Shame, guilt, and suicide ideation among bondage and discipline, dominance and submission, and sadomasochism practitioners: Examining the role of the interpersonal theory of suicide.

To date, no study has examined rates of suicide ideation or theory-based risk factors for suicide ideation among bondage and discipline, dominance and submission, and sadomasochism (BDSM) practitioners. Participants were 321 adults that endorsed BDSM involvement. Thirty-seven percent of the sample indicated a nonzero level of suicide ideation. Thwarted belongingness and perceived burdensomeness (PB) were[…]

Suicide Following Attempted Suicide: a Study of an Unsuccessful Intervention

This article presents a case study of 55-year-old housewife who committed suicide after psychiatric inpatient treatment following a previous severe suicide attempt. The social & psychological situation of the patient is described, with special emphasis on her relationships with her husband, the therapist, & the other staff members on the ward. The conclusions that were[…]

Asphyxiophilia and Autoerotic Death

Eight cases of autoerotic asphyxia deaths on Oahu are reviewed. Distinguishing features typically separate these deaths from intentional suicides or homicides. The sexual nature of these incidents is a salient feature of the death. The etiology of the practice is unknown but worth investigation. 31 refs.

Chronic Self-Abuse, Risk Taking, and Other Self-Damaging Bahvior (IN: Suicide and Self-Damaging Behavior: a Sociobiological Perspective)

This paper examines whether there is a degree of commonalityof determination of suicide & other self-damaging behavior. Also outlines ways in which sociobiological theory & research may contribute to an understanding of these topics. Discusses alcohol & drug abuse, risk taking & other self-damagingbehavior patterns.

Self-Destruction and Sexual Perversion (IN: Essays in Self-Destruction, ed. by E S Shneidman)

The author examines the relationship between sexual perversion & suicidal behavior, describing this association in psychoanalytical terms. Three case histories are used as illustrations of eroticized self-destruction in the form of either suicide attempts, sadomasochistic acts, or self-extinction. (NBB)

The Devices of Suicide: Revenge, Riddance, and Rebirth

Suicide has been commonly understood as an attack intended to destroy an inner presence. While this is usually so, suicide may often serve the purposes of revenge, punishment, flight from a persecutor, reunion with the mother of early infancy, & is often accompanied by fantasies of escape & rebirth. The inter-relationships of such fantasies with[…]

Self-Destructive Dermatoses

The author reviews neurotic excoriations & dermatitis artefacta, two types of commonly occurring dermatoses. Victims are usually emotionally immature, introverted, have difficulty communicating with others & have low stress tolerance. self-mutilation in the form of dermatalogic abuse is highly predictive of suicide in schizophrenic patients. 48 refs. (NBB)

A Serious Suicidal Syndrome Masked by Homicidal Threats

The individual who talks of killing others, but then kills himself, has received little attention in the psychiatric literature. This paper describes 4 young men who shared a number of features, including the initial threat of homicide, which the authors feel represent a serious suicidal syndrome. A striking aspect of these cases is the denial[…]

Indirect Self-Destruction

Indirect self-destructive behavior may, as much as direct suicide, shorten a person’s life. Dr. Kalle Achte’ states thatindirect self-destruction generally proceeds slowly & often unconsciously. Certain personalities sabotage their lives by adopting a chronically miserable life style, while others choose occupations or interests that involve high levels of stress & risk taking. The purpose of[…]

Failure and Masochism

The author states that instinctual & interpersonal factors contribute to the masochistic phenomena. He illustrates this by a ‘helpless’ suicidal patient whose life has consisted of love & work failures, & who acts ineffectually. Treatment principles involved included: encouragement of dependence on the therapist; quarantine from other interpersonal communications; demonstration that the therapist was not[…]