Suicide is among the leading causes of death worldwide, accounting for almost one million annual deaths globally. The author presents an exploration into the suicidal mind using Freud's cathexis and decathexis theory. This model describes the patient’s withdrawal from reality and the need to gratify libidinal and aggressive drives in the internal world. Theories and beliefs of other authors are used to introduce the importance of early disturbed relationships with parental figures. Working with the particular subtype of suicidal patient described in this essay may be a challenge for clinicians. A psychodynamic approach may help in the understanding of the patient’s complex and private world of psychological pain. If unresolved, the patient’s conflicts may precipitate suicide.

中文翻译：

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与现实脱节的自杀风险：寻求拯救的失败

自杀是全球主要的死亡原因之一，占全球每年近一百万的死亡。作者使用弗洛伊德的cathexis and decathexis理论对自杀思想进行了探索。该模型描述了患者退出现实世界以及满足内部世界中的性欲和侵略性驱动的需求。其他作者的理论和信念被用来介绍与父母身分的早期失调关系的重要性。对于本文中描述的自杀患者的特定亚型，临床医生可能会面临挑战。心理动力学方法可能有助于理解患者的复杂而私人的心理痛苦世界。如果不解决，患者的冲突可能会导致自杀。