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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Isabella Berardelli & Salvatore Sarubbi & Alessandra Spagnoli & Chiara Fina & Elena Rogante & Denise Erbuto & Marco Innamorati & David Lester & Maurizio Pompili, 2019. "Projective Technique Testing Approach to the Understanding of Psychological Pain in Suicidal and Non-Suicidal Psychiatric Inpatients," IJERPH, MDPI, vol. 17(1), pages 1-7, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:284-:d:303662
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    Cited by:

    1. Isabella Berardelli & Lorenzo Tarsitani & Salvatore Sarubbi & Irene Pinucci & Elena Rogante & Mariarosaria Cifrodelli & Denise Erbuto & David Lester & Marco Innamorati & Maurizio Pompili, 2023. "Suicide risk and suicide risk factors among immigrants in Italy: A bi-center matched sample study," International Journal of Social Psychiatry, , vol. 69(1), pages 111-116, February.

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