Cognitive and Existential Dimensions of Suicidal Ideation: A Rorschach and Logotherapy Assessment

This study explores the intersection between cognitive disorganization, existential despair, and suicidal ideation through the application of the Rorschach Performance Assessment System (R-PAS) and the principles of Logotherapy. By analyzing 16 Rorschach protocols from university students, the research identifies heightened cognitive disorganization (e.g., WSumCog, Ell-3) and existential despair (e.g., SC-Comp) among participants with suicidal ideation. These findings underscore the need for targeted interventions that address both cognitive and existential dimensions of mental health. The analysis highlights five clinical steps for suicide prevention: Differentiated Reception, Listening to the Voice of Conscience, Expanding Worldview, Calibrating Tension, and Reclaiming Direction. For instance, a Group 2 participant diagnosed with Borderline Personality Disorder exhibited high cognitive disorganization (WSumCog = 12.5) and elevated MOR responses, reflecting profound existential despair. In contrast, a Group 1 participant displayed cognitive flexibility (CT = 5) and existential clarity, which facilitated alternative solutions to their challenges. Integrating R-PAS findings with Logotherapy principles provides a comprehensive framework for understanding and intervening in suicidal ideation.