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

The DOI matches its Crossref record.

Commentary: Suicide as Psychache

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

DOI 10.1097/00005053-199303000-00001

Open this paper in CoChat — free account

Integrity signals

Registry

Crossref · 10.1097/00005053-199303000-00001

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Sorted by citations

Items 301–400 of 772

Evaluating Suicide Risk Using the Reasons for Dying-Reasons for Living (RFD-RFL) Index in a Military Psychiatric Inpatient Setting
Fox, A. M., LaCroix, J. M., Bond, A. E., Perera, K. U., Luk, J. W., Goldston, D. B., Weaver, J. J., Soumoff, A. A., & Ghahramanlou‐Holloway, M. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113576 · Cited by 16
Suicidal Ideation and Obsessive-Compulsive Disorder: Links and Knowledge
Benster, L. L., Weissman, C. R., & Daskalakis, Z. J. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s368585 · Cited by 17
“Schneidman’s model describes how psychological distress can operate as a catalyst on persisting risk factors for suicide.(48) The concept of psychological distress or pain, refers to a state of mental suffering or emotional unease resulting from interference of an individual’s basic needs.”
Background
Clinical experiences with intranasal esketamine for major depressive disorder resistant to treatment and with a psychiatric emergency: case presentations
Pompili, M., Sarli, G., Erbuto, D., Manfredi, G., & Comparelli, A. (2022) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000455 · Cited by 17
Themes and trends in intentional self-poisoning: Perspectives from critical care toxicology
Rasimas, J. J., Smolcic, E. E., & Sinclair, C. M. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.049 · Cited by 14
Projective Technique Testing Approach to the Understanding of Psychological Pain in Suicidal and Non-Suicidal Psychiatric Inpatients
Berardelli, I., Sarubbi, S., Spagnoli, A., Fina, C., Rogante, E., Erbuto, D., Innamorati, M., Lester, D., & Pompili, M. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17010284 · Cited by 16
“After dedicating most of his research to the understanding of psychological features of suicidal risk and behavior, Shneidman concluded that suicides are a direct result of immense psychological pain which he named psychache [1].”
Background
Suicide Attempters in the Emergency Department Before Hospitalization in a Psychiatric Ward
Pompili, M., Innamorati, M., Serafini, G., Forte, A. M., Cittadini, A., Mancinelli, I., Calabrò, G., Dominici, G., Lester, D., Akiskal, H. S., et al. (2010) · Perspectives In Psychiatric Care · doi:10.1111/j.1744-6163.2010.00263.x · Cited by 14
The Relationship Among Anxiety Sensitivity, Psychache, and Suicidality in Patients With Generalized Anxiety Disorder
Demirkol, M. E., Tamam, L., Namlı, Z., Karaytuğ, M. O., & Yeşiloğlu, C. (2022) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001534 · Cited by 14
Exploring the Suicide Mechanism Path of High-Suicide-Risk Adolescents—Based on Weibo Text Analysis
Mo, L., Li, H., & Zhu, T. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811495 · Cited by 14
The relationship between mood disorders, personality disorder and suicidality in adolescence: does general personality disturbance play a significant role in predicting suicidal behavior?
Williams, R., Chiesa, M., Moselli, M., Frattini, C., Casini, M. P., & Fonagy, P. (2023) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-023-00238-9 · Cited by 20
“This condition of psychache is able to trigger a sense of entrapment and helplessness, and suicide is then perceived as the only way to escape from this unbearable emotional state [14].”
Background
Are visual analogue scales valid instruments to measure psychological pain in psychiatric patients?
Alacreu‐Crespo, A., Innamorati, M., Courtet, P., Erbuto, D., Luciano, M., Sampogna, G., Daga, G. A., Barlati, S., Carmassi, C., Castellini, G., et al. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.05.017 · Cited by 14
Suicide Risk Evaluations and Suicide in the Veterans Health Administration
