PATIENT WITH MAJOR ENDOGENOUS DEPRESSIVE EPISODE WITH SUICIDE ATTEMPT

Authors

  • Mariana Andruța Voicu Faculty of Psychology and Educational Science, University of Bucharest, Romania
  • Adriana Mavlea Faculty of Psychology and Educational Science, University of Bucharest, Romania 2 “Alex Obregia” Clinical Hospital for Psychiatry, Bucharest, Romania
  • Ilinca Vlaicu Faculty of Psychology and Educational Science, University of Bucharest, Romania
  • Florin Mititelu “Alex Obregia” Clinical Hospital for Psychiatry, Bucharest, Romania
  • Simona Trifu University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

DOI:

https://doi.org/10.29121/granthaalayah.v9.i5.2021.3925

Keywords:

Suicide, Twilight, Major Depressive Episode, Structural Intransigence, Vulnerability

Abstract

Motivation: Suicide is a major psychiatric emergency, men being more inclined to successful suicide, not to attempts and to approach it by abrupt and aggressive means.

Objectives: To present a male patient who developed a major depressive episode, in which the reactive component had a significant contribution in return for endogeny. The suicide attempt quickly escalated changes in thymic function over several days.

Results: The patient corresponds to the age at which major depressive disorder begins. There remains a clinical discussion between a genuine suicide attempt, carried out with a plan, internal turmoil, rumination or a parasuicide, in which the person in question needed a change in the field of consciousness to try to throw himself in front of the subway. Note the high internal tension, the absence of the search for alternative solutions, the narcissistic wound, the endo-psychic vulnerability, the elements of correctness such as structural mental rigidity.

Conclusions: Early responsiveness to medication emphasizes the endogenous potential and the potential of vulnerability, after the approach through a combination of antidepressants and antipsychotics, the latter developing a clearer perspective on reality and decisions.

Downloads

Download data is not yet available.

References

American Psychiatric Association (Ed.). (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed). American Psychiatric Association. DOI: https://doi.org/10.1176/appi.books.9780890425596

Lăzărescu, M., Teodorescu, R., & Petrescu, R. (1998). ICD-10 classification of mental and behavioral disorders: Symptomatology and clinical diagnosis. ALL.

Leonhard, K. (1979). Accentuated personalities in life and in literature. (II). Scientific and Encyclopedic Publishing House.

Mental Health Information. Suicide. (2021, January). National Institute of Mental Health. retrieved from https://www.nimh.nih.gov/health/statistics/suicide.shtml

Saxena, S., Krug, E. G., Chestnov, O., & World Health Organization (Eds.). (2014). Preventing suicide: A global imperative. World Health Organization. Brende, J.O., Rinsley, D.B. (1981). A Case of Multiple Personality with Psychological Automatisms. The Journal of the American Academy of Psychoanalysis 9(1):129-51 · February 1981 DOI: https://doi.org/10.1521/jaap.1.1981.9.1.129

Published

2021-05-31

How to Cite

Voicu, M. A., Mavlea, A., Vlaicu, I., Mititelu, F., & Trifu, S. (2021). PATIENT WITH MAJOR ENDOGENOUS DEPRESSIVE EPISODE WITH SUICIDE ATTEMPT. International Journal of Research -GRANTHAALAYAH, 9(5), 137–144. https://doi.org/10.29121/granthaalayah.v9.i5.2021.3925