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Journal of ECT:
doi: 10.1097/YCT.0b013e3182218c8c
Brief Clinical Report Letters

Successful and Rapid Response to Electroconvulsive Therapy of a Suicidal Patient With Comorbid Bipolar I Disorder and Histrionic Personality Disorder

Rapinesi, Chiara MD*†; Serata, Daniele MD*†; Del Casale, Antonio MD*; Simonetti, Alessio MD*; Milioni, Mara DPsych; Mazzarini, Lorenzo MD*†; Scatena, Paola MD*†; Fensore, Claudio MD; Carbonetti, Paolo MD; Kotzalidis, Giorgio D. MD*; Tatarelli, Roberto MD*; Pompili, Maurizio MD, PhD*‡; Girardi, Paolo MD*†

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Abstract

Abstract: A woman with bipolar disorder I, histrionic personality disorder, and suicidal ideation with repeated suicide attempts, who had been treated for 2 years with mood stabilizers, antipsychotics, and benzodiazepines, received a total of 8 bitemporal-biparietal electroconvulsive therapy sessions. Her suicidal ideation and self-harm behavior disappeared immediately after the first session and her psychopathology soon after. This supports the existence of a relatively independent suicidal syndrome and confirms data on its immediate responsiveness to electroconvulsive therapy. Electroconvulsive therapy must not be long withheld from patients with such characteristics to reduce unnecessary sufferance and suicidality.

© 2012 by Lippincott Williams & Wilkins

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