Saulnier, K. G., Bagge, C. L., Ganoczy, D. A., Bahraini, N. H., Jagusch, J., Hosanagar, A., Ilgen, M. A., & Pfeiffer, P. N. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.61559 · Cited by 14
Development and psychometric evaluation of the Military Suicide Attitudes Questionnaire (MSAQ)
VanSickle, M. R., Tucker, J., Daruwala, S. E., & Ghahramanlou‐Holloway, M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.03.065 · Cited by 13
The persistent shadow of suicide ideation and attempts in a high-risk group of psychiatric patients: A focus for intervention
Tillman, J. G., Clemence, A. J., Cree, R. A., Lewis, K. C., Stevens, J. L., & Reiss, D. (2017) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2017.05.005 · Cited by 16
‘The last thing you feel is the self‐disgust’. The role of self‐directed disgust in men who have attempted suicide: A grounded theory study
Mason, D., James, D. S., Andrew, L., & Fox, J. R. E. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12389 · Cited by 13
Repeat Substance-Using Suicidal Clients—How Can We Be Helpful?
Bergmans, Y., Spence, J. M., Strıke, C., Links, P. S., Ball, J. S., Rufo, C., Rhodes, A. E., Watson, W. J., & Eynan, R. (2009) · Social Work in Health Care · doi:10.1080/00981380802592013 · Cited by 13
Predicament suicide: an update
PRIDMORE, S. A., Auchincloss, S., & Walter, G. (2015) · Australasian Psychiatry · doi:10.1177/1039856215588227 · Cited by 13
Exposure to suicide in the family: Suicide risk and psychache in individuals who have lost a family member by suicide
Campos, R. C., Holden, R. R., & Santos, S. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22518 · Cited by 13
Evaluation of a brief interval exercise training (IET) intervention for first-time prisoners with elevated anxiety symptoms
Legrand, F. D., Ory, E., & Herring, M. P. (2020) · Anxiety Stress & Coping · doi:10.1080/10615806.2020.1768244 · Cited by 13
Advances in crisis management of the suicidal patient: Perspectives from patients
Bergmans, Y., Brown, A. L., & Carruthers, A. (2007) · Current Psychiatry Reports · doi:10.1007/s11920-007-0013-y · Cited by 12
Investigating the Path from Non-Suicidal Self-Injury to Suicidal Ideation: The Moderating Role of Emotion Dysregulation
Zobel, S. B., Bruno, S., Torru, P., Rogier, G., & Velotti, P. (2023) · Psychiatry Investigation · doi:10.30773/pi.2022.0338 · Cited by 13
Psychosocial risk factors of youth suicide in the Western Pacific: a scoping review
Morshidi, M. I., Chew, P. K. H., & Suárez, L. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02529-6 · Cited by 12
PEPSUI, a Psychoeducational Program for the Management of Suicidal Patients: A Qualitative Study From a Randomized Controlled Trial
Henrion, A., Courtet, P., Brand‐Arpon, V., Lafrancesca, A., Lacourt, L., Jaussent, I., Guillaume, S., Olié, É., & Ducasse, D. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.500447 · Cited by 13
“Patients understood that unpleasant emotions are expressed through bodily sensations that induce psychological pain (24), leading to the urgent need to act and possibly to adopt experiential avoidance behaviors (25).”
BackgroundMethod
The Experience of Pain is Strongly Associated With Poor Sleep Quality and Increased Risk for Suicide
Cáceda, R., Kim, D. J., Carbajal, J. M., & Hou, W. (2021) · Archives of Suicide Research · doi:10.1080/13811118.2021.1939208 · Cited by 12
An acceptance and commitment therapy approach to adolescent suicide.
Murrell, A. R., Al-Jabari, R., Moyer, D., Novamo, E., & Connally, M. L. (2014) · International Journal of Behavioral Consultation and Therapy · doi:10.1037/h0101639 · Cited by 12
“viewed as the most extreme form of EA (Chiles & Strosahl, 2005; Luoma & Villatte, 2012), with behaviors like social isolation and giving away prized possessions being lesser forms of avoidance (APA, 1996) and suicide being the ultimate attempt at controlling psychological pain (Shneidman, 1993) and difficult self-awar…”
Background
Restoring Hope for the Future: Mentalization-Based Therapy in the Treatment of a Suicidal Adolescent
