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Relationship between suicide attempts of repetition and dependence to the cocaine: Report of clinical case

Published online by Cambridge University Press:  13 August 2021

M. Valtueña García*
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, Spain
L. Lago García
Affiliation:
Psiquiatría, SESPA, Asturias, Spain
R. Combina Fescina
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, Spain
A. Vázquez González
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, Spain
C. Ludwig
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, Spain
A. González Suarez
Affiliation:
Psiquiatría, Área VIII, Asturias, Spain
J. López Fernández
Affiliation:
Primary Care, Área VIII, Asturias, Spain
C. Huergo Lora
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Mieres, Asturias, Spain
S. Ocio León
Affiliation:
Psiquiatría, Hospital Vital Álvarez Buylla, Asturias, Spain
R. Arias Martino
Affiliation:
Psiquiatría, Drug Addiction Treatment Unit Area VII, Asturias, Spain
*
*Corresponding author.

Abstract

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Introduction

People with borderline personality disorder are at higher risk of repeating suicidal behavior. At the same time, numerous publications have demonstrated the relationship between cocaine dependence and suicide attempts of repetition.

Objectives

Review the relationship between cocaine addiction, borderline personality disorder and repeated suicide attempts. Present through a clinical case the effectiveness of a comprehensive and multidisciplinary therapeutic plan with different mental health devices.

Methods

To review the psychopathological evolution of a patient with a diagnosis of borderline personality disorder; dependence to the cocaine; Harmful alcohol consumption and suicidal behavior from the beginning of follow-up in mental health services to the present. Review the existing scientific evidence on the relationship between cocaine addiction and repeated suicide attempts. Analyze the eficacy of the different treatments available.

Results

This is a longitudinal and retrospective study of the psychiatric history and evolution of a clinical case since the implementation of an individualized therapeutic program and the favorable results obtained. Intensive outpatient follow-up was carried out for high suicide risk and hospitalization in a psychiatric hospitalization unit, day care centre and therapeutic community.

Conclusions

At present, the patient remains in abstinence with remission of suicidal ideation. The literature has shown the usefulness of intensive mental health follow-up programs to achieve remission of suicidal ideation and maintain abstinence from illegal substances.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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