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Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report

We present the case of a 49-year-old man who was diagnosed with depressive disorder, with the first episode having a strong reactive factor. He was involuntarily admitted to a psychiatric hospital after a failed attempt at taking his own life, where he responded to psychotherapy and antidepressant t...

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Autores principales: Rakús, Tomáš, Hubčíková, Katarína, Bruncvik, Lucia, Petrášová, Zuzana, Brunovsky, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10050719/
https://www.ncbi.nlm.nih.gov/pubmed/37009100
http://dx.doi.org/10.3389/fpsyt.2023.1002215
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author Rakús, Tomáš
Hubčíková, Katarína
Bruncvik, Lucia
Petrášová, Zuzana
Brunovsky, Martin
author_facet Rakús, Tomáš
Hubčíková, Katarína
Bruncvik, Lucia
Petrášová, Zuzana
Brunovsky, Martin
author_sort Rakús, Tomáš
collection PubMed
description We present the case of a 49-year-old man who was diagnosed with depressive disorder, with the first episode having a strong reactive factor. He was involuntarily admitted to a psychiatric hospital after a failed attempt at taking his own life, where he responded to psychotherapy and antidepressant therapy, as evidenced by a >60% reduction in his MADRS total score. He was discharged after 10 days of treatment, denied having suicidal ideations, and was motivated to follow the recommended outpatient care. The risk for suicide during hospitalization was also assessed using suicide risk assessment tools and psychological assessments, including projective tests. The patient underwent a follow-up examination with an outpatient psychiatrist on the 7th day after discharge, during which the suicide risk assessment tool was administered. The results indicated no acute suicide risk or worsening of depressive symptoms. On the 10th day after discharge, the patient took his own life by jumping out of the window of his flat. We believe that the patient had dissimulated his symptoms and possessed suicidal ideations, which were not detected despite repeated examinations specifically designed to assess suicidality and depression symptoms. We retrospectively analyzed his quantitative electroencephalography (QEEG) records to evaluate the change in prefrontal theta cordance as a potentially promising biomarker of suicidality, given the inconclusive results of studies published to date. An increase in prefrontal theta cordance value was found after the first week of antidepressant therapy and psychotherapy in contrast to the expected decrease due to the fading of depressive symptoms. As demonstrated by the provided case study, we hypothesized that prefrontal theta cordance may be an EEG indicator of a higher risk of non-responsive depression and suicidality despite therapeutic improvement.
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spelling pubmed-100507192023-03-30 Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report Rakús, Tomáš Hubčíková, Katarína Bruncvik, Lucia Petrášová, Zuzana Brunovsky, Martin Front Psychiatry Psychiatry We present the case of a 49-year-old man who was diagnosed with depressive disorder, with the first episode having a strong reactive factor. He was involuntarily admitted to a psychiatric hospital after a failed attempt at taking his own life, where he responded to psychotherapy and antidepressant therapy, as evidenced by a >60% reduction in his MADRS total score. He was discharged after 10 days of treatment, denied having suicidal ideations, and was motivated to follow the recommended outpatient care. The risk for suicide during hospitalization was also assessed using suicide risk assessment tools and psychological assessments, including projective tests. The patient underwent a follow-up examination with an outpatient psychiatrist on the 7th day after discharge, during which the suicide risk assessment tool was administered. The results indicated no acute suicide risk or worsening of depressive symptoms. On the 10th day after discharge, the patient took his own life by jumping out of the window of his flat. We believe that the patient had dissimulated his symptoms and possessed suicidal ideations, which were not detected despite repeated examinations specifically designed to assess suicidality and depression symptoms. We retrospectively analyzed his quantitative electroencephalography (QEEG) records to evaluate the change in prefrontal theta cordance as a potentially promising biomarker of suicidality, given the inconclusive results of studies published to date. An increase in prefrontal theta cordance value was found after the first week of antidepressant therapy and psychotherapy in contrast to the expected decrease due to the fading of depressive symptoms. As demonstrated by the provided case study, we hypothesized that prefrontal theta cordance may be an EEG indicator of a higher risk of non-responsive depression and suicidality despite therapeutic improvement. Frontiers Media S.A. 2023-03-15 /pmc/articles/PMC10050719/ /pubmed/37009100 http://dx.doi.org/10.3389/fpsyt.2023.1002215 Text en Copyright © 2023 Rakús, Hubčíková, Bruncvik, Petrášová and Brunovsky. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Rakús, Tomáš
Hubčíková, Katarína
Bruncvik, Lucia
Petrášová, Zuzana
Brunovsky, Martin
Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title_full Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title_fullStr Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title_full_unstemmed Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title_short Retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: A single case report
title_sort retrospective analysis of quantitative electroencephalography changes in a dissimulating patient after dying by suicide: a single case report
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10050719/
https://www.ncbi.nlm.nih.gov/pubmed/37009100
http://dx.doi.org/10.3389/fpsyt.2023.1002215
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