Sharma, S., & Fowler, J. C. (2018) · The Psychoanalytic Study of the Child · doi:10.1080/00797308.2017.1416863 · Cited by 12
Biological Responses to Acute Stress and Suicide: a Review and Opportunities for Methodological Innovation
Miller, A. B., & Eisenlohr-Moul, T. A. (2019) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-019-00185-2 · Cited by 12
Routinized categorization of suicide risk into actionable strata: Establishing the validity of an existing suicide risk assessment framework in an outpatient sample
Gallyer, A. J., Chu, C., Klein, K. M., Quintana, J., Carlton, C. N., Dougherty, S. P., & Joiner, T. E. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22994 · Cited by 13
Suicide across the Life Span: Pathways to Prevention
King, C. A. (1998) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1998.tb00969.x · Cited by 12
Living with suicidal thoughts
Dodemaide, P., & Crisp, B. R. (2013) · Health Sociology Review · doi:10.5172/hesr.2013.22.3.308 · Cited by 12
Using Rational Suicide as an Intervention to Prevent Irrational Suicide
Werth, J. L. (1998) · Crisis · doi:10.1027/0227-5910.19.4.185 · Cited by 12
A List Of The Type-Species Of The Genera And Subgenera Of Formicidae.
Donisthorpe, H. S. J. K. (1943) · INFM-OAR (INFN Catania) · doi:10.5281/zenodo.26489 · Cited by 12
Assessment of psychological pain in suicidal veterans
Reist, C., Mee, S., Fujimoto, K., Rajani, V., Bunney, W. E., & Bunney, B. G. (2017) · PLoS ONE · doi:10.1371/journal.pone.0177974 · Cited by 12
Lives and Deaths: Biographical Notes on Selections from the Works of Edwin S. Shneidman
Leenaars, A. A. (2010) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2010.40.5.476 · Cited by 12
Why Suicide?
Nicolopoulos, A., Boydell, K., Shand, F., & Christensen, H. M. (2017) · Adolescent Research Review · doi:10.1007/s40894-017-0070-3 · Cited by 11
Epidemiology of suicide: from population to single cases
Pompili, M. (2019) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000647 · Cited by 11
The mediating role of tolerance for psychological pain in the relationship of childhood trauma to suicidal ideation in individuals with a substance use disorder
Martins, L. C., Campos, R. C., & Morujão, I. S. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12338 · Cited by 13
Choosing Death Over Survival: A Need to Identify Evolutionary Mechanisms Underlying Human Suicide
Chatterjee, D., & Rai, R. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.689022 · Cited by 10
“Such an approach could seem like a simple addition to or variation of already known approaches that have focused mainly on pain, or as Shneidman has coined “psychache” (Shneidman, 1993, p. 145).”
Background
Recalled Childhood Maltreatment and Suicide Risk in Chinese College Students: The Mediating Role of Psychache and the Moderating Role of Meaning in Life
Wang, Z., Wang, X., Peng, Y., Liu, C., & He, J. (2022) · Journal of Adult Development · doi:10.1007/s10804-022-09422-7 · Cited by 11
“The association between recalled childhood maltreatment and psychache suggests that rejected and harmful experiences may generate a sense of unfulfilled need (e.g., belonging, deference), resulting in mental pain (Shneidman, 1993).”
BackgroundInfluential
Transforming communities: suicide, relatedness, and reclamation among Inuit of Nunavut
Kral, M. J. (2009) · doi:10.82308/1972 · Cited by 9
Interpersonal needs and psychological pain: The role of brooding and rejection sensitivity
Lear, M. K., Stacy, S. E., & Pepper, C. M. (2017) · Death Studies · doi:10.1080/07481187.2017.1393029 · Cited by 11
Suicidal Behavior in Surviving Co-Twins
Pompili, M., Galeandro, P. M., Lester, D., & Tatarelli, R. (2006) · Twin Research and Human Genetics · doi:10.1375/183242706778553444 · Cited by 14
Estimating Suicidality as an Outcome Measure in Clinical Trials of Suicide in Schizophrenia
Sakinofsky, I., Heilä, H., & Krishnan, R. R. (2004) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007103 · Cited by 11
P-glycoprotein mediates the pharmacokinetic interaction of olanzapine with fluoxetine in rats
