@article{ref1,
title="When the pain becomes unbearable: case-control study of mental pain characteristics among medically serious suicide attempters",
journal="Archives of suicide research",
year="2018",
author="Levi-Belz, Y. and Gvion, Y. and Grisaru, S. and Apter, A.",
volume="22",
number="3",
pages="380-393",
abstract="OBJECTIVES: The unbearable mental pain experience is recognized as a key antecedent of suicidal behavior. We aimed to examine the precise nature of the mental pain among medically serious suicide attempters (MSSAs), a population closely resembling those who died by suicide. <br><br>METHODS: We evaluated various factors of mental pain from the Orbach and Mikulincer Mental Pain Scale, as well as medical lethality and suicide intent. <br><br>RESULTS: MSSAs were higher than non-MSSAs and psychiatric controls for Irreversibility of pain. Moreover, Emptiness predicted medical lethality, while Cognitive Confusion negatively predicted suicide intent level, controlling for hopelessness and depression. <br><br>CONCLUSION: high sense of Irreversibility of pain as well as high Emptiness and low Cognitive Confusion are important risk factors for more severe suicidal behavior. Implications for identification of at-risk groups for suicide as well as for suicide prevention and treatment of suicidal individuals are discussed.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2017.1355288",
url="http://dx.doi.org/10.1080/13811118.2017.1355288"
}