The persistent shadow of suicide ideation and attempts in a high-risk group of psychiatric patients: A focus for intervention

Tillman, Jane G.; Clemence, A. Jill; Cree, Robyn A.; Lewis, Katie C.; Stevens, Jennifer; Reiss, David

doi:10.1016/j.comppsych.2017.05.005

Cited by 14 publications

(21 citation statements)

References 40 publications

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“…When the feelings of connectedness are minimal and overpowered by psychic pain and hopelessness, suicide ideation intensifies. Such an increase in psychic pain with few reasons for living, indicative of disconnectedness, has been shown to contribute to persisting suicidal ideation and suicide attempts in psychiatric patients . When connectedness is perceived as greater than psychic pain, the intensity of suicide ideation is moderate.…”

Section: Models Of Suicidementioning

confidence: 99%

Modeling suicide in bipolar disorders

et al. 2018

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Suicide is complex, and it is evident that a multidimensional and integrated approach is required to reduce its prevalence. The proposed model exposes and provides access to components of the suicide process that are potentially measurable and may serve as novel and specific therapeutic targets for interventions in the context of bipolar disorder. Thus, this model is useful not only for research purposes, but also for future real-world clinical practice.

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Section: Models Of Suicidementioning

confidence: 99%

Modeling suicide in bipolar disorders

et al. 2018

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“…First proposed by Shneidman, psychache refers to "the hurt, anguish, soreness, aching, psychological pain in the psyche, the mind" (Shneidman, 1993, p. 51). Shneidman suggests that the psychological pain he calls psychache arises when vital psychological needs are blocked or unmet and that if psychache becomes sufficiently severe, it can become "unbearable" or "intolerable," and in turn motivate suicide (Shneidman, 1993(Shneidman, , 1998. In Shneidman's words, "suicide occurs when the psychache is deemed by that person to be unbearable" (Shneidman, 1993, p. 51).…”

mentioning

confidence: 99%

“…In Shneidman's words, "suicide occurs when the psychache is deemed by that person to be unbearable" (Shneidman, 1993, p. 51). From this perspective, there is a key distinction between the larger construct of psychache, that can come in many forms, versus psychache that is unbearable, and it is unbearable psychache that motivates suicide (Shneidman, 1993(Shneidman, , 1996(Shneidman, , 1998.…”

mentioning

confidence: 99%

“…Thus, the purpose of the present research is to develop a brief measure that specifically targets "unbearable" psychache. Several existing measures of psychache and related constructs provide a context for the current work (Bryan et al, 2014;Mee et al, 2011;Oli e, Guillaume, Jaussent, Courtet, & Jollant, 2010;Orbach, Mikulincer, Sirota, & Gilboa-Schechtman, 2003;Shneidman, 1999;Tillman et al, 2017;The WHOQOL Group, 1998). One of the most commonly used and widely cited measures of psychache is the Psychache Scale (Holden et al, 2001).…”

mentioning

confidence: 99%

“…First, findings align with both historical and contemporary theories of suicide in supporting the importance of unbearable psychological pain for suicidal desire. For example, Shneidman's (1993) theory of suicide states that the construct of unbearable psychache is the primary cause of suicide. More recently, Klonsky and May's Three-Step Theory of suicide (3ST; Klonsky & May's, 2015) highlights the importance of unbearable psychological pain, in conjunction with hopelessness, for the development of the desire to die.…”

mentioning

confidence: 99%

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A Brief Measure of Unbearable Psychache

Pachkowski

May

Tsai

et al. 2019

Suicide & Life Threat Behav

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Objective Psychache has been proposed to cause suicide when it becomes unbearable. However, existing measures of psychache do not directly target unbearable psychache. Thus, the purpose of the current study was to provide initial validation for a brief measure of unbearable psychache. Method Three items were selected to create the Unbearable Psychache Scale (UP3). Psychometric properties were assessed in two populations: (1) an online sample composed of 1,006 adults (53% male) from various locations in the United States and (2) a sample of 190 psychiatric inpatient adults (47% male) from a hospital in Western Canada. Results In both samples, the UP3 demonstrated excellent internal reliability, and strong convergent and predictive validity. Additionally, the UP3 predicted significant variance in suicidal ideation over and above documented correlates of suicidal ideation including general psychache, hopelessness, perceived burdensomeness, and low belongingness. Conclusions The UP3 is a brief, psychometrically sound measure of unbearable psychache that may be well‐suited for use in research protocols and clinical assessments.

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