Xu, Y., Lu, J., Yao, B., Zhang, Y., Huang, S., Liu, J., Zhang, Y., Guo, Y., & Wang, X. (2021) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2021.115735 · Cited by 9
A cross-sectional study of psychache and coping strategies and therapeutic approaches among Palestinian university students during the Gaza Israeli war
Sabbah, S. S., Yacoub, Z., Yacoub, H., Yacoub, R. K., & Holden, R. R. (2025) · Scientific Reports · doi:10.1038/s41598-025-03998-2 · Cited by 12
Psychological pain and previous suicide attempts in young adults: Results with the Portuguese version of the Psychache Scale
Campos, R. C., & Holden, R. R. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22973 · Cited by 10
Clarifying the association of eating disorder features to suicide ideation and attempts
Shahnaz, A., & Klonsky, E. D. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23266 · Cited by 10
Application of the three-step ideation-to-action theory to passive and active suicidal ideation in college students
Kelly, L. M., Swenson, L. P., & Wolff, J. C. (2023) · Minerva Psychiatry · doi:10.23736/s2724-6612.21.02263-6 · Cited by 11
Incomplete oedipism and chronic suicidality in psychotic depression with paranoid delusions related to eyes
Pompili, M., Lester, D., Tatarelli, R., et al. (2006) · Annals of General Psychiatry · doi:10.1186/1744-859x-5-18 · Cited by 10
Rational Suicide in the Elderly
Balasubramaniam, M., & McCue, R. E. (2016) · Springer eBooks · doi:10.1007/978-3-319-32672-6 · Cited by 10
A Multidimensional Theory of Suicide
Leenaars, A. A., Dieserud, G., Wenckstern, S., Dyregrov, K., Lester, D., & Lyke, J. A. (2018) · Crisis · doi:10.1027/0227-5910/a000508 · Cited by 11
The Relationship Between Childhood Trauma and Suicide Ideation: Mediating Role of Mental Pain
Zarrati, I., Bermas, H., & Sabet, M. (2019) · Annals of Military and Health Sciences Research · doi:10.5812/amh.89266 · Cited by 10
Dimensionality of Suicide Behaviors: Results within Two Samples from Two Different Countries
Campos, R. C., Holden, R. R., Spínola, J., Marques, D., & Lambert, C. E. (2019) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222819882849 · Cited by 10
“For example, Shneidman (1993) has proposed that suicide is caused by unbearable psychological pain, termed by him “psychache,” with other important risk factors, such as depression and hopelessness only being important through the effect of psychache.”
Background
Predicting Suicidal Ideation with the Depression Hopelessness and Suicide Screening Form (DHS)
Mills, J. F., & Kroner, D. G. (2008) · Journal of Offender Rehabilitation · doi:10.1080/10509670801940680 · Cited by 10
No Cathartic Effect in Suicide Attempters Admitted to the Emergency Department
Pompili, M., Innamorati, M., CASALE, A. D., Serafini, G., Forte, A. M., Lester, D., Raja, M., Amore, M., Tatarelli, R., & Girardi, P. (2009) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000364284.78457.ea · Cited by 10
Understanding deliberate self harm : an enquiry into attempted suicide
Wyder, M. (2004) · Cited by 9
The ultimate resignation: suicide and search activity
Weinberg, I. (2000) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(00)00026-9 · Cited by 10
The assessment of pathways towards suicide in adolescent patients: A PDM‐2‐oriented approach
Williams, R., Fiorentino, F., Lingiardi, V., Moselli, M., Sharp, C., & Tanzilli, A. (2024) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12529 · Cited by 9
Gender differences in risk and resilience for suicidal thoughts and behaviors: A national longitudinal survey study of United States veterans with a recent suicide attempt
Denneson, L. M., Smolenski, D. J., McDonald, K. L., Shull, S., Hoffmire, C. A., Britton, P. C., Carlson, K. F., & Dobscha, S. K. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.05.133 · Cited by 9
“Psychotherapy in the Pressure Cooker”: A Systematic Review of Single Session Psychosocial Interventions in Emergency Departments for Suicide-related Thoughts or Behaviors
