Document Detail

Mental pain and its communication in medically serious suicide attempts: an "impossible situation".
MedLine Citation:
PMID:  18436309     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The study of near-fatal suicide attempters may provide insight into the minds of suicidal subjects. Our aim is to test the hypothesis that mental pain is a general risk factor for suicidal behavior and communication difficulties are a particular risk factor for medically serious suicidal behavior. METHODS: Thirty five subjects who made medically serious suicide attempts were compared with 67 medically not serious suicide attempters and 71 healthy controls. All were interviewed with the SCID-I and completed questionnaires covering mental pain, communication difficulties and seriousness of suicide attempt. RESULT: Variables from the mental pain domain (e.g. depression) predicted the presence of suicidal behavior, and variables from the communication difficulties domain (e.g., self-disclosure) predicted the lethality and seriousness of the suicide attempts. LIMITATIONS: Relatively small number of patients with medically serious suicide attempt and the relatively large number of questionnaires which may to some extent have diminished informant reliability. CONCLUSIONS: Problems with sharing of feelings with others are an important risk factor for near-lethal suicide, over and above the contribution of psychiatric illness and mental pain, including depression and hopelessness.
Yossi Levi; Netta Horesh; Tzvi Fischel; Ilan Treves; Evgenia Or; Alan Apter
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-04-23
Journal Detail:
Title:  Journal of affective disorders     Volume:  111     ISSN:  0165-0327     ISO Abbreviation:  J Affect Disord     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-10-28     Completed Date:  2009-01-23     Revised Date:  2009-09-28    
Medline Journal Info:
Nlm Unique ID:  7906073     Medline TA:  J Affect Disord     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  244-50     Citation Subset:  IM    
The Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tikva, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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MeSH Terms
Affective Symptoms / diagnosis,  epidemiology,  psychology*
Aged, 80 and over
Attitude to Health
Control Groups
Depression / diagnosis,  epidemiology,  psychology
Diagnostic and Statistical Manual of Mental Disorders
Interpersonal Relations
Life Change Events
Middle Aged
Models, Psychological
Psychiatric Status Rating Scales
Risk Factors
Self Disclosure*
Suicide, Attempted / classification,  psychology*,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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