Suicidal communication of persons attempting suicide and responses of significant others

D. Wolk‐Wasserman

88 citations0/0 files storedActa Psychiatrica Scandinavica

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Suicide and Self-Harm Studies Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

Forty consecutively admitted suicide attempt patients in an intensive care unit, their therapists, and 70 significant others of 37 of the patients, were investigated by means of 300 semi-structured interviews. The patients belonged to three diagnostic groups: neurosis, alcohol and drug abuse, and prepsychosis/psychosis. Thirty-seven of the patients had communicated their suicidal intentions to people around them. All patients used protracted indirect verbal communication. Immediately before the suicide attempt, most of the neurotics continued often to indirect verbal communication, amplified by demanding behaviour. Drug and alcohol abusers, moreover, also employed direct verbal communication, and prepsychosis/psychosis patients indirect non-verbal communication. The majority of significant others understood the patients' suicidal communication and responded with near-total silence. Ambivalence about continuing the relationship characterised most partners of patients in all diagnostic groups, and also persons other than partners in the abuse group. Ambivalence about helping the patient, and aggression expressed by significant others were most prevalent in the abuse group.

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References

1953The Standard Edition of the Complete Psychological Works of Sigmund Freud 1958On Attempted Suicide 1959THE COMMUNICATION OF SUICIDAL INTENT: A STUDY OF 134 CONSECUTIVE CASES OF SUCCESSFUL (COMPLETED) SUICIDE 1982Attempted Suicide: A Practical Guide to Its Nature and Management 1979Suicide in mental disorder in Swedish men.1963An evaluation of suicidal intent in suicide attempts 1981The contribution of environmental events and social support to serious suicide attempts in primary depressive disorder.1975Evaluation of suicide prevention after attempted suicide.

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