title: Successful and rapid response to electroconvulsive therapy of a suicidal patient with comorbid bipolar I disorder and histrionic personality disorder.
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.
authors.forename: Chiara
authors.initials: C
authors.lastname: Rapinesi
authors.forename: Daniele
authors.initials: D
authors.lastname: Serata
authors.forename: Antonio
authors.initials: A
authors.lastname: Del Casale
authors.forename: Alessio
authors.initials: A
authors.lastname: Simonetti
authors.forename: Mara
authors.initials: M
authors.lastname: Milioni
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Mazzarini
authors.forename: Paola
authors.initials: P
authors.lastname: Scatena
authors.forename: Claudio
authors.initials: C
authors.lastname: Fensore
authors.forename: Paolo
authors.initials: P
authors.lastname: Carbonetti
authors.forename: Giorgio D
authors.initials: GD
authors.lastname: Kotzalidis
authors.forename: Roberto
authors.initials: R
authors.lastname: Tatarelli
authors.forename: Maurizio
authors.initials: M
authors.lastname: Pompili
authors.forename: Paolo
authors.initials: P
authors.lastname: Girardi
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications / Q000628:therapy; D001714:Bipolar Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D004565:Electroconvulsive Therapy; D005260:Female; D006677:Histrionic Personality Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D006801:Humans; D009125:Muscle Relaxants, Central; D011613:Psychotherapy; D016728:Self-Injurious Behavior / Q000150:complications / Q000523:psychology / Q000628:therapy; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000523:psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted
chemical_list: D009125:Muscle Relaxants, Central