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Chronic suicidal ideations: a risk or a protection.

Elsa Ronningstam1, Mark Schechter2, Benjamin Herbstman1

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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.