Affiliated member of the WPA – World Psychiatric Association

Abstract César Alfonso; Rasmon Kalayasiri; Constantine Della; Neil R. Jeyasingam

Suicide-Psychodynamic and Clinical Considerations

César Alfonso (USA)
The Social Context of Suicide – Revisiting the Contributions of Durkheim

Rasmon Kalayasiri (Thailand)
A Clinical Review of Addiction and Suicide

Constantine Della (Philippines)
Psychodynamic Considerations of Suicide in the Medically Ill

Neil R. Jeyasingam (Australia)
Psychodynamics of Suicide in Older Persons

This symposium will focus on psychodynamic determinants of suicide in populations at higher risk. Dr. Alfonso, an American psychoanalyst, will revisit Freud and Abraham’s views of suicide as internalized anger that is violently acted out, and complement it with Durkheim’s observations that recontextualize suicide as rooted in a society that fails to protect the individual from the vicissitudes of life. Dr. Kalayasiri, an academic addiction psychiatrist in Bangkok, will review the interconnected dynamics of addiction and suicide, including the self-medication hypothesis as it relates to affective dysregulation, and suicide as a crisis of expendability in individuals who experienced early trauma and adult retraumatization and loss. Dr. Della, a consultation and liaison psychiatrist in Manila, will discuss clinical considerations of suicide in the medically ill, illustrating how uncertain prognosis, loss of body function, stigma and discrimination may compound alienation, hopelessness and despair. Dr. Jeyasingam, a geriatric psychiatrist in Sydney, will review the psychodynamics of suicide in older persons striving to maintain a meaningful existence when faced with the developmental task of maintain ego integrity as the body fails and social networks become compromised


César A. Alfonso, M.D. (USA)

  • Associate Professor of Psychiatry, Columbia University Medical Center
  • Visiting Professor of Psychiatry, National University of Malaysia, Kuala Lumpur
  • Chair, World Psychiatric Association Psychotherapy Section
  • Secretary, World Psychiatric Association Psychoanalysis in Psychiatry Section
  • Chairperson, USA Regional Branch of the World Association for Dynamic Psychiatry

Office Address
262 Central Park West, Suite #1B, New York, NY 10024

(917) 496-7614 (mobile)


Constantine D. Della, M.D. (Philippines)

  • Head Section of Consultation-Liaison Psychiatry, Department of Psychiatry & Behavioural Medicine, College of Medicine & Philippine General Hospital
  • University of the Philippines Manila
  • Associate Professor, College of Medicine, University of the Philippines Manila

Pedro Gil Street, Ermita, Manila
Metro Manila, Philippines 1000


Neil R. Jeyasingam Bsc(Med)

  • MBBS, MBus, MPsych, Cert(Old Age), FRANZCP (Australia)
  • Acting Clinical Director, Northern Beaches Mental Health Service

Sydney, Australia
0427 394 338


Rasmon Kalayasiri, M.D. (Thailand)

  • Associate Professor of Psychiatry
  • Faculty of Medicine, Chulalongkorn University

1873 Rama 4 Road, Pathumwan
Bangkok 10330, THAILAND
Tel. +66-2256-4298


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