide attempt in major depressive disorder—A novel investigative approach using machine learning
Ji, X., Zhao, J., Fan, L., Li, H., Lin, P., Zhang, P., Fang, S., Law, S., Yao, S., & Wang, X. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23246 · Cited by 24
Generational Analyses of Suicide: Baby Boomers and 13ers
McIntosh, J. L. (1994) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1994.tb00813.x · Cited by 23
Building a case for understanding the lived experiences of males who attempt suicide in Alberta, Canada
Cutcliffe, J. R., Joyce, A., & CUMMINS, M. (2004) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2003.00722.x · Cited by 23
Mental pain as a mediator of suicidal tendency: A path analysis
Nahaliel, S., Sommerfeld, E., Orbach, I., Weller, A., Apter, A. S., & Zalsman, G. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.12.014 · Cited by 23
Core principles in treating suicidal patients.
Fowler, J. C. (2013) · Psychotherapy · doi:10.1037/a0032030 · Cited by 22
Childhood trauma and non-suicidal self-injury: Mental pain and depression as mediators in university and community samples?
Holden, R. R., Patterson, A. A., & Fekken, G. C. (2021) · Personality and Individual Differences · doi:10.1016/j.paid.2021.111414 · Cited by 22
A Study of the Use and Interpretation of Standardized Suicide Risk Assessment: Measures within a Psychiatrically Hospitalized Correctional Population
Horon, R., McManus, T., Schmollinger, J., Barr, T., & Jimenez, M. M. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00124.x · Cited by 22
Connecting Eating Pathology with Risk for Engaging in Suicidal Behavior: The Mediating Role of Experiential Avoidance
Skinner, K. D., Rojas, S. M., & Veilleux, J. C. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12249 · Cited by 22
Testing a Theory-Based Model of Suicidality in a Community Sample
Campos, R. C., & Holden, R. R. (2016) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222815598428 · Cited by 22
Exhausted without trust and inherent worth: A model of the suicide process based on experiential accounts
Benson, O., Gibson, S., Boden, Z., & Owen, G. J. (2016) · Social Science & Medicine · doi:10.1016/j.socscimed.2016.06.045 · Cited by 22
Mathematical and Computational Modeling of Suicidal Thinking as a Complex Dynamical SystemPreprint
Wang, S. B., Robinaugh, D. J., Millner, A. J., Fortgang, R. G., Hamm, S., Barrow, C., & Nock, M. (2023) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/b29cs · Cited by 24
Mental Pain Questionnaire: An item response theory analysis
Svicher, A., Romanazzo, S., De Cesaris, F., Benemei, S., Geppetti, P., & Cosci, F. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.02.030 · Cited by 21
Association of Workplace Bullying with Suicide Ideation and Attempt Among Chinese Nurses During the COVID-19 Pandemic
Lu, Y., Sun, M., Li, Y., Wu, L., Zhang, X., Wang, J., Huang, Y., & Cao, F. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09915-3 · Cited by 23
“When this psychological pain reaches the threshold of an individual, it can lead to suicide (Shneidman, 1993).”
Background
Suicidal Intent in Single-Car Accident Drivers
Pompili, M., Girardi, P., Tatarelli, G., et al. (2006) · Crisis · doi:10.1027/0227-5910.27.2.92 · Cited by 21
La douleur sociale au centre des conduites suicidaires
Courtet, P., & Olié, É. (2018) · L Encéphale · doi:10.1016/j.encep.2018.09.005 · Cited by 23
The Mediating Roles of Psychological Pain and Dream Anxiety in the Relationship between Sleep Disturbance and Suicide
Uğur, K., Demirkol, M. E., & Tamam, L. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1740124 · Cited by 21
“Shneidman (1993) also suggested that psychological pain was the most important predictor of suicidal behavior.”
