Skip to main content

Psychological and Social Pain

  • Chapter
  • First Online:
Understanding Suicide

Abstract

Suicidal behaviors are defined as a unique clinical entity, based on a stress-vulnerability model. Psychological pain, defined as a lasting unsustainable feeling resulting from an appraisal of an inability or deficiency of the self, is one of the most often mentioned reasons for suicide. Several authors have reported higher psychological pain in suicidal patients. Moreover, suicidal vulnerability influences psychological pain perception through neuropsychological impairments and neuroanatomical dysfunctions. Thus, suicidal individuals are in a state of intense focus on the pain and associated negative emotions. Interpersonal difficulties lead to social pain, a component of psychological pain. In addition, such difficulties are associated to impaired decision-making and trigger suicidal act. Thus, considering psychological/social pain at core of suicidal behavior may help to identify new biomarkers, to improve the understanding of pathophysiology of suicidal process, and to develop new therapeutic strategies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  • Allen NB, Badcock PB (2003) The social risk hypothesis of depressed mood: evolutionary, psychosocial, and neurobiological perspectives. Psychol Bull 129(6):887ā€“913

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Bancroft J, Hawton K, Simkin S, Kingston B, Cumming C, Whitwell D (1979) The reasons people give for taking overdoses: a further inquiry. Br J Med Psychol 52(4):353ā€“365

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  • Baumeister RF (1990) Suicide as escape from self. Psychol Rev 97(1):90ā€“113

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  • Baumeister RF, Twenge JM, Nuss CK (2002) Effects of social exclusion on cognitive processes: anticipated aloneness reduces intelligent thought. J Pers Soc Psychol 83(4):817ā€“827

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Becker ES, Strohbach D, Rinck M (1999) A specific attentional bias in suicide attempters. J Nerv Ment Dis 187(12):730ā€“735

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  • Berlim MT, Mattevi BS, Pavanello DP, Caldieraro MA, Fleck MP, Wingate LR, Joiner TE Jr (2003) Psychache and suicidality in adult mood disordered outpatients in Brazil. Suicide Life Threat Behav 33(3):242ā€“248

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Buckley KE, Winkel RE, Leary MR (2004) Reactions to acceptance and rejection: effects of level and sequence of relational evaluation. J Exp Soc Psychol 40(1):14ā€“28

    ArticleĀ  Google ScholarĀ 

  • Caceda R, Durand D, Cortes E, Prendes-Alvarez S, Moskovciak T, Harvey PD, Nemeroff CB (2014) Impulsive choice and psychological pain in acutely suicidal depressed patients. Psychosom Med 76(6):445ā€“451. doi:10.1097/psy.0000000000000075

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Chavez-Hernandez AM, Leenaars AA, Chavez-de Sanchez MI, Leenaars L (2009) Suicide notes from Mexico and the United States: a thematic analysis. Salud Publica Mex 51(4):314ā€“320

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • DeLisle M (2009) Differentiating between depression, hopelessness, and psychache in university undergraduates. Meas Eval Couns Dev 42:46ā€“63

    ArticleĀ  Google ScholarĀ 

  • DeLisle M, Holden R (2004) Depression, hopelessness, and psychache as increasingly specific predictors of suicidal manifestations. Can Clin Psychol 15:7ā€“10

    Google ScholarĀ 

  • DeWall CN, Twenge JM, Gitter SA, Baumeister RF (2009) Itā€™s the thought that counts: the role of hostile cognition in shaping aggressive responses to social exclusion. J Pers Soc Psychol 96(1):45ā€“59. doi:10.1037/a0013196

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  • Durkheim E (1897) Le suicide. Presse Universitaires de France, Paris

    Google ScholarĀ 

  • Eisenberger NI (2012) The neural bases of social pain: evidence for shared representations with physical pain. Psychosom Med 74(2):126ā€“135. doi:10.1097/PSY.0b013e3182464dd1

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  • Foster T (2011) Adverse life events proximal to adult suicide: a synthesis of findings from psychological autopsy studies. Arch Suicide Res 15(1):1ā€“15. doi:10.1080/13811118.2011.540213

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Holden RR, Mehta K, Cunningham E, McLeod LD (2001) Development and preliminary validation of a scale of psychache. Can J Behav Sci 33(4):224ā€“232. doi:10.1037/h0087144

    ArticleĀ  Google ScholarĀ 

  • Joiner TE Jr (2002) The trajectory of suicidal behavior over time. Suicide Life Threat Behav 32(1):33ā€“41

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Joiner TE Jr, Brown JS, Wingate LR (2005) The psychology and neurobiology of suicidal behavior. Annu Rev Psychol 56:287ā€“314. doi:10.1146/annurev.psych.56.091103.070320

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Joiner TE Jr, Van Orden KA, Witte TK, Selby EA, Ribeiro JD, Lewis R, Rudd MD (2009) Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults. J Abnorm Psychol 118(3):634ā€“646. doi:10.1037/a0016500

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  • Jollant F, Guillaume S, Jaussent I, Castelnau D, Malafosse A, Courtet P (2007) Impaired decision-making in suicide attempters may increase the risk of problems in affective relationships. J Affect Disord 99(1ā€“3):59ā€“62

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Levi Y, Horesh N, Fischel T, Treves I, Or E, Apter A (2008) Mental pain and its communication in medically serious suicide attempts: an ā€œimpossible situationā€. J Affect Disord 111(2ā€“3):244ā€“250. doi:10.1016/j.jad.2008.02.022, doi:S0165-0327(08)00102-X [pii]

