{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:07:18Z","timestamp":1790071638976,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n The current study aimed to examine the relationship between the feeling of emptiness and suicidal ideation, and the mediating roles of psychological pain and hopelessness, in Iranian clinical and non\u2010clinical populations within the framework of the Three\u2010Step Theory (3ST).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Two hundred and twenty\u2010seven individuals with emotional disorders (all with current suicidal ideation) and 449 individuals from the general population (45.2% with current suicidal ideation) completed self\u2010report measures assessing emptiness, psychological pain, hopelessness and suicidal ideation. Path analysis was conducted to examine the mediating effects.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Emptiness was significantly correlated with suicidal ideation in both the clinical and non\u2010clinical populations. In the clinical sample, both psychological pain and hopelessness significantly mediated the emptiness\u2010ideation relationship. In the non\u2010clinical sample, pain and hopelessness were also significant mediators, though the strength of these indirect effects differed across samples.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings offer new insights into the psychological processes linking emptiness to suicidal ideation and highlight the importance of addressing both psychological pain and hopelessness in suicide prevention efforts. Theoretical and clinical implications are discussed.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjc.70095","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:46:59Z","timestamp":1790070419000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The pathway from feeling of emptiness to suicidal ideation: Examining the mediating roles of psychological pain and hopelessness in clinical and non\u2010clinical populations"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2428-8670","authenticated-orcid":false,"given":"Reyhaneh","family":"Sardarzehi","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1765-2884","authenticated-orcid":false,"given":"Banafsheh","family":"Mohajerin","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdiyeh Golestani","family":"Fard","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Loghman Hakim Hospital Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8686-523X","authenticated-orcid":false,"given":"Amir Sam","family":"Kianimoghadam","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyedshahab","family":"Banihashem","sequence":"additional","affiliation":[{"name":"Department of Pschiatry, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5106-9775","authenticated-orcid":false,"given":"Maryam","family":"Bakhtiari","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"191","article-title":"Suicide attempt and suicide death in Iran: A systematic review and meta\u2010analysis study","volume":"18","author":"Asadiyun M.","year":"2023","journal-title":"Iranian Journal of Psychiatry"},{"issue":"2","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1037\/0022-006X.47.2.343","article-title":"Assessment of suicidal intention: The scale for suicide ideation","volume":"47","author":"Beck A. 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