The Relationships between Depression, Suicide Risk and Emotional Cognitive Coping


  • Romulus-Dan Nicoara Iuliu Haţieganu University of Medicine and Pharmacy
  • Horia-George Coman Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • Doina Cosman Medical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania



depression, suicide risk, emotional cognitive coping


Background and aim: Emotional cognitive coping strategies are closely correlated with depression and suicide risk. The aim of this study is to explore the particular features of cognitive-emotional coping and their impact on depression levels and suicidal ideation.

Methods: The study included a total number of 131 participants, 65 with a clinical diagnosis of depression and 66 controls. Instruments used were: Cognitive Emotion Regulation Questionnaire (CERQ), Columbia Suicide Severity Rating Scale (C-SSRS), Depression Anxiety Stress Scale (DASS21R), Montgomery-Asberg Depression Scale (MADRS), in order to assess the differences between depressive and non-depressive individuals in relation to coping strategies.

Results and conclusion: The findings, based on the statistical analysis of the scores obtained on the various psychometric scales, showed significant differences between depressive and non-depressive patients. Also, cognitive-emotional strategies could represent a good predictor to be used in the prevention of suicide risk in depressed patients.


Andеrson, C. A., Mіllеr, R. S., Rіgеr, A. L., Dіll, J. C., & Sеdіkіdеs C. (1994). Bеhavіoral and charactеrologіcal attrіbutіonal stylеs as prеdіctors of dеprеssіon and lonеlіnеss: Rеvіеw, rеfіnеmеnt, and tеst. Journal of Personality and Social Psychology, 66, 549–558

Åsberg, M., Montgomery, S. A., Perris, C., Schalling, D., & Sedvall, G. (1978). A comprehensive psychopathological rating scale. Acta Psychiatrica Scandinavica, 57(S271), 5-27.

Åsberg, M., Montgomery, S. A., Perris, C., Schalling, D., & Sedvall, G. (1978). A comprehensive psychopathological rating scale. Acta psychiatrica scandinavica, 57(S271), 5-27.

Azadi, S., Khosravani, V., King, S., Mohammadzadeh, A., & Baseri, A. (2020). Effects of neuropsychological systems on psychopathology through cognitive emotion regulation strategies in individuals with suicide attempts. Cognitive Therapy and Research, 44(1), 229-239.

Bazrafshan, M. R., Jahangir, F., Mansouri, A., & Kashfi, S. H. (2014). Coping strategies in people attempting suicide. International Journal of High Risk Behaviors & Addiction, 3(1), e16265.

Berk, M., Malhi, G. S., Mitchell, P. B., Cahill, C. M., Carman, A. C., Hadzi‐Pavlovic, D., ... & Tohen, M. (2004). Scale matters: the need for a Bipolar Depression Rating Scale (BDRS). Acta Psychiatrica Scandinavica, 110, 39-45.

Botsis, A. J., Soldatos, C. R., Liossi, A., Kokkevi, A., & Stefanis, C. N. Suicide and violence risk. I. Relationship to Coping Styles. Acta Psychiatrica Scandinavica, 89(2), 92-96.

Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretical based approach. Journal of Personality and Social Psychology, 56(2), 267-283.

Cohen, F., & Lazarus, R. S. Coping with the stresses of illness. In G. C. Stone, N. E. Adler & F. Cohen (Eds.), Health psychology (pp. 217-254). San Francisco: Jossey-Bass.

Faramarzі, S., Abеdі, M. R., & Karіmі, M. (2013). Rеlatіonshіp of copіng stylеs for dеprеssіon іn malе and fеmalе adolеscеnts. Journal of Cognіtіvе and Bеhavіoral Scіеncеs, 3, 17–26.

Flores-Kanter, P. E., García-Batista, Z. E., Moretti, L. S., & Medrano, L. A. (2019). Towards an explanatory model of suicidal ideation: the effects of cognitive emotional regulation strategies, affectivity and hopelessness. The Spanish Journal of Psychology, 22.

Garnefski, N., & Kraaij, V. (2006). Relation between cognitive emotional regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual Differences, 40(8), 1659–1669.

Garnefski, N., Kraaij, V. & Spinhoven, Ph. (2001). The relationship between cognitive coping strategies and symptoms of depression, anxiety and suicidality (De relatie tussen cognitieve copingstrategieën en symptomen van depressie, angst en suïcidaliteit). Gedrag en Gezondheid, 29, 166-176

Garnefski, N., Kraaij, V., & Schroevers, M. J. (2011). Effects of cognitive behavioral self-help program on depressed mood for people with acquired physical impairment. A pilot randomized controlled trial. Patient Education and Counseling, 85(2), 304-307.

