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Cited by 101Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesDeath Anxiety and Social Exclusion

Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes

Li, Huanhuan, Xie, Weizhen, Luo, Xinwei, Fu, Rong, Shi, Chuan, Ying, Xiangyu, Wang, Ning, Yin, Qifeng +1 more·2014·Suicide and Life-Threatening Behavior
DOI 10.1111/sltb.12056
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Abstract

The role of psychological pain in the risk of suicide was explored using a three-dimensional psychological pain model (pain arousal, painful feelings, pain avoidance). The sample consisted of 111 outpatients with major depressive episodes, including 28 individuals with suicidal histories. They completed the Chinese version of the Beck Scale for Suicide Ideation (BSI), the Beck Depression Inventory (BDI), the Psychache Scale, and the three-dimensional Psychological Pain Scale (TDPPS). A structured clinical interview was conducted to assess the history of suicidal acts. Significant correlations were found among BDI, BSI, and TDPPS scores (p < .01). Stepwise regression analyses showed that only pain avoidance scores significantly predicted suicide ideation at one's worst point (β = .79, p < .001) and suicidal acts (β = .46, p < .001). Pain avoidance was also a better predictor of current suicidal ideation (β = .37, p = .001) than were BDI scores (β = .31, p < .01). Increased levels of pain avoidance during a major depressive episode may be a dominant component of the motivation for suicide. Future clinical assessments for populations at high risk of suicide should include measures of psychological pain to reduce the incidence of suicide.

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Crossref · 10.1111/sltb.12056

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  • According to Zou et al., the higher risk of suicide in patients with severe mental pain could be explained by a specific component of mental pain, pain avoidance, and the behavioral tendency to escape from psychological pain through suicide.

    “According to Zou et al. [42], the higher risk of suicide in patients with severe mental pain could be explained by a specific component of mental pain, pain avoidance, and the behavioral tendency to escape from psychological pain through suicide [43].”

    From High depression symptomatology and mental pain characterize suicidal psychiatric patients (2022) · cites this paper as [43]

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Authors
Li, H., Xie, W., Luo, X., Fu, R., Shi, C., Ying, X., Wang, N., Yin, Q., & Wang, X.
Affiliations
  • Institute of Psychology, Chinese Academy of Sciences (CN)
  • Renmin University of China (CN)
  • Second Xiangya Hospital of Central South University (CN)
  • Peking University Sixth Hospital (CN)
  • Department of Psychology Renmin University of China Beijing China
Corresponding author
Li, Huanhuan
ORCID
Venue
Suicide and Life-Threatening Behavior
Publisher
Wiley
Published
2013-09-23
Volume
44
Issue
1
Pages
78-88
ISSN
  • 0363-0234 (ISSN-L)
  • 1943-278X
DOI
10.1111/sltb.12056
OpenAlex
W2048491960
Cited by
101
References
33
Citations by year
2026: 6 · 2025: 10 · 2024: 8 · 2023: 7 · 2022: 16 · 2021: 7 · 2020: 7 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 9 · 2015: 3 · 2014: 2 · 2013: 1
FWCI
5.56
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Suicide and Life-Threatening Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
Keywords
psychological suffering, pain avoidance, suicidal ideation, suicidal behavior, major depressive episode, depression, emotional pain, suicide risk assessment
MeSH terms
Adolescent, Adult, Major Depressive Disorder, Female, Humans, Interview, Psychological, Male, Middle Aged, Pain, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Suicide, Attempted, Young Adult, Suicidal Ideation

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