{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:14:38Z","timestamp":1769602478775,"version":"3.49.0"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study aimed to expand the applicability of the three\u2010dimensional psychological pain model for suicide prediction in clinical practice. A total of 548 psychiatric patients were recruited, of whom 56.9% had major depressive disorder, 28.5% bipolar disorder, 14.6% substance use disorder and 28.1% a history of suicide attempt (SA). Centrality measures and bridge factors were analyzed to map the close connections among psychological pain, severity of symptoms and SAs through network analysis. Joint profiles of psychological pain and depressive symptoms, and their associations with SA were also tested through latent profile and receiver operating characteristic curve analyses. Emotional and cognitive manifestations of depressive symptoms emerged as the top two most central nodes in each patient group. Importantly, pain avoidance showed the strongest direct and positive associations with SA, significantly surpassing depressive symptoms. Pain avoidance acted as the most prominent bridge variable with the highest bridge expected influence, mediating the relationship between depressive symptoms and SAs. Patients in the pain\u2010avoidance and depressive symptoms class were approximately four times (OR\u2009=\u20093.47\u20134.63) as likely to report SA as those in the other two classes. Pain avoidance displayed superior performance (AUC\u2009=\u20090.77) than depressive symptoms in accurately identifying suicide attempters with these three psychiatric disorders. Compared to depression, pain avoidance is a more proximal trigger of SAs in patients with psychiatric disorders characterized by emotional and behavioural control deficits. Pain avoidance may bridge the gap between depressive symptoms and a risk of SA in such clinical populations.<\/jats:p>","DOI":"10.1002\/cpp.70175","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T14:55:26Z","timestamp":1763132126000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Differentiating Transdiagnostic Roles of Psychological Pain and Depression on Suicide Attempt in Major Depressive Disorder, Bipolar Disorder and Substance Use Disorder"],"prefix":"10.1002","volume":"32","author":[{"given":"Yuying","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3070-6859","authenticated-orcid":false,"given":"Huanhuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yawen","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziyu","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiwen","family":"An","sequence":"additional","affiliation":[{"name":"Department of Psychology Renmin University of China  Beijing P. R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.12.060"},{"issue":"2","key":"e_1_2_10_3_1","article-title":"Clinical Dimensions Associated With Psychological Pain in Suicidal Patients: One\u2010Year Follow\u2010Up Study","volume":"83","author":"Alacreu\u2010Crespo A.","year":"2022","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2021.1912572"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15071425"},{"key":"e_1_2_10_7_1","volume-title":"Manual for the Beck Depression Inventory","author":"Beck A. T.","year":"1996"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050212-185608"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000446"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.3.371"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12450"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0035352"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/asn034"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12676"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796019000593"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.07.043"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S111094"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-017-0862-1"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i04"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.11.072"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000084"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/spe.4380211102"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-020-00263-9"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jrp.2005.11.001"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.10.115"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyp.14136"},{"issue":"1","key":"e_1_2_10_27_1","first-page":"1","article-title":"Variable\u2010Centered, Person\u2010Centered, and Person\u2010Specific Approaches: Where Theory Meets the Method","volume":"21","author":"Howard M. C.","year":"2017","journal-title":"Organizational Research Methods"},{"key":"e_1_2_10_28_1","doi-asserted-by":"crossref","unstructured":"JonesP J.2017Networktools: Tools for Identifying Important Nodes in Networks. R Package Version 1.1.0.https:\/\/CRAN.R\u2010project.org\/package=networktools.","DOI":"10.32614\/CRAN.package.networktools"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2019.1614898"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.01550"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/cercor\/bhae156"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12056"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.08.100"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22639"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701575396"},{"issue":"4","key":"e_1_2_10_36_1","first-page":"263","article-title":"The Development, Validity, and Reliability of the Addiction Profile Index (API)","volume":"23","author":"\u00d6gel K.","year":"2012","journal-title":"Turkish Journal of Psychiatry"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.03.109"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114296"},{"issue":"4","key":"e_1_2_10_39_1","article-title":"The Relationship Between Mental Pain, Suicide Risk, and Childhood Traumatic Experiences: Results From a Multicenter Study","volume":"83","author":"Pompili M.","year":"2022","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.04.001"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2018.27"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000181"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12724"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-022-02236-8"},{"key":"e_1_2_10_45_1","volume-title":"Suicide as Psychache: A Clinical Approach to Self\u2010Destructive Behavior","author":"Shneidman E. S.","year":"1993"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.3109\/10401230109148954"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.3724\/SP.J.1041.2022.01031"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22870"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1996.tb02080.x"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v66n1008"},{"issue":"6","key":"e_1_2_10_51_1","first-page":"476","article-title":"Reliability and Validity of the Chinese Version of Beck Depression Inventory\u2010II Among Depression Patients","volume":"25","author":"Wang Z.","year":"2011","journal-title":"Chinese Mental Health Journal"},{"key":"e_1_2_10_52_1","unstructured":"WHO2021. \u201cSuicide Worldwide in 2019: GLOBAL Health Estimates.\u201d"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-023-02675-0"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.133.5.429"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.70175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:04:53Z","timestamp":1766473493000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.70175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":53,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/cpp.70175"],"URL":"https:\/\/doi.org\/10.1002\/cpp.70175","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70175"}}