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Narcissism and suicide risk
1Clinical Professor of Psychiatry, Baylor College of Medicine, Houston, TX, USA. glen.gabbard@gmail.com.
Annals of General Psychiatry
|January 23, 2022
Summary
Narcissistic personality disorder (NPD) presents with distinct subtypes and complex causes. Treatment is challenging, but clinicians must manage suicide risks associated with narcissistic injury.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Narcissism exists in varying degrees, with some individuals developing extreme, pathological forms.
- Narcissistic Personality Disorder (NPD) research identifies three subtypes: grandiose/oblivious, vulnerable/hypervigilant, and high-functioning.
- The etiology of pathological narcissism involves both biological and psychological factors, though the precise cause remains undetermined.
Purpose of the Study:
- To review the subtypes of narcissistic personality disorder.
- To discuss the challenges in psychotherapeutic engagement for NPD.
- To highlight the critical issue of suicide risk in narcissistic patients.
Main Methods:
- Systematic research review on narcissistic personality disorder subtypes.
- Clinical observations on psychotherapy engagement difficulties.
- Analysis of suicide risk factors in narcissistic injury.
Main Results:
- NPD is characterized by grandiose/oblivious, vulnerable/hypervigilant, and high-functioning subtypes.
- Engaging individuals with NPD in psychotherapy is often difficult and frustrating.
- Suicide risk is a significant concern, particularly following severe narcissistic injury.
Conclusions:
- Treating narcissistic patients presents considerable challenges.
- The elevated suicide risk necessitates sustained clinical involvement.
- Assisting patients in understanding their vulnerabilities is crucial for effective treatment.
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