Psychological and physical pain as predictors of suicide risk

Rizvi, Sakina J.; Iskric, Adam; Calati, Raffaella; Courtet, Philippe

doi:10.1097/yco.0000000000000314

Cited by 48 publications

(40 citation statements)

References 103 publications

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“…En este sentido, y como era esperable, la dimensión de ansiedad/depresión del 5Q-5D-5L tuvo la mayor fuerza de asociación, incluso después de ajustar por confusores. Por otro lado, la dimensión dolor/ malestar también se relacionó con riesgo suicida, aun después de ajustar por el reporte de problemas físicos/ enfermedades; a pesar de haber considerado este últi-mo reporte medido por el ECRA, no se puede descartar la presencia de dolor físico 29 , atribuible a alguna alteración fisiológico o enfermedad, o dolor psicológica (mental) en el contexto de la depresión y ansiedad 19,30 de esta población. Al margen de lo anterior, el reporte de tener problemas leves (punto de corte ≥ 2) en cualquiera o ambas de las dos dimensiones anteriores insinuarían indirectamente de una conducta de riesgo en el adolescente.…”

Section: Discussionunclassified

“…En este sentido, la detección oportuna de adolescentes en riesgo de suicidio y de casos ocultos se podría mejorar con herramientas simples y ampliamente usadas que aborden de forma indirectala suicidalidad. Nosotros hipotetizamos que la CVRS está relacionada con riesgo suicida (intento, ideación y autoagresión) en adolescentes dado que una autopercepción de deterioro de la salud física o mental sería un mediador entre la ansiedad previa y la conducta suicida 19,20 ; en este mismo sentido, el EQ-5D-5L tendría un adecuado rendimiento para pesquisar adolescentes en riesgo insertos en la comunidad.…”

Section: Introductionunclassified

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Asociación entre la calidad de vida relacionada con la salud y riesgo suicida en adolescentes: estudio transversal

Faure

Urquidi

Bustamante

et al. 2018

Rev. chil. pediatr.

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Section: Discussionunclassified

Section: Introductionunclassified

Asociación entre la calidad de vida relacionada con la salud y riesgo suicida en adolescentes: estudio transversal

Faure

Urquidi

Bustamante

et al. 2018

Rev. chil. pediatr.

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“…Many if not most people who find themselves in this state experience psychological pain with which they can no longer cope. Psychological pain has been defined as “a lasting, unsustainable, and unpleasant feeling resulting from negative appraisal of an inability or deficiency of the self” (Meerwijk & Weiss, 2011) and is a significant risk factor for suicide in people with and without a mental health diagnosis (Verrocchio et al, 2016; Rizvi et al, 2017). As predicting suicide attempts remains notoriously difficult (Turecki & Brent, 2016), there is a need to explore new avenues to enhance the validity of suicide risk assessments.…”

Section: Introductionmentioning

confidence: 99%

Utility of a time frame in assessing psychological pain and suicide ideation

Meerwijk

Weiss

2017

PeerJ

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BackgroundAssessing psychological pain has been recommended as an integral part of a comprehensive suicide risk assessment. The Psychache Scale, an established measure of psychological pain, does not specify a time frame for when pain is experienced, which may inadvertently increase the likelihood of identifying individuals as being at elevated suicide risk when they complete the Psychache Scale based on psychological pain experienced at some undefined time in the past.MethodsWe conducted a national general population survey among United States adults to determine whether addition of a time frame to the instructions of the Psychache Scale would more accurately reflect current psychological pain and more effectively identify people with current suicide ideation. A between-subjects design was used where respondents were randomized to complete the original Psychache scale or a modified scale with time frame. Data were collected online from September 2015 to June 2016. A total of 242 respondents had complete psychological pain data: 133 completed the original Psychache Scale and 109 completed the Psychache Scale with time frame.ResultsAddition of a time frame did not result in differences in psychological pain scores. However, when screening for participants with current suicide ideation, 13% fewer false positives were observed with the modified scale at higher cut-off values than previously reported (38 vs. 24). The substantial increase in positive predictive value suggests that a time frame is a worthwhile addition to the Psychache Scale.DiscussionWe recommend using the Psychache Scale with a time frame and testing the cut-off score for suicide ideation in population samples that reflect the general population more accurately. Psychological pain cut-off scores in clinical samples have yet to be established.

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“…Since Shneidman's introduction of psychache, a large body of empirical work has emerged assessing the relevance of this construct for suicide (Conejero, Olié, Calati, Ducasse, & Courtet, ; Rizvi, Iskric, Calati, & Courtet, ; Verrocchio et al., ) . A recent meta‐analysis of 20 studies (Ducasse et al., ) supports a robust association between indicators of suicide risk and measures of psychological pain.…”

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confidence: 99%

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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Psychological and physical pain as predictors of suicide risk

Abstract: Future research examining the pain-suicide connection is required to understand the mechanism behind clinically relevant risk factors for suicide, which can ultimately inform the construction of empirically supported suicide risk assessment and intervention techniques.

Cited by 48 publications

References 103 publications

Asociación entre la calidad de vida relacionada con la salud y riesgo suicida en adolescentes: estudio transversal

Asociación entre la calidad de vida relacionada con la salud y riesgo suicida en adolescentes: estudio transversal

Utility of a time frame in assessing psychological pain and suicide ideation

A Brief Measure of Unbearable Psychache

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