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Yes | 44 items scored on a Likert scale | 41 items (cited by Levinger 2015 but not validated) 40 items (Orbach, unpublished) 31 items (Tossani, 2019) 8 items (Casanova, 2021) |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.