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The Meta-Contrast Technique--a projective test predicting suicide.

H Fribergh1, L Träskman-Bendz, A Ojehagen

  • 1Department of Psychiatry, University Hospital, Lund, Sweden.

Acta Psychiatrica Scandinavica
|December 1, 1992
PubMed
Summary

Suicide risk can be predicted by a specific personality defense pattern. The Meta-Contrast Technique (MCT) identified "stereotypy only" as a key indicator of completed suicides, regardless of diagnosis.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Suicide remains a significant public health concern.
  • Identifying reliable predictors of suicide completion is crucial for intervention.
  • Defensive strategies are key personality factors influencing mental health outcomes.

Purpose of the Study:

  • To investigate the predictive value of personality defensive strategies, as measured by the Meta-Contrast Technique (MCT), for suicide completion.
  • To determine if a specific defense pattern, "stereotypy only," is associated with completed suicides.

Main Methods:

  • Studied 69 inpatients who had attempted suicide using the Meta-Contrast Technique (MCT).
  • Classified patients into subgroups based on defensive strategies, including "stereotypy only."

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  • Compared MCT findings with a previous study of 99 depressed inpatients.

    • Main Results:

    • Seven of 8 completed suicides were found in the "stereotypy only" subgroup.
    • The "stereotypy only" subgroup was overrepresented among completed suicides in both this study and a previous one.
    • Depressed inpatients in the comparison group more frequently exhibited mature defensive strategies.

    Conclusions:

    • The presence of "stereotypy only" (perceptual retardation without other defenses) in MCT predicts suicide completion.
    • This predictive relationship holds true regardless of the patient's psychiatric diagnosis.
    • MCT offers a valuable tool for assessing suicide risk based on personality defenses.