Rorschach and suicide-theories: A preliminary study in young women

2011 ◽  
Vol 26 (S2) ◽  
pp. 1648-1648
Author(s):  
P. Solano ◽  
I. Antico ◽  
E. Magi ◽  
F. Gabrielli

IntroductionThe accuracy of the Rorschach Test in identifying the pathway to suicide is still controversial, though it can help for a better understanding of the functioning of suicidal minds.ObjectivesTo investigate whether Rorschach indexes fit major suicidal models.AimsTo evaluate whether Schneidman's psychache theory (1993), Baumeister's thought deconstruction model (1990) and Maltsberger's affect deluge model (2003) fit with Rorschach test indexes.MethodsThree young women hospitalised for near-lethal suicide- attempts were analysed through the Rorschach test by trained researchers using the Exner Comprehensive System. The Concept of the Object Scale on the Rorschach (COR) and the Mutuality of Autonomy Scale (MOA) were used for a systematic assessment of object relations and as index of interpersonal relationship capacities respectively.ResultsAll the tests are scarce. All patients rejected Table 9.Patient 1: L = 1.4, EB=3:0, X- index = 0.25, M- = 2, EA=3; X+% = 0.58; P=3; Zd = −1.5; Afr =0.2;Ego index = 0.5 sR=1 and S-CON = 9. COR: poor differentiation, articulation and integration and MOA level 2.Patient 2 : L = 1.5; CDI +; EB = 2:0; Afr = 0.37. Ego index 0.3; EA = 2 ; S-CON = 8. COR = good differentiation and integration, though a poor articulation of the object, MOA level of 2.Patient 3: L = 1.42; Ag=0, COP = 0; S-CON = 8; MOR = 2; Afr = 0.41, SumC’ = 1; CDI +; FM = 2, m = 1, M = 1. COR: scarce differentiation, severely impaired articulation and integration of the object, MOA = level 6.ConclusionsPatient 1's Rorschach test suggests Baumeister's model; patient 2's test Maltsberger's model and patient 3's test Schneidman model.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jie Li ◽  
Syeda Zerin Imam ◽  
Zhengyue Jing ◽  
Yi Wang ◽  
Chengchao Zhou

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.


2019 ◽  
Vol 90 (e7) ◽  
pp. A2.3-A3
Author(s):  
Hue Mun Au Yong ◽  
Erica Minato ◽  
Eldho Paul ◽  
Udaya Seneviratne

IntroductionThis study aims to (i)evaluate the diagnostic sensitivity, specificity and predictive values of seizure-related heart rate (HR) in differentiating epileptic seizures(ES) from psychogenic non-epileptic seizures(PNES), (ii)define the most useful point of HR measurement: pre-ictal, ictal-onset, maximal-ictal or post-ictal, and (iii)define the HR cut-off points to differentiate ES from PNES.MethodsAll video EEG(VEEG) at Monash Health from May 2009 to November 2015 were retrospectively reviewed. Baseline(during wakefulness), one-minute pre-ictal, ictal-onset, maximal-ictal and one-minute post-ictal HR were measured for each ES and PNES event. Events less than ten seconds or with uninterpretable ECG due to artefacts were excluded. ROC curve analysis was performed to study the diagnostic accuracy reflected by area under the curve(AUC). The AUC was interpreted as follows; ≤0.5, differentiation of PNES from ES no better than chance; 0.80–0.89, good differentiation; and 0.9–1, excellent differentiation.ResultsVEEG of 341 ES and 265 PNES from 130 patients were analysed. The AUC for pre-ictal, ictal-onset, maximal-ictal and post-ictal HR were found to have poor differentiation between ES and PNES. Comparing PNES and bilateral tonic-clonic ES, AUC for absolute maximal-ictal HR was 0.84(CI 0.73–0.95) and for absolute post-ictal HR was 0.90(CI 0.81–1.00). Using Youden’s index, to diagnose tonic-clonic ES, the optimal cut-off point for absolute maximal-ictal HR was 114bpm (sensitivity 84%;specificity 82%;PPV 26.7%,NPV 98.5%) and for absolute post-ictal HR was 90bpm(sensitivity 91%;specificity 82%;PPV 30.3%;NPV 99.1%).ConclusionsThese findings suggest that seizure-related HR increase is useful in differentiating bilateral tonic-clonic ES from PNES. Based on the AUC, the best diagnostic measureme.


