Citation

Cottencin O, Vaiva G, Goudemand M, Ducrocq F, Joveniaux A, Montegnies S, Bondu C, Cucheval E, Dubreu V, Obadia J, Rousset JR, Siobud E, Teissier E. Annales de Psychiatrie 1999; 14(2): 85-89.

Copyright

(Copyright © 1999)

DOI

unavailable

PMID

unavailable

Abstract

Cares for suicide ask for the question of the time. When the body is not injured, patient meet psychiatrist with an instable psychological state. Psychiatrist try to find a crisis treatment in a too short time. When the body is injured, psychiatrist have a lot of time, but he does not use it totally. In fact, he is one of the actors of the cares of the patient and his work is different. It is a work of a liaison psychiatrist. Meanwhile, patient whose body is injured has to do first a somatic waking before a psychological waking. We propose to study this aspect of the psychological waking when patient's body is hurt after a suicide and we want to read the specificity of our practice in a surgical unit, with a case report. Maryse is a fourty years old woman, divorced, she has one child. She drunk caustic soda. She was severely injured and stay six months in the surgical unit. She had three surgical operation in a year and an half. Our work did not begin to know what was the risk of relapse, because Maryse ask us to help her for her physical pain. After two months, she choose a nurse to explain her suicide and her difficulties. We were able to speak about suicide after three months, and after she rather speak about her illness because of the caustic soda. When the body is hurt... psychological waking is different and delayed: patient seems to choose to be a victim of a chronic illness. Psychiatrist has to know this specificity and has to work with surgical staff. He has to recognise the demand, to accept the form and the partners; and to use the specificity of the psychological work of the patient.

Language: fr

Keywords

adult; article; automutilation; Body injured; case report; clinical feature; clinical practice; disease course; female; human; intensive care; liaison psychiatry; Liaison psychiatry; mental health care; nurse; psychiatrist; Psychological waking; recurrence risk; sodium hydroxide; suicide; Suicide