Analysis of Motives and Factors Connected to Suicidal Behavior in Patients Hospitalized in a Psychiatric Department

Self-stabbing and self-cutting represents an uncommon method of suicide. We present a case of a 30-year-old man who was found dead in the forest. The body was naked and showed multiple cut and stab wounds on different parts of the body (face, neck, chest, abdomen, and extremities). A single-edged kitchen knife was found approximately 20 m from the body. Parts of both ears, the fifth toe of the right foot, and the scrotum were cut off. At the autopsy, two of the severed body parts—the toe and the part of the left ear—were found in the stomach. The cause of death was asphyxiation due to blood aspiration resulting from a cut throat injury. A police investigation uncovered a history of substance abuse and two previous suicidal attempts using a knife. Upon complex analysis of all the evidence, the manner of death was ruled a suicide, which was preceded by actions of major self-mutilation and self-cannibalism, both considered rare behavioral patterns.

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“…The etiology of suicidal behavior is complex and multifactorial. Among the most common risk factors is a psychiatric disorder [15].…”

Section: Discussionmentioning

confidence: 99%

Suicide by sharp force associated with major self-mutilation and self-cannibalism

Iannaccone

Ginelliová

Farkas

et al. 2023

Forensic Sci Med Pathol

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“…From an empirical perspective, conditions associated with social pain are frequently cited as motives for suicide. These include conflicts between family members (such as parent-child conflict), marital conflict, infidelity by a spouse, a lack of close friends, a perceived lack of support or affection from significant others, loneliness, bullying (including "cyber-bullying"), and social ostracism [51][52][53][54][55]. These factors appear to play a significant role regardless of the age or geographical location of the populations being studied, suggesting that they may all act through the final common pathway of causing intolerable social pain.…”

Section: B Social Pain and Suicidementioning

confidence: 99%

Pharmacotherapy for the Secondary Prevention of Suicide: Leads from the Social Pain Hypothesis

Rajkumar¹

2022

Preprint

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Suicidal behaviour is a public health problem whose magnitude is both substantial and increasing. Since many individuals seek medical treatment following a suicide attempt, strategies aimed at reducing further attempts in this population are a valid and feasible secondary prevention approach. An evaluation of the available evidence suggests that existing treatment approaches have limited efficacy in this setting, highlighting the need for innovative approaches to suicide prevention. Existing research on the neurobiology of social pain has highlighted the importance of this phenomenon as a risk factor for suicide, and has also yielded several attractive targets for pharmacological preventive strategies. In this paper, the available evidence related to these targets is synthesized and critically evaluated. The way in which social pain is related to the “anti-suicidal” properties of recently approved treatments, such as ketamine and psilocybin, is also examined. Such strategies may be effective for the short-term reduction of suicidal ideation and behaviour in individuals who have made a suicide attempt suicide prevention, particularly in cases where social pain is identified as a contributory factor. These pharmacological approaches may be effective regardless of the presence or absence of a specific psychiatric diagnosis.

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Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review

Rajkumar¹

2022

Psych

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Suicidal behaviour is a public health problem whose magnitude is both substantial and increasing. Since many individuals seek medical treatment following a suicide attempt, strategies aimed at reducing further attempts in this population are a valid and feasible secondary prevention approach. An evaluation of the available evidence suggests that existing treatment approaches have a limited efficacy in this setting, highlighting the need for innovative approaches to suicide prevention. Existing research on the neurobiology of social pain has highlighted the importance of this phenomenon as a risk factor for suicide, and has also yielded several attractive targets for pharmacological strategies that could reduce suicidality in patients with suicidal ideation or a recent attempt. In this paper, the evidence related to these targets is synthesized and critically evaluated. The way in which social pain is related to the “anti-suicidal” properties of recently approved treatments, such as ketamine and psilocybin, is examined. Such strategies may be effective for the short-term reduction in suicidal ideation and behaviour, particularly in cases where social pain is identified as a contributory factor. These pharmacological approaches may be effective regardless of the presence or absence of a specific psychiatric diagnosis, but they require careful evaluation.

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Analysis of Motives and Factors Connected to Suicidal Behavior in Patients Hospitalized in a Psychiatric Department

Cited by 3 publications

References 40 publications

Suicide by sharp force associated with major self-mutilation and self-cannibalism

Suicide by sharp force associated with major self-mutilation and self-cannibalism

Pharmacotherapy for the Secondary Prevention of Suicide: Leads from the Social Pain Hypothesis

Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review

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