(2014). Psychodynamic Psychiatry, 42(4):657-670
The prediction of suicidal intent remains a clinical problem. This presentation illustrates that a distinction may be made between the reports of patients who are potentially or acutely suicidal and those who are not. A review of the literature reveals that the reports of clinically depressed, non-suicidal individuals differ from those who are depressed and acutely suicidal. The former contain themes of loss, disappointment, rejection, , hopelessness, failure, and . The latter contain themes of dying, , destruction, and violence directed toward the dreamer or others, as well as hopelessness and .
The author collected reports from three clinically depressed, non-suicidal patients and three clinically depressed, potentially or acutely suicidal patients. There are apparent differences between the themes of reports in the clinically depressed, non-suicidal patients and the clinically depressed, potentially or acutely suicidal patients. The former contain themes of , loss, rejection, vulnerability, hopelessness, and . The latter contain themes of active harm or violence (specifically toward the dreamer), dying or dead, aloneness, vulnerability, hopelessness, and . Clinical cases and corresponding reports are presented. Although this is a preliminary study, it is possible that content may be used as one of the predictors of suicidality, in conjunction with latent content, , life circumstance, and clinical status.