The phenomenon of suicidality: socio-demographic and clinical analysis by a Psychiatric Disability Unit
Brustenghi F.1, Russo A.1, Serra R.1, Pierotti V.2, Sabatini L.2, Moretti P.1 and Tortorella A.1
1 Department of Psychiatry University of Perugia, Perugia, PG, Italy
2 School of Medicine University of Perugia, Perugia, PG, Italy
Introduction: suicidality is the set of self-injurious behaviors ranging from non-lethal ideas and behavior to committed suicide; according to Shneidman this is “the human act of intentionally self-inflicting the cessation of life”, “one of the human possibilities” says Hillmann. Non-lethal behaviors include suicidal ideation (SI, self-injurious behavior (SB) and suicide attempts, in which the subject survives suicidal action.
Freud, in Mourning and Melancholia (1915), describes the mental process that leads to suicide as a mechanism of punishment and revenge following the impossibility of turning its love impulses to the libidinal object that has been introjected. To better understand this concept it is useful to remember how melancholy develops. The latter derives a part of its characteristics from mourning and the other part from the regression that proceeds from the narcissistic type of object choice to narcissism.
When love for an object has taken refuge in narcissistic identification, it happens that hatred is put to work against this substitutive object by offending, denigrating it, causing it to suffer and deriving from this suffering a sadistic satisfaction. The self-absorption of the melancholic reflects the satisfaction of sadistic tendencies and hatred; these tendencies refer to a given object and have found a way to apply to the person of the subject.