Chartier, G., Lam, F., Bergmans, Y., Lofchy, J., Bolton, J. M., Klonsky, E. D., Zaheer, J., & Kealy, D. (2023) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000725 · Cited by 10
The relationship of coping skills with psychache in patients with depressive disorder
Yeşiloğlu, C., Tamam, L., Demirkol, M. E., Namlı, Z., Karaytuğ, M. O., & Güzelbaba, Ş. Ş. (2023) · Medicine · doi:10.1097/md.0000000000034339 · Cited by 9
“[4] Shneidman [5] characterized psychache as a real or idealized loss, leading to a painful state with repercussions for self-esteem and integrity.”
BackgroundMethod
Associations Between the Suicidal Ideation and the Tolerance for Psychological Pain and Tolerance for Physical Pain in Patients Diagnosed with Major Depressive Disorder
Yeşiloğlu, C., Tamam, L., Demirkol, M. E., Namlı, Z., & Karaytuğ, M. O. (2023) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s430139 · Cited by 10
“18 55 Our study demonstrated that the threshold of tolerance for physical pain was higher in men than that in women; however, the difference was not statistically significant.”
Background
Suicidal behavior: Risk and protective factors.
Cáceda, R. (2014) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 9
Samobójstwo w kulturze dzisiejszej. Listy samobójców jako gatunek wypowiedzi i fakt kulturowy
Witkowska, H. (2020) · Wydawnictwa Uniwersytetu Warszawskiego eBooks · doi:10.31338/uw.9788323546955 · Cited by 9
Assessment of suicidal risk using Minnesota multiphasic personality inventory-2 restructured form
Kim, S., Lee, H.-K., & Lee, K. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02495-2 · Cited by 9
“The Demoralization (RCd) and Negative Emotions (RC7) scores indicate issues originating from emotional problems; therefore, emotional pain can be considered a major factor that distinguishes between normal and suicidal groups, The psychiatric theory of Shneidman (1993) and the interpersonal-psychological theory by Joi…”
Background
The Mediating Effect of Psychache on the Relationship Between Psychological Strains and Suicidal Behaviors Among Chinese Hui and Han Medical Students
Li-na, H., Chang, Q., & Wang, Z. (2020) · SAGE Open · doi:10.1177/2158244020942158 · Cited by 9
“” Psychache is a necessary condition for suicide to occur (Shneidman, 1993) and a core factor of suicide susceptibility (Verrocchio et al.”
Background
Using Contemporary Psychometric Methods to Construct and Validate Scores on a Short-Form Version of the Psychological Strain Scales
Huen, J. M. Y., Zhang, J., Osman, A., Lew, B., & YIP, P. S. F. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.11.069 · Cited by 9
Understanding Suicidal Behavior Using a Comprehensive Approach
Kiani, A., Rashid, S., Dadfar, M., & Lester, D. (2021) · Illness Crisis & Loss · doi:10.1177/10541373211051058 · Cited by 10
“The findings showed that the combination of hopelessness with psychache predicted suicidal ideation, consistent with the findings of Troister & Holden (2010); Shneidman (1993) found that psychache precedes any other factor in predicting suicide.”
Result
The Relationship Between Psychache and Suicide Risk With Spiritual Well-Being Levels of Patients Diagnosed With Depression
Tanrıverdi, D., Beki̇rcan, E., & Koç, Z. (2022) · Journal of the American Psychiatric Nurses Association · doi:10.1177/10783903221079796 · Cited by 9
“(Shneidman, 1993, pp. 145-147) Suicide occurs when the psychache is deemed by that person to be unbearable (Pachkowskı et al., 2019; Shneidman, 1993).”
Background
Validity and Reliability Study of the Turkish Version of the Unbearable Psychache Scale
Namlı, Z., Demirkol, M. E., Tamam, L., Karaytuğ, M. O., & Yeşiloğlu, C. (2022) · ALPHA PSYCHIATRY · doi:10.5152/alphapsychiatry.2022.21604 · Cited by 9
Assessment and Management of Suicide Risk: What Psychiatrists Should Know
Pompili, M. (2023) · International Review of Psychiatry · doi:10.1080/09540261.2023.2276898 · Cited by 9
“”, he called this mental pain psychache —an ache in the psyche (Shneidman, 1987, 1993, 1996, 2001).”
Suicide prevention in the genetic counseling context
Peters, J. A. (1994) · Journal of Genetic Counseling · doi:10.1007/bf01412227 · Cited by 9
