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. 2022 Jul 28;25(4):e4. doi: 10.1136/ebmental-2021-300350

Table 1.

Description of the 10 measures of mental pain

Self-reported scale Description Other versions of the scale Conceptual framework of the measure Initial purpose for which the measure was developed Number of studies citing the scale*
The Psychological Pain Assessment ScalePPAS)
Shneidman 1999
Yes 11 items
VAS
Rating of TAT-like pictures
History of suicide
Free essay
No final scoring
Shneidman’s theory of the suicidal mind To explore the relation between a suicidal act and mental pain 9
The Psychache Scale
Holden 2001
Yes 13 items scored on a Likert scale Shneidman’s theory of the suicidal mind To explore the relation between a suicidal act and mental pain 85
The Orbach and Mikulincer Mental Pain Scale
Orbach and Mikulincer 2003
Yes 44 items scored on a Likert scale 41 items
(cited by Levinger 2015 but not validated)
40 items
(Orbach, unpublished)
31 items (Tossani, 2019)
8 items (Casanova, 2021)
No a priori conceptual framework.
Items developed from a survey based on grounded theory principles and qualitative content analysis to propose a comprehensive definition of this experience
To explore the relation between a suicidal act and mental pain 44
The Tolerance of Mental Pain Scale
Orbach 2004
Yes 20 items scored on a Likert scale 10 items (Meerwijk, 2019) No conceptual framework To explore the relation between a suicidal act and mental pain 11
The Physical and Psychological Pain-VAS
Olié 2009
Yes 3 dimensions of physical pain and 3 dimensions of psychological pain each evaluated by a VAS (scored from 0 to 10)
+1 VAS evaluating suicidal ideation and one Likert scale evaluating the frequency of suicidal ideation
No final scoring
Inspired by the measurement of physical pain To explore the relation between a suicidal act and mental pain 21
The Mee-Bunney Psychological Assessment Pain Scale
Mee and Bunney 2011
Yes 10 items scored on a Likert scale Inspired by the measurement of physical pain and the Shneidman theory of the suicidal mind To predict and prevent of suicide in routine clinical practice 11
The Three-dimensional Psychological Pain scale
Li 2014
Yes 17 items scored on a Likert scale No conceptual framework To predict and prevent suicide in depressed patients 16
The Mental Pain Questionnaire
Fava 2016
Yes 10 questions with dichotomous response format (ie, yes/no) No conceptual framework To explore the experience of mental pain in patients with mental disorder 7
The Unbearable Psychache Scale
Pachkowski 2019
Yes 3 items scored on a Likert scale Shneidman’s theory of the suicidal mind To predict and prevent suicide in routine clinical practice 2
The Psychic Pain Scale
Lewis 2020
Yes 12 items scored on a Likert scale Original version of 20 items (Fowler, 2007, unpublished) Malstberger’s theory of the suicidal mind To explore the relation between a suicidal act and mental pain 2

*One study could have used several measures.

TAT, thematic apperception test; VAS, Visual Analogue Scale.