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Burdensomeness and fear of pain in adolescents with suicidal ideations and attempts

Published online by Cambridge University Press:  19 July 2023

L. Esina ,
E. Rasskazova  and
V. Sadovnichaja
L. Esina*
Affiliation:
1Clinical Psyhology Department, Moscow State University
E. Rasskazova
Affiliation:
2Clinical Psyhology Department, Moscow State University, Mental Health Research Center, Moscow, Russian Federation
V. Sadovnichaja
Affiliation:
1Clinical Psyhology Department, Moscow State University
*
*Corresponding author.

Abstract

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Introduction

Relationship to physical pain (Joiner, 2005, O’Connor, Kirtley, 2018, Galynker, 2017) and psychological pain (Eisenberger et al., 2003) are related to the risk of suicidality in adolescents.

Objectives

The aim was to reveal the relationship between interpersonal needs, relation to pain and suicidality in adolescent with or without suicidal thought and/or attempts.

Methods

92 adolescents without suicidal thoughts (16 males, 12-21 years old), 132 adolescents with experience of suicidal thoughts in the past or present (22 males, 12-21 years old) and 55 adolescents (7 males, 12-21 years old) ongoing clinical treatment due to suicidal actions or attempts filled Interpersonal Needs Questionnaire (Van Orden et al., 2012), Discomfort Intolerance Scale (Schmidt et al., 2006), The Pain Catastrophizing Scale (Sullivan et al., 1995).

Results

Adolescents with suicidal actions score lower in the fear of physical pain (χ²=18.19, p<.01) but higher in powerlessness (χ²=6.58, p<.05). They also experience higher burdensome and thwarted belongingness (χ²=34.50-87.92, p<.01). Their burdensome is more related to avoidance of pain (r=-.38 comparing to r=.06 and r=.04 in the control groups) while fear of pain is related to burdensome in the two control groups only.

Conclusions

In adolescents with suicidal actions their avoidance of pain could be the target of psychotherapy while in adolescent with suicidal thoughts or without it there is a fear of pain.

Study is supported by Russian Science Foundation, project 22-28-01524.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S204 - S205
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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