An attempted “suicide pact” in Covid-19 era – psychiatric perspectives

Abstract Background A "suicide pact" is a joint and actively induced death of two individuals with the essential and unavoidable characteristic of a mutual consent. One of the partners (dominant in the relationship, commonly male) usually induces the action and in most cases, it is the one...

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Main Authors: Benedetta Nardi, Luca Del Prete, Giulia Amatori, Barbara Carpita, Claudia Carmassi, Maurizio Pompili, Liliana Dell’Osso
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-04333-z
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author Benedetta Nardi
Luca Del Prete
Giulia Amatori
Barbara Carpita
Claudia Carmassi
Maurizio Pompili
Liliana Dell’Osso
author_facet Benedetta Nardi
Luca Del Prete
Giulia Amatori
Barbara Carpita
Claudia Carmassi
Maurizio Pompili
Liliana Dell’Osso
author_sort Benedetta Nardi
collection DOAJ
description Abstract Background A "suicide pact" is a joint and actively induced death of two individuals with the essential and unavoidable characteristic of a mutual consent. One of the partners (dominant in the relationship, commonly male) usually induces the action and in most cases, it is the one who actively carries it out. Undiagnosed psychopathological dimension or pathological subthreshold traits are found in those who enter into suicide agreements, the presence of cluster B personality traits such as narcissistic or borderline is of particular relevance in the dominant partner, while in the submissive one dependent personality traits are more frequent. As in the case of other similar health emergencies, COVID-19 pandemic seems to lead to greater suicidality, including the "suicide pacts" of couples whose motivation varies including firstly financial problems, strictly followed by fear of infection and not being able to return home from abroad. Case presentation We reported a case of a couple who entered a suicide agreement consequently to the economic difficulties caused by COVID-19 pandemic, hospitalized in our department. Both partners were assessed with Adult Autism Subthreshold Spectrum (AdAS Spectrum) and both crossed the threshold for clinically relevant autistic traits (M = 67; F = 49). Conclusion This case further confirms the link between COVID-19 pandemics and suicidality. The role of autism spectrum traits as a vulnerability factor towards the development of severe psychopathological consequences after traumatic events is also stressed.
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spelling doaj.art-90f302bf93a5405fbfe08320a5b15a382022-12-22T03:58:01ZengBMCBMC Psychiatry1471-244X2022-11-012211810.1186/s12888-022-04333-zAn attempted “suicide pact” in Covid-19 era – psychiatric perspectivesBenedetta Nardi0Luca Del Prete1Giulia Amatori2Barbara Carpita3Claudia Carmassi4Maurizio Pompili5Liliana Dell’Osso6Department of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Clinical and Experimental Medicine, University of PisaDepartment of Neurosciences, Faculty of Medicine and Psychology, Mental Health and Sensory Organs, Sapienza University of RomeDepartment of Clinical and Experimental Medicine, University of PisaAbstract Background A "suicide pact" is a joint and actively induced death of two individuals with the essential and unavoidable characteristic of a mutual consent. One of the partners (dominant in the relationship, commonly male) usually induces the action and in most cases, it is the one who actively carries it out. Undiagnosed psychopathological dimension or pathological subthreshold traits are found in those who enter into suicide agreements, the presence of cluster B personality traits such as narcissistic or borderline is of particular relevance in the dominant partner, while in the submissive one dependent personality traits are more frequent. As in the case of other similar health emergencies, COVID-19 pandemic seems to lead to greater suicidality, including the "suicide pacts" of couples whose motivation varies including firstly financial problems, strictly followed by fear of infection and not being able to return home from abroad. Case presentation We reported a case of a couple who entered a suicide agreement consequently to the economic difficulties caused by COVID-19 pandemic, hospitalized in our department. Both partners were assessed with Adult Autism Subthreshold Spectrum (AdAS Spectrum) and both crossed the threshold for clinically relevant autistic traits (M = 67; F = 49). Conclusion This case further confirms the link between COVID-19 pandemics and suicidality. The role of autism spectrum traits as a vulnerability factor towards the development of severe psychopathological consequences after traumatic events is also stressed.https://doi.org/10.1186/s12888-022-04333-zSuicide pactCOVID-19Psychological impactSuicideAutism spectrum
spellingShingle Benedetta Nardi
Luca Del Prete
Giulia Amatori
Barbara Carpita
Claudia Carmassi
Maurizio Pompili
Liliana Dell’Osso
An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
BMC Psychiatry
Suicide pact
COVID-19
Psychological impact
Suicide
Autism spectrum
title An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
title_full An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
title_fullStr An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
title_full_unstemmed An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
title_short An attempted “suicide pact” in Covid-19 era – psychiatric perspectives
title_sort attempted suicide pact in covid 19 era psychiatric perspectives
topic Suicide pact
COVID-19
Psychological impact
Suicide
Autism spectrum
url https://doi.org/10.1186/s12888-022-04333-z
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