1978 ◽  
Vol 132 (2) ◽  
pp. 180-185 ◽  
Author(s):  
Lawrence Wexler ◽  
Myrna M. Weissman ◽  
Stanislav V. Kasl

This paper brings up to date a 1970 study of suicide attempters coming to a major emergency room in an United States urban community and reviews international trends in suicide attempts. Results of the study and the review of the international literature indicate that the high rates of suicide attempts that were observed in 1970 are continuing into 1975. The incidence of suicide attempts continues to be a public health problem primarily among young women. Pill ingestion, usually barbiturates and psychotropic drugs, continues to be the most common method used.


1981 ◽  
Vol 139 (5) ◽  
pp. 382-390 ◽  
Author(s):  
Robert D. Goldney

SummaryOne hundred and ten young women aged 18 to 30 years who had attempted suicide by drug overdose were divided into three groups on the basis of the physical threat to life of their suicide attempt. Young women whose suicide attempts resulted in the greatest risk to life were more often unmarried or not in a de facto relationship; reported little use of alcohol; had had recent contact with a psychiatrist; had taken more than 20 tablets or capsules, most often antidepressants; and had a high degree of suicidal intent and hopelessness. Furthermore, there were trends for them to be of high socio-economic status; to have had less history of violence, both used and sustained; to more often demonstrate schizoid personality traits; and to report less death anxiety.


2020 ◽  
Vol 1 (3) ◽  
pp. 13-20
Author(s):  
Rachmat Hidayat ◽  
Patricia Wulandari

Abstract Introduction. Convenience in various aspects of life in fact does not guarantee people to live happier. Every year around the world around one million people die from suicide. One of the most consistent findings in suicide research is that women make more suicide attempts (tentament suicide) than men. This research is the first research and conducted as an effort to increase the awareness of all medical potentials of young women to commit suicide. Methods. This research was a qualitative research with in-depth interview approach to respondents. The subjects of this study were patients with a diagnosis of tentamen suicide who consulted the Cattleya Consultation Center, Palembang, Indonesia. Results. All subjects with a tendency to commit suicide were female (100%) with a young age, ie the youngest age was 16 years and the oldest was 28 years. Women at this age are classified as young and productive age. It was found that most of the patients had avoidant personality traits (43%). In addition, the factors that triggered the emergence of tentamen suicide in some respondents were social and environmental factors (44%), namely in the form of friendship factors (peer groups), and the experience of bullying. Conclusion. Young women have the potential to do tentamen suicide.


2020 ◽  
Author(s):  
Jie Li ◽  
Syeda Zerin Imam ◽  
Zhengyue Jing ◽  
Yi Wang ◽  
Chengchao Zhou

Abstract Background: Adolescent pregnancy is a major public health problem around the world, with higher prevalence in low income countries and it was a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its association with socio-demographics and pregnancy related factors, health status, and social support.Methods: In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship of the potential related factors with suicide attempts.Results: Among the participating women, 6.5% (61/940) reported suicide attempts in the last 12 months, and majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.49, 95%CI = 0.38–0.63) and more perceived social support from friends (OR = 0.71, 95%CI = 0.57–0.88) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair healthy status (OR = 7.73, 95%CI = 2.85–20.99) were more likely to attempt suicide.Conclusions: Women with adolescent pregnancy were at high risk of suicide attempt especially those during the first year post-pregnancy. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.


2021 ◽  
Vol 10 (8) ◽  
pp. e13510817152
Author(s):  
Ana Lúcia Ferreira Ratão ◽  
Leandro Figueiredo dos Santos ◽  
Ana Cláudia Soncini Sanches ◽  
Laura Emilia Michelin Gobbo ◽  
Edelcio Ratão ◽  
...  

Introduction: Exogenous intoxication (EI) is the second most commonly used method to commit suicide, preceded by hanging, and is the first in terms of suicide attempts. Objective: To analyze suicide attempts to EI prevalence and the factors associated with this practice in the population of of the municipality of Birigui/SP. Methods: This is a descriptive, retrospective and observational study of the population of the municipality of Birigui. Data obtained by extracting information contained in the database of the Department of Informatics of the Unified Health System (DATASUS ) of the Brazilian Ministry of Health. Using the TabNet Win32 3.0 program, we analyzed data for the period 2013 – 2017, focusing on six variables: race, sex, education, age group, clinical evolution, and type of exposure. Results and conclusions: 296 cases were studied, increase in suicide attempts by EI through medication over the years from 27 cases 2014, culminating in 108 cases in 2017. Most cases were with females in all years (n=35 in 2013, n =27 in 2014, n=35 in 2015, n=51 in 2016 and n=84 in 2017), The highest incidence was found in the 15–19 years population (n = 49) with low education. Acute, single exposure intoxication predominated over others with 53% of cases (n=157) and cure without sequelae was observed in 63.9% of cases (n=189). During this period, there was an increase in suicide attempts due to EI over the years predominantly young women and persons of a low level of education.


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