BackgroundResultInfluential
Seeing the invisible: Extracting signs of depression and suicidal ideation from college students’ writing using LIWC a computerized text analysis
Z., I. L. R. (2020) · International Journal of Research Studies in Education · doi:10.5861/ijrse.2020.5007 · Cited by 20
Suicide Attempts and Perceived Social Support among Chinese Drug Users: The Mediating Role of Self-Esteem and Depression
Deng, Y., Li, X., Liu, L., & Chui, W. H. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18010208 · Cited by 21
Therapists' Collusion with the Resistance of Rape Survivors
Fox, R., & Carey, L. A. (1999) · Clinical Social Work Journal · doi:10.1023/a:1022874807892 · Cited by 21
Police Views of Suicidal Persons and the Law Criminalizing Attempted Suicide in Ghana: A Qualitative Study With Policy Implications
Osafo, J., Akotia, C. S., Quarshie, E. N., Boakye, K. E., & Andoh–Arthur, J. (2017) · SAGE Open · doi:10.1177/2158244017731803 · Cited by 20
“When these needs are expressed by the individual but remain unmet or unrecognized by significant others, the result is an enduring psychological pain (psychache) as asserted by Shneidman (1993).”
Background
Suicide Prevention and Primary Care
Michel, K. (2000) · doi:10.1002/9780470698976.ch38 · Cited by 20
The Mask of Suicide
Leenaars, A. A., Dieserud, G., & Wenckstern, S. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1851832 · Cited by 19
“From the survivors, we learn that the common stimulus in suicide is unbearable (unendurable) pain, psychache (see Shneidman, 1985, 1993).”
BackgroundMethodResultInfluential
Translating Interventional Neuroscience to Suicide: It’s About Time
Barredo, J., Bozzay, M. L., Primack, J. M., Schatten, H. T., Armey, M. F., Carpenter, L. L., & Philip, N. S. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.01.013 · Cited by 21
“, sociological (5), psychache (6), emotional dysregulation”
Hypersensitivity to negative feedback during dynamic risky-decision making in major depressive disorder: An event-related potential study
Fan, L., Kong, X., Zhang, P., Lin, P., Zhao, J., Ji, X., Fang, S., Wang, X., Yao, S., Li, H., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.09.019 · Cited by 21
Patterns of psychological pain and self‐harm behaviors in adolescents
Sun, F., Li, H., Song, W., Bao, J., & Zhen, Z. (2022) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12898 · Cited by 21
Directionality of change in obsessive compulsive disorder (OCD) and suicidal ideation over six years in a naturalistic clinical sample✰
Brown, L. A., Wakschal, E. S., Block, S. R., Boisseau, C. L., Mancebo, M. C., Eisen, J. L., & Rasmussen, S. A. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.006 · Cited by 19
“For instance, psychological pain (Shneidman, 1993) like that of obsession-related distress is conceptualized as a risk factor for suicide in the Three-Step Theory of Suicide (Klonsky and May, 2015).”
Background
DSM-5 PTSD symptom clusters and suicidal ideation in veterans
Brown, L. A., Chen, S., Narine, K., Contractor, A. A., & Oslin, D. W. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112942 · Cited by 19
The relationship of suicidal ideation with psychological pain and anger rumination in patients with major depressive disorder
Uğur, K., & Polat, H. (2021) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2021.06.012 · Cited by 20
Postdischarge suicide: A psychodynamic understanding of subjective experience and its importance in suicide prevention
Schechter, M., Goldblatt, M. J., Ronningstam, E. F., Herbstman, B., & Maltsberger, J. T. (2016) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2016.80.1.80 · Cited by 20
It’s the thought that counts: belief in suicide as an escape moderates the relationship between emotion dysregulation and suicidal ideation cross-sectionally and longitudinally
Al-Dajani, N., Uliaszek, A. A., & Hamdullahpur, K. (2019) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-019-0112-5 · Cited by 18
Decision-Making Skills Moderate the Relationship between Psychological and Physical Pain with Suicidal Behavior in Depressed Patients
Alacreu-Crespo, A., Olié, E., Seneque, M., Béziat, S., Guillaume, S., Costa, R., & Courtet, P. (2019) · Psychotherapy and Psychosomatics · doi:10.1159/000496572 · Cited by 18
Person-Centered Suicide Prevention
Duberstein, P. R., & Wittink, M. N. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-420123-1.00008-3 · Cited by 20
Sense of self-determination and the suicidal experience. A phenomenological approach
Schlimme, J. E. (2011) · Medicine Health Care and Philosophy · doi:10.1007/s11019-011-9358-4 · Cited by 18
Beyond the mental pain: A case-control study on the contribution of schizoid personality disorder symptoms to medically serious suicide attempts
Levi‐Belz, Y., Gvion, Y., Levi, U., & Apter, A. (2019) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2019.02.005 · Cited by 20
Psychache and Suicidal History in Patients with Obsessive-Compulsive Disorder
Demirkol, M. E., Namlı, Z., Davut, Ö. E., Karaytuğ, M. O., Tamam, L., & Yılmaz, H. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s237369 · Cited by 18
Intranasal Esketamine and Current Suicidal Ideation With Intent in Major Depression Disorder: Beat the Clock, Save a Life, Start a Strategy
Pompili, M. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00325 · Cited by 21
“Edwin Shneidman (9) first posited that the individual suicidal experiences unbearable psychological pain (psychache) or suffering and that suicide might be, at least in part, an attempt to escape from this suffering.”
