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Isolation, Loneliness and Aloneness in the Age of Covid-19: Reflections on Clinical Experiences.

British journal of psychotherapyยท2022
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Related Experiment Video

Updated: Jun 23, 2025

Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
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Chronic suicidal ideations: a risk or a protection.

Elsa Ronningstam1, Mark Schechter2, Benjamin Herbstman1

  • 1Department of Psychiatry, Harvard Medical School, Boston, MA; Mass General Brigham McLean Hospital, Belmont, MA; Boston Psychoanalytic Society and Institute, Newton, MA; Boston Suicide Study Group, Cambridge, MA.

Research in Psychotherapy (Milano)
|June 21, 2024
PubMed
Summary

Chronic suicidal ideations may function as identity or self-regulation strategies, not always indicating immediate self-harm risk. Understanding their role in managing intense emotions is key for effective therapeutic interventions.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health

Background:

  • Chronic suicidal ideations can be integral to identity and self-regulation.
  • They may serve as a coping mechanism for intense emotions or experiences.
  • Suicidal ideations can be hidden or openly expressed.

Purpose of the Study:

  • To explore the nature of chronic suicidal ideations related to characterological functioning.
  • To understand suicidal ideations as self-regulatory strategies.
  • To discuss therapeutic approaches for managing chronic suicidal ideations.

Main Methods:

  • Qualitative analysis of chronic suicidal ideations.
  • Focus on self-identity, self-regulation, emotion regulation, and interpersonal functioning.
  • Exploration of intention versus function in suicidal ideations.

Main Results:

  • Chronic suicidal ideations can be a consistent part of self-identity and self-regulation.
  • They can function as a method to control or contain overwhelming feelings.
  • Assessment must consider both suicidal intent and the underlying function of these ideations.

Conclusions:

  • Chronic suicidal ideations require nuanced assessment beyond immediate risk.
  • Understanding their function in self-regulation is crucial for treatment.
  • Therapeutic alliance, trust, and reliability are vital for engaging patients.