Suicide fantasy as a life-sustaining recourse

J Am Acad Psychoanal Dyn Psychiatry. 2010 Winter;38(4):611-23. doi: 10.1521/jaap.2010.38.4.611.

Abstract

The suicide literature tends to lump all suicidal ideation together, thereby implying that it is all functionally equivalent. However obvious the claim that suicidal ideation is usually a prelude to suicidal action, some suicidal daydreaming tends to inhibit suicidal action. How are we to distinguish between those daydreams that augur an impending attempt from those that help patients calm down?

MeSH terms

  • Adolescent
  • Adult
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Fantasy*
  • Female
  • Humans
  • Inhibition, Psychological*
  • Internal-External Control
  • Life Change Events
  • Male
  • Middle Aged
  • Psychoanalytic Theory*
  • Psychoanalytic Therapy*
  • Risk Assessment
  • Suicidal Ideation*
  • Suicide / psychology*
  • Young Adult