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IntroductionWithin the Dutch clinical field of specialized mental health care for youth, an increasing subgroup of female adolescents with severe chronic suicidal behavior is recognized. This group was also identified in a Dutch psychological autopsy study among 35 relatives of adolescents (aged 10–19 years old) who died by suicide. There seems to be a lack of knowledge and consensus how to treat this severe chronic suicidal behavior, resulting in stagnation of care and growing demoralization among patients, parents, and mental health care providers. The aim of this paper is to describe characteristics of the suicidal process, to identify challenges experienced in providing mental health care for this subgroup, and to formulate preliminary recommendations.MethodA case description from the psychological autopsy study and a review of the relevant literature.ResultsThe persistent suicidal threat and the resulting despair of the patient and their parents are forcing the mental health care provider into an impasse: the primary focus of treatment slowly moves to guarantee the patient's safety, which leaves the treatment of underlying problems underexposed. Due to the chronicity of the suicidal ideation and behavior in a phase in which identity formation and developing cognitive and emotional regulation skills are important developmental tasks, we identify a risk of developing a suicidal identity.DiscussionBased on expert knowledge, we make recommendations on (1) treating suicidality as a transdiagnostic phenomenon with its own meaning and function, (2) implementing treatment considerations promoting the autonomy, (3) aiming at continuity of care and prevention of repeated patient referrals by creating a multidisciplinary network of care providers, and (4) making chronic suicidality tolerable for the care provider.ConclusionWe propose preliminary practical recommendations in our quest for optimal mental health care for chronically suicidal adolescents.

An integrative approach is presented to understand the transmission mechanisms of attachment trauma and the quality of the internal working model through manifestations of bodily symptoms concerning physical and mental health. A case of dissociative symptomatology is described in a woman whose ancestors experienced individual and collective trauma related to the political regime. The approach allows for an analytical view beyond the standard complaints of anxiety, depression, post-traumatic symptoms, eating disorders, etc. A brief description of the transgenerational transmission of trauma is presented.

Introduction The first cases of COVID-19 in Switzerland were related to the Milan cluster in February 2020. Border crossing restrictions were imposed and economic support measures worth 40 billion Swiss francs were announced. By 24th September 2021 Switzerland achieved a fully vaccination rate of 54%, confirmed 836’000 cases and 11’060 deaths. Objectives The objective was to describe and analyse the mental health of the general Swiss population under the ongoing COVID-19 pandemic and it’s social changes: including a case description, transgenerational influence and psychosocial treatment opportunities Methods To answer the research question, I used deepened internet research, population interviews among different age gropus and colloquies with healthcare providers and federal authorities. Results Different psychosocial phenomena lead to the transgenerational influence. Unfortunately, vaccination rate is slowed down by this pandemic’s impacts on public mental health. While during the first wave the positive feelings of cohesion and trust dominated, the mood changed afterwards to anxiousness and reactive individualism. Among all generations the fear of infection was shown to be a general booster of anxiety and distress. In fact, Swiss experts perceive the corona crisis as a catalysator for depression and anxiety disorders. Conclusions Specific psychosocial treatment has to address general and individual vulnerability factors. However, staying in touch with family members, pursuing meaningful activities and being physically active can all help to overcome COVID-19 related mental health issues. Disclosure No significant relationships.

Almost half of the confirmed COVID-19 cases detected so far in the United Kingdom are part of a large cluster of 13 British nationals who tested positive for SARS-CoV-2 in the UK, Spain, and France. Transmissions among this cluster occurred at a ski resort in France, and originated from a single infected traveller returning from a conference in Singapore where he acquired the virus. At least 21 individuals were exposed to the virus, tested, and quarantined, with 13 of those testing positive between the period of 6th February and 15th February. Here, all publicly available information about the primarily UK/France cluster is consolidated, providing a complete and accessible summary of the cases and their connections. Notable in this cluster are the number of individuals infected, the apparent absence of any severe illness among those infected, and a case of a “delayed positive” test during isolation after initially testing negative, at least 7 days after last possible contact.

Clinical and epidemiological study of a forty-days-old infant with a diarrheic condition and insufficient development led to the coprological diagnosis of ascariasis and possible congenital infection. Specific treatment with levamizole, resulted in clinical and parasitological cure, in addition to gain of weight up to normal levels. Maternal parasitism had been diagnosed two months before labor and proved beyond doubt during the ensuing epidemiological inquiry.O estudo clínico e epidemiológico do caso de uma criança, com quarenta dias de idade, que apresentava quadro diarréico e desenvolvimento insuficiente desde o nascimento, conduziu ao diagnóstico coprológico de ascaríase e à hipótese de tratar-se de uma infecção congênita. O tratamento específico, com levamizol, produziu cura clínica e parasitológica, e um ganho de peso pelo qual a criança logo alcançou os níveis normais para a idade. O parasitismo materno havia sido diagnosticado dois meses antes do parto e foi confirmado, plenamente, por ocasião do inquérito epidemiológico que realizamos. As razões para se admitir a hipótese de transmissão congênita são apresentadas no trabalho.