Surviving the suicides of significant others: a case study

Psychological pain has been reported to be major contributing factor for completed suicide, and classical suicidology based its wisdom on this construct. In this paper we report the case of a patient whose family experienced a high number of suicides apparently due to an escalation of psychological pain in the family members after the successive suicides. We also briefly discuss the problem of helping survivors after the suicide of loved one.     

History of childhood abuse and neglect and suicidal behavior at hospital admission

Suicide is a major public health problem. Preventive measures have been sought by identifying risk factors. This study evaluates the association of childhood abuse and neglect with suicidal behavior at the time of psychiatric hospital admission. A total of 120 subjects (72 females; mean age 42.5 +/- 15.6 years old) admitted from August 2006 to July 2007 completed the Childhood Trauma Questionnaire (CTQ) to assess severity of exposure to childhood maltreatment. Thereof 62 (51.6%) patients presented with suicidal behavior at admission. Patients who had attempted suicide had significantly higher CTQ scores. Regression analysis indicated that shorter illness duration and severity of childhood maltreatment were predictors of suicidal behavior at admission. The study showed that inpatients of a psychiatric unit of a general hospital who experienced severe childhood abuse or neglect were significantly more likely to present with suicidal behavior. History of childhood maltreatment should be evaluated as an associated risk factor of suicidal behavior at admission of psychiatric inpatients.     

Logique sans vérité

Sans résumé     

Europäisierung — ein weites Feld. Literaturbericht und Forschungsfragen

Eusammenfassang Wenngleich sich Europ?isierung in der Politikwissenschaft noch zu keinem eigenst?ndigen Theoriestrang verdichtet hat, haben die Aktivit?ten in diesem Forschungsbereich in den vergangenen Jahren erheblich zugenommen. Nationalstaatliche Ver?nderungsprozesse fest im Blick, brachten diese Arbeiten einen lange vernachl?ssigten Bereich zurück auf die Forschungsagenda: die Rückwirkung der europ?ischen Integration auf den Nationalstaat. Dieser Bericht spiegelt den aktuellen Stand der Europ?isierungsdebatte wider und umfasst sowohl Prozesse der Europ?isierung von EU-Mitgliedsstaaten als auch von (potenziellen) Beitrittskandidaten. Darüber hinaus werden dringliche Forschungsfragen zukünftiger Europ?isierungsstudien aufgeworfen, um einen bescheidenen Beitrag zur wissenschaftlichen Debatte zu leisten.     

Commotio cordis as a result of a fight: Report of a case considered to be imprudent homicide

Commotio cordis is a clinic-pathological syndrome related to sudden death in young people involved in sports activities. It has been described, mainly, in athletes without previous cardiac anomalies who received a minor blow to the chest which produces ventricular fibrillation and cardiac arrest in the absence of structural damage to the ribs, sternum, or heart. There are few reported cases of commotio cordis associated with violent, non-sports related actions, which are commonly considered to be imprudent homicides. We present the case of a 20-year-old man, who was kicked in the chest during a fight; he suddenly collapsed although advanced cardio-respiratory resuscitation started shortly. Autopsy showed no cardiac lesions concluding that death was due to commotio cordis (blunt trauma to the chest). Toxicological analysis determined the presence of 5.14 mg/L benzoylecgonine in blood. On the basis of medico-legal investigation, the official prosecution considered the death to be imprudent homicide and the aggressor was sentenced to 4 years in prison. We emphasize the importance of the knowledge of the death circumstances through the witnesses’ testimony, prior to beginning the autopsy, to confirm this important medico-legal diagnosis. Arrhythmogenic effects of cocaine and its contribution in the production of these deaths are also exposed.