Citation

Vandevoorde J, Baudoin T, Chabert B, Valero AS, Kamar S, Baudoin E. Inf. Psychiatr. 2015; 91(5): 373-382.

Copyright

(Copyright © 2015, John Libbey Eurotext)

DOI

10.1684/ipe.2015.1343

PMID

unavailable

Abstract

The evaluation and prevention of suicidal behaviour is a major public health issue. Many clinical approaches have been proposed to identify suicidal activity in a patient. Nevertheless, some acting out seem to escape any clinical assessment particularly patients with an extremely brutal nature. The article presents the case of Mrs. M., a non-psychotic patient who made a serious suicide attempt. She presented the same day of her suicide attempt with a thymic improvement and a decrease in suicidal activity, making any suicidal activity undetectable. In the evening, she swallowed a large amount of drugs following the command of a voice. Propelling her arm seems to alter her, the patient seems dissociated, without any thought, emotion and a proximal trigger event that is clearly identifiable. These cases were identified as so-called kinaesthetic psychological states and constitute an intriguing clinical phenomenon. The limits of suicide assessment are discussed in the light of this analysis. © 2015, John Libbey Eurotext. All rights reserved.

Language: fr

Keywords

Evaluation; Suicide attempt; Speech; Acting out