Projective Technique Testing Approach to the Understanding of Psychological Pain in Suicidal and Non-Suicidal Psychiatric Inpatients

Isabella Berardelli, Salvatore Sarubbi, Alessandra Spagnoli, Chiara Fina, Elena Rogante, Denise Erbuto, Marco Innamorati, David Lester and Maurizio Pompili
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Isabella Berardelli: Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy
Salvatore Sarubbi: Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
Alessandra Spagnoli: Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
Chiara Fina: Department of Dynamic and Clinical Psychology, Sapienza University of Rome, 00185 Rome, Italy
Elena Rogante: Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
Denise Erbuto: Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy
Marco Innamorati: Department of Human Sciences, European University of Rome, 00163 Rome, Italy
David Lester: Psychology Program, Stockton University, Galloway, NJ 19943, USA
Maurizio Pompili: Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy

IJERPH, 2019, vol. 17, issue 1, 1-7

Abstract: Psychological pain is a core clinical factor for understanding suicide, independently from depression. The aim of this study is to assess the role of psychological pain on suicide risk and to evaluate the relationship between psychache and different psychiatric disorders. We conducted the present cross-sectional study on 291 inpatients with a diagnosis of major depressive disorder, bipolar disorder, and schizophrenia. We administered Shneidman’s Psychological Pain Assessment Scale (PPAS) for the assessment of mental pain and the Mini International Neuropsychiatric Interview (MINI) for the assessment of suicide risk. There was a significant association between current psychache and worst-ever psychache and suicide risk in inpatients affected by a depressive disorder, bipolar disorder and schizophrenia. Furthermore, we found a significant difference in current psychache between inpatients with major depressive disorder and inpatients with schizophrenia and in worst-ever psychache between inpatients with bipolar disorder and inpatients with schizophrenia, with lower scores in inpatients with schizophrenia. The assessment of psychache appears to be useful for predicting suicidal risk and should be used routinely for identifying and treating suicide risk in clinical practice.

Keywords: suicide; mental pain; psychache; psychiatric disorders; suicide risk (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2019:i:1:p:284-:d:303662

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