A case of a depressed patient who attempted suicide during intensive Naikan

DOI
  • FURUICHI Atsushi
    富山大学大学院医学薬学研究部神経精神医学講座
  • 角田 雅彦
    富山大学大学院医学薬学研究部神経精神医学講座
  • 鈴木 道雄
    富山大学大学院医学薬学研究部神経精神医学講座

Bibliographic Information

Other Title
  • 集中内観中に自殺企図に至った躁うつ病患者の一例

Description

<p>  A 33-year-old male developed marked depressive symptoms due to an increase in workload. He was admitted to our hospital because he had a suicidal idea. Drug therapy for depression was performed, but no remission was observed. One month administration, intensive Naikan therapy was introduced. However, during the night of the first day of Naikan, he attempted suicide by a drug overdose. The factors associated with this attempt may have been persisting depressive symptoms at the introduction of Naikan therapy, poor motivation of this therapy, and the therapist's attitude lacking flexibility. In Naikan therapy for patients with depression, the risk of suicide should be adequately evaluated by not only the assessment of depressive symptoms but also comprehensive assessment of the life history, family background, personality tendency, and coexisting psychiatric disorders. Therapists should avoid the hasty introduction of Naikan and continue to provide support to patients until depressive symptoms become relatively stable, and signs of motivation appear.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390012114415578752
  • DOI
    10.34593/jna.14.1_59
  • ISSN
    2435922X
    2432499X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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