“In his efforts to measure, operationalize and mollify "psychache," he has identified a progressive suicidal process which has potential for interruption before reaching a suicidal outcome (Shneidman, 1993).”
Background
Empirically-Based Outpatient Treatment for a Patient at Risk for Suicide: The Case of "John"
Bryan, C. J. (2007) · Pragmatic Case Studies in Psychotherapy · doi:10.14713/pcsp.v3i2.897 · Cited by 8
We Need to Talk About Psychological Pain
Meerwijk, E. L., & Shattell, M. M. (2012) · Issues in Mental Health Nursing · doi:10.3109/01612840.2011.653046 · Cited by 9
Origins of suicidality: compatibility of lay and expert beliefs - qualitative study.
Zadravec, T., & Grad, O. T. (2013) · PubMed · Cited by 9
Manifest Dream Content as a Predictor of Suicidality
Glucksman, M. L., & KRAMER, M. L. (2017) · Psychodynamic Psychiatry · doi:10.1521/pdps.2017.45.2.175 · Cited by 9
The multidimensionality of suicide risk factors and criteria in a nonclinical population: Replication across two countries and two languages
Holden, R. R., Campos, R. C., Simões, A., Costa, S., Pio, A. S., & Lambert, C. E. (2020) · International Journal of Psychology · doi:10.1002/ijop.12657 · Cited by 9
Suicidal Behavior in Surviving Co-Twins
Pompili, M., Galeandro, P. M., Lester, D., et al. (2006) · Twin Research and Human Genetics · doi:10.1375/twin.9.5.642 · Cited by 9
Psychological pain: A moderating factor between personality psychopathology and self-harm
Davis, K. C., & Anderson, J. L. (2021) · Journal of American College Health · doi:10.1080/07448481.2021.1928677 · Cited by 10
Interpersonal Needs, Mental Pain, and Hopelessness in Psychiatric Inpatients with Suicidal Ideation
Berardelli, I., Rogante, E., Sarubbi, S., Trocchia, M. A., Longhini, L., Erbuto, D., Innamorati, M., & Pompili, M. (2023) · Pharmacopsychiatry · doi:10.1055/a-2154-0828 · Cited by 8
“Moreover, Shneidman [29] postulated that individuals at risk for suicide experience intol-erable psychological pain derived from repeatedly unmet needs, leading to considering suicide as the only solution to this condition.”
BackgroundResultInfluential
Childhood trauma, psychache, and depression among university students: a moderated mediation model
Chen, S., Fu, T., Wang, Y., & Sun, G. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1414105 · Cited by 11
Early onset of action and sleep-improving effect are crucial in decreasing suicide risk: the role of quetiapine XR in the treatment of unipolar and bipolar depression.
Pompili, M., Rihmer, Z., Gonda, X., Serafini, G., Sher, L., & Girardi, P. (2012) · PubMed · doi:10.1708/1178.13055 · Cited by 8
Self-Forgiveness, Self-Harm, and Suicidal Behavior: Understanding the Role of Forgiving the Self in the Act of Hurting One’s Self
Hirsch, J. K., Webb, J. R., & Toussaint, L. L. (2017) · Springer eBooks · doi:10.1007/978-3-319-60573-9_18 · Cited by 12
Riesgo de suicidio, inteligencia emocional y necesidades psicológicas básicas en adolescentes tutelados en centros residenciales
Bonet, C., Palma, C., & Gimeno-Santos, M. (2020) · Revista de Psicología Clínica con Niños y Adolescentes · doi:10.21134/rpcna.2020.07.1.4 · Cited by 16
Mental Pain in Eating Disorders: An Exploratory Controlled Study
Tomba, E., Tecuta, L., Gardini, V., & Dato, E. L. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10163584 · Cited by 8
“However, it is significantly associated with several psychopathological conditions, such as suicidal ideation [2,7,11], depression [10,12,13], anxiety [14,15], borderline personality disorder [16], and emotion dysregulation [9].”
Background
Suicide-nearness assessed with PORT, the Percept-genetic Object-Relation Test: A replication and a reliability study
Titelman, D., Nilsson, A., Svensson, B., Karlsson, H., & Bruchfeld, S. (2011) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2011.75.4.295 · Cited by 8
Depression, Anxiety, and Psychological Defense in Attempted Suicide: A Pilot Study using PORT
Titelman, D., Nilsson, A., Estari, J., & Wasserman, D. (2004) · Archives of Suicide Research · doi:10.1080/13811110490436855 · Cited by 8
