A complex phenotype of suicidal behavior: a case of post brain injury dissociative disorder

L. Longo 1,2, R. Rossi 1, C. Niolu 1,2, A. Siracusano 1,2, G. Di Lorenzo 1,2

1 Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy; 2 Psychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, Italy

We describe a case of a 54-year-old Caucasian woman with a complex phenotype for suicidal behavior after traumatic brain injury. At the admission patient had Bipolar Disorder, Post Traumatic Stress Disorder, Dissociative Identity Disorder, Conversion Disorder (with Psychogenic Non Epileptic Seizures) and a drug treatment for a post-traumatic epilepsy. During a follow up period of 30 months, despite the symptomatological improvements due to psychopharmachological treatments (including also lithium) and psychoeducation treatment, the patient showed yet high risk of suicide and high levels of dissociation.

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