Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation

Background: The study of Suicidal ideation (SI) in people bereaved through suicide (Suicide Survivors, SSs) could be hampered by the person's willingness to admit it, or by their limited awareness of it. Our main hypothesis is that SI is common in these people, especially if they are parents or...

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Autores principales: Palmieri, Arianna, Kleinbub, Johann Roland, Mannarini, Stefania, Molinaro, Sara, Castriotta, Cristina, Scocco, Paolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336920/
https://www.ncbi.nlm.nih.gov/pubmed/30687692
http://dx.doi.org/10.3389/fpubh.2018.00382
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author Palmieri, Arianna
Kleinbub, Johann Roland
Mannarini, Stefania
Molinaro, Sara
Castriotta, Cristina
Scocco, Paolo
author_facet Palmieri, Arianna
Kleinbub, Johann Roland
Mannarini, Stefania
Molinaro, Sara
Castriotta, Cristina
Scocco, Paolo
author_sort Palmieri, Arianna
collection PubMed
description Background: The study of Suicidal ideation (SI) in people bereaved through suicide (Suicide Survivors, SSs) could be hampered by the person's willingness to admit it, or by their limited awareness of it. Our main hypothesis is that SI is common in these people, especially if they are parents or children of the victim. For its potential in shedding light on specific unconscious processes, Rorschach test was chosen for our investigation, for the first time in SSs literature. Rorschach suicide ideation and selected variables were further analyzed to better delineate their psychological profile. Method: Rorschach according to Exner's Comprehensive System was administered to 21 people bereaved through suicide presenting as outpatients at SOPROXI Project Service—Padova Mental Health Center- and 23 healthy controls. Beck Depression Inventory (BDI) was routinely administered to SSs and considered in the study. Results: T-tests showed significantly higher mean SI score (S-Con) as it emerged from the Rorschach test S-Con scores in SSs compared to control participants. SI found only weak correlation with the BDI item in which SSs can explicitly state the desire for their death. Within-group analysis revealed higher S-Con mean scores in bereaved children and parents of the victim compared to other kind of kinships. Morbid content (MOR) has been fund as the most characterizing variable in SSs' S-Con in terms of effect size, followed by a low number of responses with an ordinary form (X +%). Human movements (M), Special Scores related to thought slippage (ALOG, FABCOM2, INCOM2, and CONTAM) and poor human representations (PHR) have been shown to be more significantly present in SSs compared controls. Discussion: Psychodynamic interpretations of our results are provided. Clinical practice should consider Rorschach as one of eligible tools of investigation on this field.
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spelling pubmed-63369202019-01-25 Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation Palmieri, Arianna Kleinbub, Johann Roland Mannarini, Stefania Molinaro, Sara Castriotta, Cristina Scocco, Paolo Front Public Health Public Health Background: The study of Suicidal ideation (SI) in people bereaved through suicide (Suicide Survivors, SSs) could be hampered by the person's willingness to admit it, or by their limited awareness of it. Our main hypothesis is that SI is common in these people, especially if they are parents or children of the victim. For its potential in shedding light on specific unconscious processes, Rorschach test was chosen for our investigation, for the first time in SSs literature. Rorschach suicide ideation and selected variables were further analyzed to better delineate their psychological profile. Method: Rorschach according to Exner's Comprehensive System was administered to 21 people bereaved through suicide presenting as outpatients at SOPROXI Project Service—Padova Mental Health Center- and 23 healthy controls. Beck Depression Inventory (BDI) was routinely administered to SSs and considered in the study. Results: T-tests showed significantly higher mean SI score (S-Con) as it emerged from the Rorschach test S-Con scores in SSs compared to control participants. SI found only weak correlation with the BDI item in which SSs can explicitly state the desire for their death. Within-group analysis revealed higher S-Con mean scores in bereaved children and parents of the victim compared to other kind of kinships. Morbid content (MOR) has been fund as the most characterizing variable in SSs' S-Con in terms of effect size, followed by a low number of responses with an ordinary form (X +%). Human movements (M), Special Scores related to thought slippage (ALOG, FABCOM2, INCOM2, and CONTAM) and poor human representations (PHR) have been shown to be more significantly present in SSs compared controls. Discussion: Psychodynamic interpretations of our results are provided. Clinical practice should consider Rorschach as one of eligible tools of investigation on this field. Frontiers Media S.A. 2019-01-11 /pmc/articles/PMC6336920/ /pubmed/30687692 http://dx.doi.org/10.3389/fpubh.2018.00382 Text en Copyright © 2019 Palmieri, Kleinbub, Mannarini, Molinaro, Castriotta and Scocco. http://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 Public Health
Palmieri, Arianna
Kleinbub, Johann Roland
Mannarini, Stefania
Molinaro, Sara
Castriotta, Cristina
Scocco, Paolo
Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title_full Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title_fullStr Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title_full_unstemmed Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title_short Rorschach Assessment in Suicide Survivors: Focus on Suicidal Ideation
title_sort rorschach assessment in suicide survivors: focus on suicidal ideation
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336920/
https://www.ncbi.nlm.nih.gov/pubmed/30687692
http://dx.doi.org/10.3389/fpubh.2018.00382
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