Background
Tolerance for Mental Pain Scale (TMPS): Italian validation and evaluation of its protective role in depression and suicidal ideation
Landi, G., Furlani, A., Boccolini, G., Mikulincer, M., Grandi, S., & Tossani, E. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113263 · Cited by 18
Mental Pain and Suffering: The “Universal Currencies” of the Illness Experience?
Sensky, T. (2020) · Psychotherapy and Psychosomatics · doi:10.1159/000509587 · Cited by 20
The Study of Motivation in the Suicidal Process: The Motivational Interview for Suicidality
Moselli, M., Frattini, C., Williams, R., & Ronningstam, E. F. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.598866 · Cited by 18
The Meaning of Suicide Attempts by Young Adults.
Everall, R. D. (2000) · Canadian Journal of Counselling and Psychotherapy · Cited by 18
Suicide notes in the courtroom
Leenaars, A. A. (1999) · Journal of Clinical Forensic Medicine · doi:10.1016/s1353-1131(99)90175-x · Cited by 18
Validation of the Orbach & Mikulincer Mental Pain Scale (OMMP) on a drug addicted population
Guimarães, R., Fleming, M., & Cardoso, M. F. (2013) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0751-6 · Cited by 18
A study of psychological pain in substance use disorder and its relationship to treatment outcome
Mee, S., Bunney, B. G., Fujimoto, K., Penner, J., Seward, G., Crowfoot, K., Bunney, W. E., & Reist, C. (2019) · PLoS ONE · doi:10.1371/journal.pone.0216266 · Cited by 18
Prospective association of psychological pain and hopelessness with suicidal thoughts
Ballard, E. D., Farmer, C. A., Gerner, J., Bloomfield-Clagett, B., Park, L. T., & Zarate, C. A. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.033 · Cited by 16
A Systematic Review of MRI Studies and the “Emotional paiN and social Disconnect (END)” Brain Model of Suicidal Behavior in Youth
Tymofiyeva, O., Reeves, K. W., Shaw, C., Lopez, E., Aziz, S., Max, J. E., & Yang, T. T. (2023) · Behavioural Neurology · doi:10.1155/2023/7254574 · Cited by 19
“In the early 1990s, Shneidman et al. proposed a theory of suicide in which emotional pain, for this reason, was a necessary phenomenon in the etiological development of suicidal thoughts [30].”
Examining the Importance of Mental Pain and Physical Dissociation and the Fluid Nature of Suicidality in Young Suicide Attempters
Levinger, S., Holden, R. R., & Ben-Dor, D. H. (2015) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222815575899 · Cited by 17
Assessing suicide risk in the adult patient.
Sullivan, G. R., & Bongar, B. M. (2009) · American Psychological Association eBooks · doi:10.1037/11865-003 · Cited by 17
Valued living, life fulfillment, and suicide ideation among psychiatric inpatients: The mediating role of thwarted interpersonal needs
Roush, J. F., Cukrowicz, K. C., Mitchell, S. M., Brown, S. L., & Seymour, N. E. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.11.001 · Cited by 19
Religion as Meaning-Making Resource in Understanding Suicidal Behavior in Ghana and Uganda
Knizek, B. L., Andoh-Arthur, J., Osafo, J., Mugisha, J., Kinyanda, E., Akotia, C., & Hjelmeland, H. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.549404 · Cited by 16
“Suicide is the outcome of a crisis or psychache (psychological pain, Shneidman, 1993) and evokes powerful reactions of those affected.”
