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Profile of attachment and suicidal ideation during a major depressive episode

Published online by Cambridge University Press:  16 April 2020

J. Rochette ,
P. Polo ,
M. Pacaut-Troncin  and
P.J.-L. Terra
J. Rochette
Affiliation:
CH le Vinatier, Bron-Lyon, Lyon, France Univ Lyon 1,SIS EA 4129, Lyon, France
P. Polo
Affiliation:
CH le Vinatier, Bron-Lyon, Lyon, France Univ Lyon 1,SIS EA 4129, Lyon, France
M. Pacaut-Troncin
Affiliation:
CH le Vinatier, Bron-Lyon, Lyon, France Univ Lyon 1,SIS EA 4129, Lyon, France
P.J.-L. Terra
Affiliation:
CH le Vinatier, Bron-Lyon, Lyon, France Univ Lyon 1,SIS EA 4129, Lyon, France

Abstract

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During a major depressive episode, suicidal risks are increased and the possibility of request of help and treatment is conditionedby the way the subject structured its attachment in the childhood. We present a study which concerns the detailed examination, during 6 months, mental states of 40 patients presenting a major depressive episode and frequenting a Medical psychological Center connected with a Psychiatric hospital. The collection of the data is made with tools stemming from various fields (DSM4, theory of the attachment, the psychoanalytical psychology)“.The population is divided to three Camire profiles (Pierre Humbert et al, 1996) (Secure, Preoccupied, Avoidant). We chose 3 markers which can inform us about the evolution of the crisis according to the profile of attachment :

1-Intensity of the suicidal idéation « SSI » (Beck et all.1979)

2-therapeutic Alliance “WAI” Horvath et Greenberg, 1989)

3-Intensité of the depression. (Hamilton HAMD-21)

Hypothesis

The attachment says “sécure” facilitate better scores in these 3 markers.

Results

  1. 1) The regulations emotional Secure does not protect against strong suicidal ideation in patients suffering from major depressive disorder. Freud's theory of trauma in this direction by assuming a tolerable threshold above which any topic is disorganized. (p-value = 0,05)

  2. 2) The strategies of emotional regulation parts protect against suicidal thoughts while concerned about emotional regulation strategies to expose depressed suicidal subjects. (p-value = 0,09)

  3. 3) According to the literature, we find a better alliance with secure attachment. (except at the beginning of care) (p-value = 0,06 at period T3 and p-value = 0,08 at period T6)

Type
P03-471
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 1641
Copyright
Copyright © European Psychiatric Association 2011
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