@article{ref1,
title="Perseveration and suicide in Huntington's disease",
journal="Journal of Huntington's disease",
year="2018",
author="Roman, Olivia C. and Stovall, Jeffrey and Claassen, Daniel O.",
volume="7",
number="2",
pages="185-187",
abstract="BACKGROUND: Huntington's disease (HD) patients are at significantly higher risk of suicidal behavior, and associated cognitive and behavioral factors play an important role. Impulsivity is commonly thought to be a risk factor, but does not completely account for all suicide attempts. <br><br>OBJECTIVE: To provide clinical evidence that perseverative behavior may precipitate suicide attempts in HD. <br><br>METHODS: Case review of four HD patients who attempted suicide. <br><br>RESULTS: Each patient demonstrated a clinical history of perseverative behavior, and endorsed perseveration on upsetting thoughts leading up to their suicide attempts. The attempts were planned in response to these ruminations. <br><br>CONCLUSIONS: The patients in this series experienced uncontrollable distressful thoughts prior to their thoughtfully planned suicide attempts. These patients did not appear to act impulsively in their decision to attempt suicide.<p /> <p>Language: en</p>",
language="en",
issn="1879-6397",
doi="10.3233/JHD-170249",
url="http://dx.doi.org/10.3233/JHD-170249"
}