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.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders. Fifth edition text revision. DSM-5-TR. American Psychiatric Association Publishing.
DOI: https://doi.org/10.1176/appi.books.9780890425787
Coleman, D., Lawrence, R., Parekh, A., Galfalvy, H., Blasco-Fonticilla, H. Brent, D. A., Mann, J. J., Barca-Garcia, E., & Oqendo, M. A. (2017). Narcissistic personality disorder and suicidal behavior in mood disorders. Journal of Psychiatric Research, 85(1), 24-28. doi: 10.1016/j.jpsychires.2016.10.020.
DOI: https://doi.org/10.1016/j.jpsychires.2016.10.020
Fonagy, P., & Allison, E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy, 51(3), 372-380. doi: 10.1037/a0036505.
DOI: https://doi.org/10.1037/a0036505
Fonagy, P., György, G., Jurist, E., & Target, M. (2018). The development of an understanding of self and agency. In: P. Fonagy, G. Gergely, & E. L. Jurist (Eds.), Affect regulation, mentalization, and the development of the self. (pp. 203-251). Routledge. doi: 10.4324/9780429471643-8.
DOI: https://doi.org/10.4324/9780429471643-8
Goldblatt, M. J., Ronningstam, E., Schechter, M., Herbstman, B., & Maltsberger, J. T. (2016). Suicide as escape from psychotic panic. Bulletin of the Menninger Clinic, 80(2), 131-145. doi: 10.1521/bumc.2016.80.2.131.
DOI: https://doi.org/10.1521/bumc.2016.80.2.131
Harmer, B., Lee, S., Rizvi A., & Saadabadi, A. (2023). Suicidal ideation. StatPearls Publishing.
Hennings, J.M. (2020). Function and psychotherapy of chronic suicidality in borderline personality disorder: Using the reinforcement model of suicidality. Frontiers in Psychiatry, 11, 199. doi: 10.3389/fpsyt.2020.00199.
DOI: https://doi.org/10.3389/fpsyt.2020.00199
Klonsky, D. E., Dixon-Luinenburg, T., & May, A. M. (2021). The critical distinction between suicidal ideation and suicide attempts. World Psychiatry, 20(3), 439-441. doi: 10.1002/wps.20909.
DOI: https://doi.org/10.1002/wps.20909
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12, 307-30. doi: 10.1146/annurev-clinpsy-021815-093204.
DOI: https://doi.org/10.1146/annurev-clinpsy-021815-093204
Linehan, M. M., Goodstein, J. L., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking of killing yourself: the reasons for living inventory. Journal of Consulting and Clinical Psychology, 51(2), 276-286. doi:10.1037/0022-006X.51.2.276.
DOI: https://doi.org/10.1037//0022-006X.51.2.276
Maltsberger, J. (2004) The descent into suicide. International Journal of Psychoanalysis, 85(3), 653-668. doi: 10.1516/3C96-URET-TLWX-6LWU.
DOI: https://doi.org/10.1516/3C96-URET-TLWX-6LWU
Maltsberger, J., Ronningstam, E., Weinberg, I., Schechter, M., & Goldblatt, M. J. (2010). Suicide fantasy as a life-sustaining recourse. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 38(4), 611-624. doi: 10.1521/jaap.2010.38.4.611.
DOI: https://doi.org/10.1521/jaap.2010.38.4.611
Moselli, M., Frattini C., Williams, R., & Ronningstam E. (2021). The study of motivation in the suicidal process: the motivational interview for suicidality. Frontiers in Psychiatry, 11, 598866. doi: 10.3389/fpsyt.2020.598866.
DOI: https://doi.org/10.3389/fpsyt.2020.598866
Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., Bruffaerts, R., Chiu, W. T., de Girolamo, G., Gluzman, S., de Graaf, R., Gureje, O., Haro, J. M., Huang, Y., Karam, E., Kessler, R. C., Lepine, J. P., Levinson, D., Medina-Mora, M. E., Ono, Y., Posada-Villa, J., & Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192(2), 98-105. doi: 10.1192/bjp.bp.107.040113.
DOI: https://doi.org/10.1192/bjp.bp.107.040113
Paris, J. (2002). Chronic suicidality among patients with borderline personality disorder. Psychiatric Service, 53(6), 738-742. doi: 10.1176/appi.ps.53.6.738.
DOI: https://doi.org/10.1176/appi.ps.53.6.738
Paris, J. (2004). Half in love with easeful death: the meaning of chronic suicidality in borderline personality disorder. Harvard Review of Psychiatry, 12(1), 42-48. doi: 10.1080/10673220490279161.
DOI: https://doi.org/10.1080/10673220490279161
Ronningstam, E., Weinberg, I., Goldblatt, M., Schechter, M., & Herbstman, B. (2018). Suicide and self-regulation in narcissistic personality disorder. Psychodynamic Psychiatry, 46(4), 491-510. doi: 10.1521/pdps.2018.46.4.491.
DOI: https://doi.org/10.1521/pdps.2018.46.4.491
Sansone, R. A. (2004). Chronic suicidality and borderline personality. Journal of Personality Disorders, 18(3), 215-225. doi:10.1521/pedi.18.3.215.35444.
DOI: https://doi.org/10.1521/pedi.18.3.215.35444
Schwartz, D. A., Flinn, D. E., & Slawson, P. F. (2018). Treatment of the suicidal character. American Journal of Psychotherapy, 28(2), 194-207. doi: 10.1176/appi.psychotherapy.1974.28.2.194.
DOI: https://doi.org/10.1176/appi.psychotherapy.1974.28.2.194
Sinha, P., Khanna, A., Khanna, P., Moyal, D., & Jha, S. (2017). Chronic suicidality and personality disorders. In U. Kumar (Ed.), Handbook of suicidal behaviour (pp. 387-402). Springer Nature Singapore Pte Ltd. doi: 10.1007/978-981-10-4816-6_21.
DOI: https://doi.org/10.1007/978-981-10-4816-6_21
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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