Suicide risk in the detachment from reality: failures in the quest for love that saves

Suicide is among the leading causes of death worldwide, accounting for almost one million annual deaths globally. The author presents an exploration into the suicidal mind using Freud's cathexis and decathexis theory. This model describes the patient’s withdrawal from reality and the need to gratify libidinal and aggressive drives in the internal world. Theories and beliefs of other authors are used to introduce the importance of early disturbed relationships with parental figures. Working with the particular subtype of suicidal patient described in this essay may be a challenge for clinicians. A psychodynamic approach may help in the understanding of the patient’s complex and private world of psychological pain. If unresolved, the patient’s conflicts may precipitate suicide.     

The Italian Version of the Cognitive Style Indicator and its Association with Decision-Making Preferences

The Cognitive Style Indicator (CoSI) includes 3 cognitive dimensions: creating (flexible, open-ended and inventive), knowing (emphasizing facts, details, objectivity, and rationality), and planning (guided by preferences for certainty and well-structured information). The first aim of this research was to validate the 3-factor structure of the CoSI within the Italian context. The second was to verify whether cognitive styles, as measured by the CoSI, accounted for individual differences in decision-making processes. Two studies were conducted using 2 different samples (n = 549 and n = 397). Confirmatory and multigroup factor analysis corroborated the 3-factor model and the measurement invariance of the instrument across genders. Reliability indices showed good internal consistency, as well as good levels of convergent and discriminant construct validity. Results from structural equation model revealed that cognitive styles, as measured by the CoSI, predicted individual differences in intuitive and deliberative decision-making processes. Findings gave evidence for the validity of the Italian version of the CoSI and for the causal relationship between cognitive styles and decision-making processes. Further research is needed to explore a more comprehensive model that includes, for example, personality.     

Burnout and self-perceptions of physical fitness in a sample of Italian physical education teachers

This study examined the relations of physical education teachers' burnout with some individual variables, including teachers' self-perceived physical fitness and the perceived influence of personal fitness on teaching. Participants were 219 Italian physical education teachers in secondary school. Demographic and professional information, ratings of self-perception of physical condition, and the Italian version of the Maslach Burnout Inventory were recorded. Compared to the data of a normative sample, average scores on the three dimensions of the Maslach Burnout Inventory (Emotional Exhaustion, Depersonalisation, and Reduced Personal Accomplishment) were found. There were statistically significant associations among Reduced Personal Accomplishment, the self-perception of physical fitness, and the perception of the influence of personal fitness on teaching. Women reported scores on Emotional Exhaustion and Reduced Personal Accomplishment indicative of greater severity than men. No significant differences appeared to be related to the years of teaching. Recommendations for further studies are discussed.     

A Probability Measure for Partial Events

We introduce the concept of partial event as a pair of disjoint sets, respectively the favorable and the unfavorable cases. Partial events can be seen as a De Morgan algebra with a single fixed point for the complement. We introduce the concept of a measure of partial probability, based on a set of axioms resembling Kolmogoroff’s. Finally we define a concept of conditional probability for partial events and apply this concept to the analysis of the two-slit experiment in quantum mechanics.     

Sociodemographic and Clinical Differences Between Suicide Ideators and Attempters: A Study of Mood Disordered Patients 50 Years and Older

Our study sought to characterize mood disordered suicide ideators and attempters 50 years and older admitted to a psychiatric ward either for a recent suicide attempt or for ongoing suicidal ideation. We enrolled 50 patients with suicide ideation consecutively admitted to an inpatient department and 50 patients admitted for a suicide attempt made in the last 48 hours. Suicide attempters more frequently had low social support and an age of onset of mood disorder of 46 years and older, and less frequently had a history of suicidal behaviors in the family members and pharmacological treatment, despite the fact that the groups did not differ with regard to antidepressants prescribed. The groups were not distinguishable based on several variables assumed to be risk factors for suicide behavior, such as proximal life events and stressors or alcohol use disorders. In both samples, comorbidity with organic diseases, the presence of stressful life events in the past 12 months, and a diagnosis of major depression were frequently reported. In conclusion, the presence of low social support and the absence of a pharmacotherapy may increase suicidal behaviors in patients at risk.     

Suicide Attempts in Major Depressed Patients with Personality Disorder

Suicide attempters who met criteria for borderline personality disorder (BPD) comorbid with major depressive disorder (MDD) were compared to both suicide attempters suffering from MDD alone and to attempters with comorbid MDD and other personality disorders (PD). Participants were 239 (158 patients with comorbid PD and 81 patients with MDD without comorbidity) inpatients consecutively admitted after a suicide attempt made in the last 24 hours. Suicide attempters with comorbid MDD and BPD had more frequent previous suicide attempts and were more likely to have a history of aggressive behaviors and alcohol and drug use disorders compared with patients suffering from MDD without Axis II comorbidity.     

Childhood Parental Death and Lifetime Suicide Attempt of the Opposite‐Gender Offspring in a Nationwide Community Sample of Korea

Although previous studies have shown that childhood parental death influences suicide attempts of their offspring, few studies have examined influence of gender and age at exposure. Koreans show the third highest suicide rate in the world, and many children and adolescents lost their parents during and after the Korean War. A total of 12,532 adults, randomly selected through a one‐person‐per‐household method, completed the Korean version of the Composite International Diagnostic Interview and questionnaire for suicidal ideation, plan, and attempt (response rate 80.2%). A total of 2,332 subjects experienced biological parental death in childhood (18.6%). Male suicide attempts were associated with age of exposure to maternal death from 0 to 4 years (adjusted OR = 4.48, 95% CI 1.32–15.18) and from 5 to 9 years (adjusted OR = 5.52, 95% CI 1.97–16.46), but not with paternal death, after adjusting for age, education years, marital status, monthly income, and psychiatric comorbidities. Female suicide attempts were associated with paternal death from 5 to 9 years (adjusted OR = 2.20, 95% CI 1.13–4.27), but not with maternal death. Childhood parental death is significantly associated with lifetime suicide attempt in the opposite‐gender offspring, especially when exposure occurs before age 10.     

Internal and external spaces: The emotional capital of Tianjin’s Italian concession

This article concentrates on the relationship between emotions and space. The specific terrain of investigation is the former Italian concession in the Chinese port city of Tianjin. This site is currently renegotiating its identity between reinvention of the past (1901–1945) and property-led regeneration. Elaborating on the notion of emotional capital, the article explores the dialectics of power between the internal and external spaces. The aim is to shed light on the role that emotions played in the construction of a unified Italian national identity projected onto the colonial space of Tianjin. The current re-packaging of the colonial past to promote Tianjin’s globalising ambitions reveals another kind of emotional capital, which is embodied by the Yi(dali)shi fengqingqu, the so-called ‘Italian Business Park’.     

Exploring the Phenomenology of Suicide

Phenomenology studies conscious experience as experienced from the subjective or first‐person point of view. This paper was developed with the aim of shedding light on the phenomenology of suicide; that is, to focus on suicide as a phenomenon affecting a unique individual with unique motives for the suicidal act. To explore this topic, the author looks back at the past centuries to understand why suicide was thought to be confined to psychiatric illness and to document the bias in studies supporting this notion. One major step forward in the conceptualization of suicide as a psychological disorder was provided by Edwin Shneidman, who focused on the pain of negative emotions. Such a radical approach is laudable in an era where diagnostic criterria and the need to cure are more important than understanding what is not working at the emotional level.