Psychodynamics of suicide, with particular reference to the young
1991; American Psychiatric Association; Volume: 148; Issue: 9 Linguagem: Inglês
10.1176/ajp.148.9.1150
ISSN1535-7228
Autores Tópico(s)Treatment of Major Depression
ResumoBack to table of contents Previous article Next article No AccessPsychodynamics of suicide, with particular reference to the youngPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.148.9.1150AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE AND METHOD: The article reviews the literature on the psychodynamics of suicide, focusing on factors that will help in evaluating and treating the young suicidal patient. Articles published in refereed journals and books and book chapters based on such articles are the source of most of the material. Articles that first brought a new finding to notice are given preference. Methodological limitations and contradictions with the data of other studies are pointed out. FINDINGS: The psychodynamic meaning of suicide for a patient derives from both affective and cognitive components. Rage, hopelessness, despair, and guilt are important affective states in which young patients commit suicide. The meanings of suicide can be usefully organized around the conscious (cognitive) and unconscious meanings given to death by the suicidal patient: death as reunion, death as rebirth, death as retaliatory abandonment, death as revenge, and death as self-punishment or atonement. CONCLUSIONS: Knowledge of the psychodynamics helps to distinguish which patients with any given diagnosis are at risk for suicide. Such knowledge is essential to the psychotherapeutic treatment of the young suicidal patient. Topics for future research include the role of anxiety in suicide; the capacity to bear hopelessness, rage, and other unpleasant affects without regression; the use of particular defense mechanisms in distinguishing the risk of either suicidal or violent behavior; and the relation of specific psychodynamic conflicts seen in suicidal patients to particular psychiatric diagnoses. 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BURSZTAJN1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 10Suicide Among Homosexual YouthSTEVEN PRENZLAUER, JACK DRESCHER, and RON WINCHEL1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 10Dr. Hendin RepliesHERBERT HENDIN1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 10Competency to make a will23 January 2015 | American Journal of Psychiatry, Vol. 149, No. 10Suicide among homosexual youth23 January 2015 | American Journal of Psychiatry, Vol. 149, No. 10Dr.Hendin RepliesHERBERT HENDIN1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 4Depression After the Death of a SpouseMARDI J. HOROWITZ1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 4Depression after the death of a spouse23 January 2015 | American Journal of Psychiatry, Vol. 149, No. 4The Journal of Emergency Medicine, Vol. 10, No. 3International Review of Psychiatry, Vol. 4, No. 2International Review of Psychiatry, Vol. 4, No. 2 Volume 148Issue 9 September 1991Pages 1150-1158 Metrics PDF download History Published online 1 April 2006 Published in print 1 September 1991
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