This study examines the importance of two suicide risk factors, mental pain and physical dissociation, among young people. Participants were 42 suicidal inpatients, 36 nonsuicidal inpatients, and 45 nonclinical participants. Overall, suicide attempters reported a stronger intensity of and lower tolerance for mental pain and more physical dissociation compared to the other two groups. Suicide attempters with a low tolerance for mental pain showed a higher level of dissociation from pain and insensitivity to bodily cues compared to nonsuicidal inpatients with similar levels of tolerance for mental pain. Physical dissociation contributed significantly to the likelihood of suicidality beyond the contribution of mental pain. Our results accentuate the importance of the combination of mental pain and physical dissociation in suicidality. Further research on the applicability of our findings to self-injurious behavior is warranted.

This study evaluated the importance of distress (i.e., mental pain, tolerance of mental pain, and depression) and physical dissociation factors for a group of young suicide attempters. Analyses indicated that those with higher current suicidality also evidenced higher current levels of depression and mental pain, lower mental pain tolerance, and higher physical dissociation. However, no correlations between suicidality and distress or physical dissociation were found when the level of suicidality was based on the time of the suicide attempt. The results demonstrate the importance of mental pain and its tolerance as well as physical dissociation in assessing severity of suicidality. However, analyses suggest there might be a decline in suffering after a suicide attempt and highlight the importance of assessing current suicidality when evaluating relevant variables for suicide. Findings are interpreted with regard to theories relating to the fluctuating nature of suicidality. OMEGA-Journal of Death andDying 0(0) 1-15 ! The Author(s) 2015 Reprints and permissions: sagepub.com/journalsPermissions.nav

This study evaluated the Hebrew Reasons for Attempting Suicide Questionnaire (RASQ-H) and its application for suicidality, and mental pain and its tolerance. The sample comprised 97 participants who were inpatient suicide attempters, inpatient nonattempters, or nonpatient controls. Differentiation of the RASQ into internal perturbation-based reasons and extrapunitive/manipulative motivations factors was confirmed, with each scale demonstrating strong internal reliability. While the internal perturbation-based reasons factor related positively to some suicidal manifestations, to mental pain, and to lower mental pain tolerance, the extrapunitive/manipulative motivations factor mostly associated with lower suicidality and had fewer and smaller associations with mental pain and its tolerance.

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