Garnefski, N., Kraaij, V., Benoist, Z., Karels, E., & Smit, A. (2013). Effect of cognitive-behavioral self-help intervention on depression, anxiety and coping self-efficacy in people with rheumatic disease. Arthtitis Care & Research, 65(7), 1077-1084.

Garnefski, N., Kraaji, V., & Spinhoven, P. (2002). CERQ, Manual for the use of Cognitive Emotion Regulation Questionnaire. Liderdorp: DATEC.

Garnefski, N., van den Kommer, T., Kraaij, V., Teerda, J., Legerstee, J., & Onstein, E. (2002). The relation between cognitive emotional regulation strategies and emotional problems: Comparison between clinical and non-clinical sample. European Journal of Personality, 16(5), 403-420.

Giner, L., Blasco-Fontecilla, H., De La Vega, D., & Courtet, P. (2016). Cognitive, emotional, temperament, and personality trait correlates of suicidal behavior. Current Psychiatry Reports, 18(11), 1-12.

Hamilton, M. (1960). A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry, 23(1), 56.

Hankіn, B. L. (2006). Adolеscеnt dеprеssіon: Dеscrіptіon, causеs, and іntеrvеntіons. Еpіlеpsy Bеhavіor, 8(1), 102–114.

Hеіnrіch, L. M, & Gullonе, Е. (2006). Thе clіnіcal sіgnіfіcancе of lonеlіnеss: A lіtеraturе rеvіеw. Clіnical Psychology Rеview, 26, 695–718.

Josepho, S. A, & Plutchik, R. (1994). Stress, coping and suicide risk in psychiatric inpatients. Suicide Life Threat Behaviour, 24(1), 48-57.

Jіn, J., Tang, Y. Y., Ma, Y., Lv, S., & Hanglі, Z. (2009). A structural modеl of dеprеssіon and dеfеnsе systеm factor: A survеy among Chіnеss collеgе studеns. Psychіatry Rеsearch, 165(3), 288–296.

Kotler, M., Finkelstein, G., Molcho, A., Botsis, A. J., Plutchik, R., Brown, S. L., & van Praag, H. M. (1993). Correlates of suicide and violence risk in an inpatient population: coping styles and social support. Psychiatry Research, 47(3), 281-290.

Lazarus, R. S. (1993). Copіng thеory and rеsеarch: Past, prеsеnt, and futurе. Psychosomatic Medicine, 55(3), 234–247.

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales, 2.

Montgomery, S. A., & Åsberg, M. A. R. I. E. (1979). A new depression scale designed to be sensitive to change. The British Journal of Psychiatry, 134(4), 382-389.

Montgomery, S. A., & Åsberg, M. (1979). A new depression scale designed to be sensitive to change. The British journal of psychiatry, 134(4), 382-389.

Nolen-Hoeksema, S., & Jackson, B. (2001). Mediators of the gender difference in rumination. Psychology of Women Quarterley, 25(1), 37-47.

Ooi, M. Y., Rabbani, M., Yahya, A. N., & Siau, C. S. (2021). The relationship between religious orientation, coping strategies and suicidal behaviour. OMEGA-Journal of Death and Dying.

Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., & Mann, J. J. (2011). The Columbia-suicide severity rating scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266-77.

Quintana-Orts, C., Mérida-López, S., Rey, L., Neto, F., & Extremera, N. (2020). Untangling the emotional intelligence-suicidal ideation connection: The role of cognitive emotion regulation strategies in adolescents. Journal of Clinical Medicine, 9(10), 3116.

Sajatovic, M., Strejilevich, S. A., Gildengers, A. G., Dols, A., Al Jurdi, R. K., Forester, B. P., ... & Shulman, K. I. (2015). A report on older‐age bipolar disorder from the International Society for Bipolar Disorders Task Force. Bipolar disorders, 17(7), 689-704.

Snaith, R. P., Harrop, F. M., Newby, T. D., & Teale, C. (1986). Grade scores of the Montgomery Åsberg depression and the clinical anxiety scales. The British Journal of Psychiatry, 148(5), 599-601.

Vingerhoets, A. J., & Van Heck, G. L. (1990). Gender, coping and psychosomatic symptoms. Psychoogical Medicine, 20(1), 125-135.

Vraşti, R. (2015). Evaluarea şi intervenţia în criză pentru un individ suicidar adult. Psihiatru. ro, 41(2).




How to Cite

Nicoara, R.-D., Coman, H.-G., & Cosman, D. . (2022). The Relationships between Depression, Suicide Risk and Emotional Cognitive Coping. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 13(3), 85-103.

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