{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T20:23:37Z","timestamp":1793996617623,"version":"4.8.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,1,10]],"date-time":"2011-01-10T00:00:00Z","timestamp":1294617600000},"content-version":"vor","delay-in-days":2688,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp;amp; Life Threat Behav"],"published-print":{"date-parts":[[2003,9]]},"abstract":"<jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#b22\">Shneidman (e.g., 1998)<\/jats:ext-link> has theorized that psychache\u2014general psychological and emotional pain that reaches intolerable intensity\u2014is an important suicide\u2010related variable, and indeed, represents a source of suicidal behavior. This conceptualization, while prominent and clinically and intuitively appealing, has received relatively little empirical scrutiny. In this study, we determined whether an index closely related to psychache, psychological quality of life, would display a special and resilient association to suicidality among 60 adult psychiatric outpatients in Brazil. All patients underwent structured clinical interviews and completed various clinical and quality\u2010of\u2010life measures. We found that the association between psychological quality of life and suicidality remained, even when depression, hopelessness, and other domains of quality of life were controlled. Psychache appears to deserve its place among key suicide\u2010related variables, and deserves the attention of clinicians working with suicidal people.<\/jats:p>","DOI":"10.1521\/suli.33.3.242.23220","type":"journal-article","created":{"date-parts":[[2003,12,18]],"date-time":"2003-12-18T09:49:19Z","timestamp":1071740959000},"page":"242-248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Psychache and Suicidality in Adult Mood Disordered Outpatients in Brazil"],"prefix":"10.1111","volume":"33","author":[{"given":"Marcelo T.","family":"Berlim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betina S.","family":"Mattevi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele P.","family":"Pavanello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco Antonio","family":"Caldieraro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo P. A.","family":"Fleck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LaRicka R.","family":"Wingate","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Thomas E.","family":"Joiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,1,10]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1516-44462000000300003"},{"key":"e_1_2_5_3_1","volume-title":"Cognitive therapy of depression","author":"Beck A. T.","year":"1979"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0037562"},{"key":"e_1_2_5_5_1","unstructured":"BerlimM. T. Mattevi B. S. Pavanello D. P. Pereira C. M. 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