Mental pain and its communication in medically serious suicide attempts: An “impossible situation”

Suicide in the United States Air Force: Risk factors communicated before and at death

“…As expected, this difference was not observed in reports of verbal communication prior to death, bolstering previous conclusions that decedents withhold information from others about salient stressors that contributed to their decision to end their lives (Levi et al, 2008). These findings provide support for the salience of interpersonal concerns in the lives of USAF suicide decedents prior to death.…”

Seriousness and lethality of attempted suicide: A systematic review

“…Furthermore, loneliness and social isolation often lead to feelings of hopelessness, and thus represent risk factors for both attempted and completed suicide and, according to some authors, can be considered as key steps preceding the suicide continuum (O'Connell et al, 2004). Communication difficulties are good predictors of lethality and seriousness of suicide attempts (Levi et al, 2008); specifically, there is a relationship between self-disclosure and lethality of suicide attempts that does not appear to be mediated by depression, anxiety, or hopelessness (Apter, Horesh, Gothelf, Graffi, & Lepkifker, 2001).…”

"I would like to Tell You Something": The Contribution of Self-Disclosure to Social Phobia Symptoms in a Non-Clinical Sample

“…SD enables the forming of social relationships, allowing one to receive the help and support he may need [26]. Numerous studies have shown that authentic SD to at least one significant other person is a necessary prerequisite for healthy adjustment [27][28], as a buffer against stress and mental pain [29][30], and even as a facilitator for growth [31][32]. When individuals share intimate information, this may be an indication of their having formed social relationships, thus enabling them to receive help and support as needed [33].…”

“…The ability to reveal one's true feelings and thoughts to another person is recognized as an important skill that can have a beneficial impact on both physical and mental health [9]. Regarding the other end of the SD continuum, several studies have found strong relationships between limited SD and various mental health characteristics, such as depression, anxiety disorders, and suicidal behavior [10][11][12].…”