
@article{ref1,
title="Guilt and self-aggressiveness in suicidal behaviour",
journal="Psychiatria Danubina",
year="2006",
author="Saraiva, C and Santos, Z and Veiga, F and Domingues, V and Cabral, A",
volume="18",
number="Suppl 1",
pages="37-37",
abstract="Objectives: From a 15-year clinical experience involving 900 suicide attempters, our aim was to study the associations between guilt/self-aggressiveness and several sociodemographic and clinical variables. Methods: We used a semi-structured questionnaire designed by our unit, with 77 items covering all those aspects. Two groups were compared: group 1 (30%) and group 0 (70%) - positive and negative for guilt/self-aggressiveness, respectively. Results: Regarding sociodemographic variables, within group 1 we found higher proportions of male, divorced, urban, middle-upper social class and advanced schooling individuals. Concerning clinical variables, the following findings were more frequent within group 1: history of physical or sexual abuse, absence of a confidant or group activities, alcohol abuse, mood and personality disorders, professional problems, bereavement, previous suicide attempts, cutting vs. psychotropics as a method, intensive care need, suicide note, suicide plan and high suicidal intent; and less frequent: impulsivity, precipitant quarrel and satisfaction for surviving. Conclusions: Though references to this topic are rare in Suicidology, we found in our sample a subgroup of attempters justifying particular attention for the risk of completed suicide. Their mental construct of self-annihilation seems to involve complex mechanisms such as guilt and self-aggressiveness operating on vulnerabilities of childhood and adolescence development, personality construction and clinical context.<p /> <p>Language: en</p>",
language="en",
issn="0353-5053",
doi="",
url="http://dx.doi.org/"
}