ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2022
High depression symptomatology and mental pain characterize suicidal psychiatric patients.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Demographic and clinical baseline characteristics from the Spanish SURVIVE prospective cohort study on suicide attempts.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Targeting Psychological Pain After a Suicide Attempt: Scoping Review and Intervention Protocol.Journal of clinical medicine · 2026Review
- Randomized controlled trial protocol of ASSIP and ACT for suicide prevention among Iranian suicide attempters.Discover mental health · 2026Article
- The lived experience of persons who attempt suicide: a bottom-up review co-designed, co-produced and co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- The relationship between irritability and suicidal ideation: the chain mediating effects of rumination and distress tolerance.BMC psychiatry · 2025Article
- Exploring suicide risk among female inpatients with eating disorders: a clinical perspective.Eating and weight disorders : EWD · 2025Article
- Italian validation of the Orbach and Mikulincer Mental Pain Scale-8 (OMMP-8).Annals of general psychiatry · 2025Article
- Efficacy of Intranasal Esketamine in Treatment-Resistant Depression: A Six-Month Real-World Follow-Up Study of Depressive Symptoms, Hopelessness, and Suicide Risk.Human psychopharmacology · 2025Article
- Prescribing lithium for the management of persons suffering from bipolar disorders: expert consensus based on a Delphi study.International journal of bipolar disorders · 2025Article
- Mental states and temperaments contributing to suicidal crisis in psychiatric inpatients: a cross-sectional and validation study.BMC psychiatry · 2025Article
- Clinical characterization and management of persons with comorbid epilepsy and depression: an expert opinion paper.Frontiers in pharmacology · 2025Review
- Metabolomic Changes in Major Depressive Disorder Adolescent Females with or without Suicide Attempts.Current neuropharmacology · 2025Article
- Affective Temperaments and Seasonality in Patients with Mood Disorders.Neuropsychiatric disease and treatment · 2025Article
- Measuring unbearable psychache in suicide risk: psychometric evidence for the Italian UP3 and comparison with the psychache scales.Frontiers in psychology · 2025Article
- The relationship among attachment styles, interpersonal needs, and suicidal ideation in patients with psychiatric disorders.Research in psychotherapy (Milano) · 2024Article
- Analysis of Suicidal Behavior in Adult Inpatients with Anorexia Nervosa: Prevalence of Suicide Attempts and Non-Suicidal Self-Injury and Associated Factors-Data Before and After the COVID-19 Pandemic.Journal of clinical medicine · 2024Article
- Why Do Some Depressive Patients Have Suicidal Ideation but Others Not? Suicidal Ideation From the Perspective of Affective Neuroscience Personality Traits.Brain and behavior · 2024Article
- On mental pain and suicide risk in modern psychiatry.Annals of general psychiatry · 2024Review
- The developmental process of suicidal ideation among adolescents: social and psychological impact from a nation-wide survey.Scientific reports · 2023Article
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Abstract
backgroundSymptoms of depression are transdiagnostic heterogenous features frequently assessed in psychiatric disorders, that impact the response to first-line treatment and are associated with higher suicide risk. This study assessed whether severe mental pain could characterize a specific phenotype of severely depressed high-risk psychiatric patients. We also aimed to analyze differences in treatments administered.
methods2,297 adult patients (1,404 females and 893 males; mean age = 43.25 years, SD = 15.15) treated in several Italian psychiatric departments. Patients were assessed for psychiatric diagnoses, mental pain, symptoms of depression, hopelessness, and suicide risk.
resultsMore than 23% of the patients reported high depression symptomatology and high mental pain (HI DEP/HI PAIN). Compared to patients with lower symptoms of depression, HI DEP/HI PAIN is more frequent among females admitted to an inpatient department and is associated with higher hopelessness and suicide risk. In addition, HI DEP/HI PAIN (compared to both patients with lower symptoms of depression and patients with higher symptoms of depression but lower mental pain) were more frequently diagnosed in patients with personality disorders and had different treatments.
conclusionsPatients reporting severe symptoms of depression and high mental pain presented a mixture of particular dangerousness (high trait hopelessness and the presence of suicide ideation with more frequency and less controllability and previous suicide behaviors). The presence of severe mental pain may act synergically in expressing a clinical phenotype that is likewise treated with a more complex therapeutic regime than that administered to those experiencing symptoms of depression without mental pain.
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