https://doi.org/10.4081/ripppo.2024.764
Chronic suicidal ideations: a risk or a protection
Submitted: February 23, 2024
Accepted: May 21, 2024
Published: June 19, 2024
Accepted: May 21, 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
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How to Cite
Ronningstam, E., Schechter, M., Herbstman, B., & Goldbalatt, M. (2024). Chronic suicidal ideations: a risk or a protection. Research in Psychotherapy: Psychopathology, Process and Outcome, 27(3). https://doi.org/10.4081/ripppo.2024.764
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