Irrational fear of AIDS associated with suicidal behavior.

Irrational fear of AIDS associated with suicidal behavior.
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DOI:
10.1097/00131746-200407000-00010
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发表时间:
2004-07-01
影响因子:
1.9
通讯作者:
Kausch, Otto
Kausch, Otto
中科院分区:
医学4区
文献类型:
--
作者:
Kausch, Otto

文献摘要

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本文关注的是那些非理性地相信自己患有艾滋病的患者,尽管医学证据表明事实并非如此,并且尽管有医疗保证,但仍继续完成自杀或进行严重的自杀企图。具有这种非理性信念的患者常常在婚外情以及随后的内疚感和羞耻感中出现这种症状。提出了两份案例报告,一份是自杀完成,一份是严重的自杀未遂。两名患者自杀时都在化学依赖病房住院。与梅毒恐惧症进行比较。回顾了有关对艾滋病和梅毒恐惧症的非理性恐惧的文献。尽管此类病例并不常见,而且此类患者的自杀行为也不常见,但临床医生意识到形成这种非理性信念体系的患者发生严重自杀行为的潜在风险是有帮助的。
This article concerns patients who have an irrational conviction that they have AIDS, despite medical evidence to the contrary, and who, despite medical reassurance, go on to complete suicide or make serious suicide attempts. Patients with such irrational convictions often develop this symptom complex in the setting of extramarital affairs and subsequent feelings of guilt and shame. Two case reports are presented, one of completed suicide and one of serious attempted suicide. Both patients were on inpatient chemical dependency wards at the time of their suicidal acts. A comparison is made to syphilophobia. The literature on the irrational fear of AIDS and syphilophobia is reviewed. Although such cases are not common and suicidality among such patients is not common, it is helpful for clinicians to be aware of the potential risk for serious suicidal acts in patients who develop this irrational belief system.