Review Article

Suicidal Ideation and Suicidal Behaviour in Delusional Disorder: A Clinical Overview

Table 2

Summary of case reports on suicidal behaviour in delusional disorder.

(Number of study) author and yearSettingCountryAge
(years)
SexDD typeSuicidal ideation
(yes/no)
Suicide attempts
(yes/no)
Presence of depression
(yes/no)
Treatment on antidepressants
(mg/day)
Treatment on antipsychotic
(mg/day)

(6) Cruzado et al. 2012 [19] InpatientPeru35MaleSomatic (olfactory reference syndrome)YesYes (self-defenestration from a second floor)NoFluoxetine (20)Sulpiride (600)
(7) Alexander 2010 [20] OutpatientAustralia29MaleSomatic (delusional halitosis)YesYes (two suicide attempts)NoSertraline (200)No
(8) Otani et al. 2010 [21]OutpatientJapan73MaleSomatic (infestation)YesNoYesMilnacipran (50)No
(9) Dimopoulos et al. 2008 [22]OutpatientGreece51FemaleSomatic (hypochondriac)Yes (ideas of death, not plan to commit suicide)NoYesMirtazapine (90)Aripiprazole (15)
(10) Shaligram and Choudhury 2006 [23]OutpatientIndia/UK48FemaleNot specified (delusion of poverty)Yes (death wishes)NoYesImipramine (225) + ECTRisperidone (6)

DD: delusional disorder, ECT: electroconvulsive therapy.