PATIENT WITH MAJOR ENDOGENOUS DEPRESSIVE EPISODE WITH SUICIDE ATTEMPT

Motivation: Suicide is a major psychiatric emergency, men being more inclined to successful suicide, not to attempts and to approach it by abrupt and aggressive means. Objectives: To present a male patient who developed a major depressive episode, in which the reactive component had a significant contribution in return for endogeny. The suicide attempt quickly escalated changes in thymic function over several days. Results: The patient corresponds to the age at which major depressive disorder begins. There remains a clinical discussion between a genuine suicide attempt, carried out with a plan, internal turmoil, rumination or a parasuicide, in which the person in question needed a change in the field of consciousness to try to throw himself in front of the subway. Note the high internal tension, the absence of the search for alternative solutions, the narcissistic wound, the endo-psychic vulnerability, the elements of correctness such as structural mental rigidity. Conclusions: Early responsiveness to medication emphasizes the endogenous potential and the potential of vulnerability, after the approach through a combination of antidepressants and antipsychotics, the latter developing a clearer perspective on reality and decisions.