A randomized controlled trial of a nurse-led psychological pain solution-focused intervention for depressed inpatients: study protocol
Chen, S.-Y., Bian, C., Cheng, Y., Zhao, W.-W., Yan, S.-R., & Zhang, Y.-H. (2023) · BMC Nursing · doi:10.1186/s12912-023-01252-6 · Cited by 6
Mental Pain Surrounding Suicidal Behaviour: A Review of What Has Been Described and Clinical Recommendations for Help
Morales, S., & Barros, J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.750651 · Cited by 7
““MP is also understood as “psychache” (20) and defined as an acute state of intense psychological pain associated with negative cognitive and emotional aspects of the self—i.”
Background
The anatomy of crisis
Roennfeldt, H., Hill, N., Byrne, L., & Hamilton, B. E. (2024) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2024.2416580 · Cited by 10
“Morgan Resembling the work of Shneidman (1993), participants identified pain or wounding within their soul.”
Background
Psikolojik Acı
Demirkol, M. E., Namlı, Z., & Tamam, L. (2019) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.444006 · Cited by 8
Utility of the psychache scale in patients undergoing surgery for degenerative lumbar disease: a prospective single-center study
Yakdan, S. M., Benedict, B. C., Javeed, S., Zhang, J. K., Ruiz-Cardozo, M. A., Kelly, M. P., Neuman, B. J., Goodin, B. R., Ray, W. Z., Rodebaugh, T. L., et al. (2025) · European Spine Journal · doi:10.1007/s00586-025-08857-2 · Cited by 7
Reliability and Validation of the Hebrew Version of the Reasons for Attempting Suicide Questionnaire ( RASQ ‐ H ) and its Importance for Mental Pain
Levinger, S., & Holden, R. R. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12087 · Cited by 7
Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China
Yang, Y., Wang, S., Hu, B., Hao, J., Hu, R., Zhou, Y., & Mao, Z. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176399 · Cited by 7
From depression to suicidal discourse on Reddit
Iavarone, B., & Monreale, A. (2021) · IEEE International Conference on Big Data (BigData) · doi:10.1109/bigdata52589.2021.9671801 · Cited by 8
“Suicidal ideation and acts result from a multitude of factors [1] and manifest in different behaviors, often accompanied by an underlying mental illness [2].”
Background
The mediator role of perceived social support in the relationship between difficulties in emotion regulation and suicide tendency
Demir, B., & Sümer, Z. (2022) · Current Psychology · doi:10.1007/s12144-022-03347-w · Cited by 12
Integrating biobehavioral information to predict mood disorder suicide risk
Jackson, N., & Jabbi, M. (2022) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2022.100495 · Cited by 7
“Thus, sustained accumulation of negative survival values perceived from adverse environmental experiences coupled with genetic vulnerability can depreciate the level of positive existential outlook and increase psychological pain and misery (Nemeroff, 2021; Shneidman, 1993).”
Background
The collective impact of childhood abuse, psychache, and interpersonal needs on suicidal ideation among individuals with bipolar disorder: A discriminant analysis
Kapoor, S., Freitag, S. L., Bradshaw, J., Valencia, G., & Lamis, D. A. (2023) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106202 · Cited by 7
SYLVIA PLATH: A PROTOCOL ANALYSIS OF HER LAST POEMS
Leenaars, A. A. (1998) · Death Studies · doi:10.1080/074811898201326 · Cited by 7
THEORIES OF SUICIDAL BEHAVIOR APPLIED TO SYLVIA PLATH
Lester, D. (1998) · Death Studies · doi:10.1080/074811898201344 · Cited by 7
High Suicide Risk after the Development of Cognitive and Working Memory Deficits Caused by Cannabis, Cocaine and Ecstasy Use
Pompili, M., Lester, D., Girardi, P., & Tatarelli, R. (2007) · Substance Abuse · doi:10.1300/j465v28n01_04 · Cited by 7

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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Commentary: Suicide as Psychache

Overview

Integrity signals

Verification

Claims the paper makes

Citations

Cited by

Related

Metadata

Record

About these checks