Self-Psychology, Shame, and Adolescent Suicide: Theoretical and Practical Considerations

This article discusses the role of shame in adolescent suicidal behavior using the psychoanalytic self-psychology of Heinz Kohut as a foundation. Shame is a fundamental stage in the development of a healthy self, but can also be a central component in suicidal behavior. Normal & pathological self-development are described & the development of the self during adolescence is explored. Suggestions for treatment of the sucidal adolescent & a case history are presented. (VM)