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Li H, Xie W, Luo X, Fu R, Shi C, Ying X, Wang N, Yin Q, Wang X (2014) Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes. Suicide Life Threat Behav 44(1):78ā€“88. doi:10.1111/sltb.12056

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  • Mee S, Bunney BG, Bunney WE, Hetrick W, Potkin SG, Reist C (2011) Assessment of psychological pain in major depressive episodes. J Psychiatr Res 45(11):1504ā€“1510. doi:10.1016/j.jpsychires.2011.06.011

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Meerwijk E, Weiss S (2013) Toward a unifying definition: response to the concept of mental pain. Psychother Psychosom 83(1):62ā€“3

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Meerwijk EL, Ford JM, Weiss SJ (2013) Brain regions associated with psychological pain: implications for a neural network and its relationship to physical pain. Brain Imaging Behav 7(1):1ā€“14. doi:10.1007/s11682-012-9179-y

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Mills JF, Green K, Reddon JR (2005) An evaluation of the Psychache Scale on an offender population. Suicide Life Threat Behav 35(5):570ā€“580. doi:10.1521/suli.2005.35.5.570

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Olie E, Guillaume S, Jaussent I, Courtet P, Jollant F (2009) Higher psychological pain during a major depressive episode may be a factor of vulnerability to suicidal ideation and act. J Affect Disord. doi:10.1016/j.jad.2009.03.013, S0165-0327(09)00126-8 [pii]

    Google ScholarĀ 

  • Orbach I, Mikulincer M, Sirota P, Gilboa-Schechtman E (2003) Mental pain: a multidimensional operationalization and definition. Suicide Life Threat Behav 33(3):219ā€“230

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Patterson AA, Holden RR (2012) Psychache and suicide ideation among men who are homeless: a test of Shneidmanā€™s model. Suicide Life Threat Behav 42(2):147ā€“156. doi:10.1111/j.1943-278X.2011.00078.x

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Pereira EJ (2010) Testing Shneidmanā€™s model of suicidality in incarcerated offenders and in undergraduates. Personal Individ Differ 49:912ā€“917

    ArticleĀ  Google ScholarĀ 

  • Pompili M, Lester D, Leenaars AA, Tatarelli R, Girardi P (2008) Psychache and suicide: a preliminary investigation. Suicide Life Threat Behav 38(1):116ā€“121. doi:10.1521/suli.2008.38.1.116

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Reisch T, Seifritz E, Esposito F, Wiest R, Valach L, Michel K (2010) An fMRI study on mental pain and suicidal behavior. J Affect Disord 126(1ā€“2):321ā€“325. doi:10.1016/j.jad.2010.03.005

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Shneidman E (1998) The suicidal mind. Oxford University Press, Oxford

    Google ScholarĀ 

  • Soumani A, Damigos D, Oulis P, Masdrakis V, Ploumpidis D, Mavreas V, Konstantakopoulos G (2011) Mental pain and suicide risk: application of the Greek version of the mental pain and the tolerance of mental pain scale. Psychiatrike = Psychiatriki 22(4):330ā€“340

    CASĀ  PubMedĀ  Google ScholarĀ 

  • Thornhill R (1989) The evolution of psychological pain. In: Thornill R, Thornhill NW, Bell RW, Bell NJ (eds). Sociobiology and the social sciences. Texas Tech University Press, pp. 130

    Google ScholarĀ 

  • Tossani E (2013) The concept of mental pain. Psychother Psychosom 82(2):67ā€“73. doi:10.1159/000343003

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Troister (2009) A prospective study of psychache and its relationship to suicidality. Queenā€™s University, Kingston

    Google ScholarĀ 

  • Troister T, Holden RR (2012) A two-year prospective study of psychache and its relationship to suicidality among high-risk undergraduates. J Clin Psychol 68(9):1019ā€“1027. doi:10.1002/jclp.21869

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Troister T, Holden RR (2013) Factorial differentiation among depression, hopelessness, and psychache in statistically predicting suicidality. Meas Eval Couns Dev 46:50ā€“63

    ArticleĀ  Google ScholarĀ 

  • Troister T, Davis MP, Lowndes A, Holden RR (2013) A five-month longitudinal study of psychache and suicide ideation: replication in general and high-risk university students. Suicide Life Threat Behav 43(6):611ā€“620. doi:10.1111/sltb.12043

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • van Heeringen C (2001) Suicide, serotonin, and the brain. Crisis 22(2):66ā€“70

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • van Heeringen K, Van den Abbeele D, Vervaet M, Soenen L, Audenaert K (2010) The functional neuroanatomy of mental pain in depression. Psychiatry Res 181(2):141ā€“144. doi:10.1016/j.pscychresns.2009.07.011, S0925-4927(09)00176-0 [pii]

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Van Orden KA, Witte TK, Gordon KH, Bender TW, Joiner TE Jr (2008) Suicidal desire and the capability for suicide: tests of the interpersonal-psychological theory of suicidal behavior among adults. J Consult Clin Psychol 76(1):72ā€“83. doi:10.1037/0022-006x.76.1.72

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  • Williams KD (2007) Ostracism. Annu Rev Psychol 58:425ā€“452. doi:10.1146/annurev.psych.58.110405.085641

    ArticleĀ  PubMedĀ  Google ScholarĀ 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. OliƩ .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

Ā© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

OliƩ, E. (2016). Psychological and Social Pain. In: Courtet, P. (eds) Understanding Suicide. Springer, Cham. https://doi.org/10.1007/978-3-319-26282-6_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26282-6_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26280-2

  • Online ISBN: 978-3-319-26282-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics