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Dissociative Episodes, Body-art & Suicide Attempts: a Case- Control Study

Published online by Cambridge University Press:  15 April 2020

P. Solano ,
L. Bruzzone ,
E. Pizzorno ,
M. Magagnoli ,
R. Vecchio ,
M. Innamorati ,
M. Pompili ,
G. Serafini  and
M. Amore
P. Solano
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy
L. Bruzzone
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy
E. Pizzorno
Affiliation:
Health Sciences University of Genova, Legal Medicine, Genoa, Italy
M. Magagnoli
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy
R. Vecchio
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy
M. Innamorati
Affiliation:
of Psychiatry, Section of Psychiatry University La Sapienza Rome, Rome, Italy
M. Pompili
Affiliation:
of Psychiatry, Section of Psychiatry University La Sapienza Rome, Rome, Italy
G. Serafini
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy
M. Amore
Affiliation:
Neurosciences Section of Psychiatry University of Genova, Clinica Psichiatrica, Genoa, Italy

Abstract

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Introduction

'Body- Art” and dissociative episodes are associated with a higher risk for self harm and suicide attempts (SA) in adolescents. Evidence of these associations in adults are lacking.

Objectives

we investigate the association between body-art, SA and dissociative episodes in a sample of adult psychiatric in-patients. AIMS: to investigate and further describe the relationship between these issues.

Methods

all subjects aged more than 18 hospitalized for a SA in the Psychiatric Clinic of Genova (February 2013- 2014) were recruited. For each of them an age- and sex- matched control hospitalized for reasons other than SA was enrolled. Each of them completed SCID I, II; ISS; DES. A semistructured interview about the body-art, the method used in the SA, the presence of family TS was conducted.

Results

positive association between body-art, more previous SA and dissociative episodes. 75% of patients with more than one body-art had a diagnosis in both axis and repeated SA. No association between axis II diagnosis and dissociative episodes. Positive association between violent methods in SA and dissociative episodes, but not with body art.

Discussion

our results support in adults evidence from previous literature concerning adolescents. The results can be understood in the light of recent epigenetic evidence and of the altered pain threshold in suicidal people.

Conclusion

The altered perception of the body mind bond could be an important target for prevention and treatment strategies of suicidal patients. Further studies are needed to better investigate these associations in adult population.

Type
Article: 1804
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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