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Frontal Lobe Dysfunction in a Depressed Patient Who Survived a Suicide Attempt by Jumping from the Bridge on the Han River

机译:抑郁症患者的额叶功能障碍该患者通过从汉江大桥上跳下而幸免于自杀

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摘要

Suicide attempts at the Han river are rapidly increasing, which are 4.11 times from 2005 to 2015, whereas the rate of completed suicide in South Korea increased 1.07 times during the same period. However, few studies have been conducted on the issue because many suicide attempters were seriously injured after a fall in the Han river. We present a case of a patient with major depressive disorder (MDD) who attempted suicide and minimally injured after jumping from the bridge at the Han river. We could assess his psychological and neurocognitive functions before and immediately after his attempt. From this case, we can identify that higher cognitive aspect of executive dysfunction, especially in the frontal domain of selective attention and inhibition, may be associated with his suicide attempt. In conclusion, we suggest psychiatric treatments for cognitive impulsiveness and safety barriers at the bridge to prevent suicide attempts of patients with MDD.
机译:汉江自杀企图迅速增加,2005年至2015年是4.11倍,而同期韩国的自杀率上升了1.07倍。但是,由于在汉江坠落后许多自杀未遂者受到重伤,因此对该问题进行的研究很少。我们介绍了一名患有严重抑郁症(MDD)的患者,该患者在汉江大桥上跳下后企图自杀且受轻伤。我们可以在他尝试之前和之后评估他的心理和神经认知功能。从这种情况下,我们可以确定执行功能障碍的较高认知方面,尤其是在选择性注意和抑制的额叶领域,可能与他的自杀企图有关。总之,我们建议在桥上进行认知冲动和安全障碍的精神科治疗,以预防MDD患者的自杀企图。

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