Evidence map›Paper›PMID 38904642›Full record

ArticleResearch in psychotherapy (Milano)2024

Chronic suicidal ideations: a risk or a protection.

Elsa Ronningstam, Mark Schechter, Benjamin Herbstman, Mark Goldbalatt

Abstract read
In one paragraph

Article in Research in psychotherapy (Milano), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elsa RonningstamDepartment of Psychiatry, Harvard Medical School, Boston, MA; Mass General Brigham McLean Hospital, Belmont, MA; Boston Psychoanalytic Society and Institute, Newton, MA; Boston Suicide Study Group, Cambridge, MA.ORCID 0000-0002-7615-962X
Mark SchechterDepartment of Psychiatry, Harvard Medical School, Boston, MA; Boston Psychoanalytic Society and Institute, Newton, MA; Boston Suicide Study Group, Cambridge, MA; Mass General Brigham Salem Hospital, MA.ORCID 0000-0002-2906-8979
Benjamin HerbstmanDepartment of Psychiatry, Harvard Medical School, Boston, MA; Mass General Brigham McLean Hospital, Belmont, MA; Boston Psychoanalytic Society and Institute, Newton, MA; Boston Suicide Study Group, Cambridge, MA.ORCID 0000-0001-9809-6749
Mark GoldbalattDepartment of Psychiatry, Harvard Medical School, Boston, MA; Mass General Brigham McLean Hospital, Belmont, MA; Boston Psychoanalytic Society and Institute, Newton, MA; Boston Suicide Study Group, Cambridge, MA.ORCID 0000-0002-0391-8947

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic suicidal ideations can be consistently present as part of the individual's sense of identity and self-regulation or as a reoccurring pattern to control intense feelings and communicate and relate experiences or intentions. While they can be the precursor to self-harm and suicide attempts, requiring a thorough risk assessment, they can also represent a way to control, avoid, or contain intolerable feelings and experiences. In addition, suicidal ideations can be either deeply internalized and hidden or indirectly or directly conveyed to others. This article focuses on understanding and approaching chronic suicidal ideations that specifically relate to self- and interpersonal characterological functioning, i.e., sense of identity, self-regulation, emotion regulation, and interpersonal intentions. Suicidal ideations must be identified and assessed both in terms of intention, i.e., motivation, plans, and means to harm oneself or end one's life, as well as in terms of function, i.e., related to selfregulatory strategies for counterbalancing or protecting against overwhelming, painful, and frightening external, interpersonal, or internal experiences. Therapeutic strategies and challenges will be discussed, including engaging patients in the therapeutic alliance and building consistency, trust, and reliability.

Identifiers

PMID38904642
PMCPMC11781036

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.