BackgroundInfluential
Decision‐making biases in suicide attempters with major depressive disorder: A computational modeling study using the balloon analog risk task (BART)
Liu, Q., Zhong, R., Ji, X., Law, S., Xiao, F., Wei, Y., Fang, S., Kong, X., Zhang, X., Yao, S., et al. (2022) · Depression and Anxiety · doi:10.1002/da.23291 · Cited by 19
“Finally, the Three‐Dimensional Psychological Pain theory proposed by Li and colleagues, based on the Psychological Pain theory (Shneidman, 1993), separates psychological pain into three dimensions—painful feelings, pain arousal and pain avoidance, to measure the experience, cognitive and motivation…”
Method
Stressful life events among college student: Direct and indirect relationships with insomnia, depression, self‐esteem, and suicide ideation
Zou, H., Kong, X., Chen, Z., & Zhang, W. (2024) · Psychology in the Schools · doi:10.1002/pits.23247 · Cited by 18
A History of Suicide Reporting in Canadian Newspapers, 1844–1990
Richardson, G. (2015) · Canadian Journal of Communication · doi:10.22230/cjc.2015v40n3a2902 · Cited by 16
Reliability and validity of Mee-Bunney Psychological Pain Assessment Scale Turkish version
Demirkol, M. E., Güleç, H., Tamam, L., Güleç, M. Y., Öztürk, S. A., Uğur, K., Karaytuğ, M. O., & Eroğlu, M. Z. (2019) · Current Psychology · doi:10.1007/s12144-019-00400-z · Cited by 16
“Psychological pain is defined as the “introspective experience of negative emotions such as fear, despair, grief, shame, guilt, blocked love, loneliness and loss” (Shneidman 1993, 1996, 1998; Bunney et al. 2002; Pompili et al. 2008; Verrocchio et al. 2016).”
BackgroundMethod
Suicide: A Transdiagnostic Phenomenon
Schechter, M., & Goldblatt, M. J. (2020) · Psychiatric Annals · doi:10.3928/00485713-20200310-02 · Cited by 16
“Hard to Say, Hard to Understand, Hard to Live”: Possible Associations between Neurologic Language Impairments and Suicide Risk
Costanza, A., Amerio, A., Aguglia, A., Magnani, L., Serafini, G., Amore, M., Merli, R., Ambrosetti, J., Bondolfi, G., Marzano, L., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11121594 · Cited by 15
Balancing psychache and resilience in aging Holocaust survivors
Ohana, I., Golander, H., & Barak, Y. (2014) · International Psychogeriatrics · doi:10.1017/s104161021400012x · Cited by 16
Response to unfairness across the suicide risk spectrum
Carbajal, J. M., Gamboa, J. L., Moore, J., Smith, F. M., Eads, L. A., Clothier, J. L., & Cáceda, R. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.071 · Cited by 17
Adaptation to the Suicidal Niche
Soper, C. A. (2019) · Evolutionary Psychological Science · doi:10.1007/s40806-019-00202-3 · Cited by 17
“Pain offers a unifying basis for both ultimate and proximal explanation: “The explanation for suicide in humankind is the same as the explanation for suicide in any particular human” (Shneidman 1993, p. 146).”
Background
Acute Shame Predicts Urges for Suicide but not for Substance Use in a Veteran Population
Cameron, A., Shea, M. T., & Randall, A. B. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12588 · Cited by 16
Psychotherapeutic Interventions to Prevent Repeated Suicidal Behavior
Links, P. S., Bergmans, Y., & Cook, M. (2003) · Brief Treatment and Crisis Intervention · doi:10.1093/brief-treatment/mhg033 · Cited by 17
Ecstatic suicide
Maltsberger, J. T. (1997) · Archives of Suicide Research · doi:10.1080/13811119708258280 · Cited by 16
Lessons Learned from Clinical Trials of the Collaborative Assessment and Management of Suicidality ( CAMS )
Jobes, D. A., Comtois, K. A., Brenner, L. A., Gutierrez, P. M., & O’Connor, S. S. (2016) · Wiley eBooks · doi:10.1002/9781118903223.ch24 · Cited by 17
The Complexity of Suicide: Review of Recent Neuroscientific Evidence
Ching, E. (2016) · Cited by 16
The Attempt Was My Own! Suicide Attempt Survivors Respond to an Australian Community-Based Suicide Exposure Survey
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The relationship between psychological pain and suicidality in patients with major depressive disorder: A meta-analysis
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“Notable exceptions were psychache (Tripp et al., 2020) a specific conceptualization of psychological pain central to the Cubic Model of Suicide by Shneidman (1993), and entrapment, which the IMV Model posits to be the state from which suicidal thoughts first arise (O ’ Connor & Kirtley, 2018).”
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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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