This page was translated automatically from Turkish. Read the original

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV1315

At the intersection of psychosis and borderline vulnerability: a suicide attempt without psychotic decompensation

AT THE CROSSROADS OF PSYCHOSIS AND BORDERLINE VULNERABILITY: A SUICIDE ATTEMPT WITHOUT PSYCHOTIC DECOMPENSATION

In a patient whose psychotic symptoms were stable on antipsychotic treatment, a suicide attempt following an experience of abandonment, without delusions or disorganization, illustrates that symptomatic stabilization does not eliminate structural vulnerability.

The aim is to examine, through psychopathological analysis, the intrapsychic and relational mechanisms leading to a suicide attempt in a patient with schizophrenia and co-occurring borderline personality organization. This single case report concerns a 28-year-old, unmarried, university-educated, unemployed woman. According to the timeline on the poster, symptoms began at age 22 with interpretative delusions of a mystical and religious nature, and schizophrenia was diagnosed at the same age. Follow-up revealed recurrent exacerbations associated with treatment discontinuation, along with a loss of coherence and functioning; more recently, a good response to antipsychotic treatment was achieved. In January 2026, while clinically stable on haloperidol decanoate 150 mg monthly, she attempted suicide by medication overdose following a conflict with her father and an intense experience of abandonment, and was admitted to the intensive care unit. There were no delusions or disorganization at the time of the attempt, which was characterized as impulsive acting out. Psychopathological assessment identified chronic feelings of emptiness, emotional dysregulation, heightened sensitivity to rejection, an identity oscillating between rigid religiosity and boundary-crossing behaviors, sexual preferences with masochistic undertones, and unstable relationships marked by idealization and disappointment. The family history included depressive disorder and obsessive-compulsive disorder in her mother, marked parental conflict, her parents’ divorce when she was 18, and an emotionally highly invested yet ambivalent bond with her father. The discussion notes that dopaminergic stabilization achieved with haloperidol treated the psychosis but remained ineffective against impulsivity and emotional dysregulation; that the absence of delusions during the attempt points to a transdiagnostic driver of suicidality; and that the borderline organization persisting beneath the psychosis left the patient vulnerable when the attachment bond was threatened. The authors recommend an integrated conceptualization of psychosis and the borderline spectrum to understand suicide risk, alongside the addition of treatments targeting emotional regulation and attachment difficulties.

Tüm WCP 2026 özetleri