Case Report: Cotard’s syndrome associated with suicide attempt-related delirium - Takeaways - MDSpire

Case Report: Cotard’s syndrome associated with suicide attempt-related delirium

  • By

  • Richárd Flach

  • Júlia Éva Varga

  • Róbert Herold

  • Vita Bányavölgyi

  • Péter Osvath

  • Sándor Fekete

  • Viktor Voros

  • Tamás Tényi

  • July 3, 2026

  • 0 min

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  • 1

    Cotard’s syndrome is characterized by nihilistic delusions about one's body, existence, or death, often occurring in severe psychiatric conditions.

  • 2

    The case study involves an 88-year-old man who developed Cotard-type delusions following a suicide attempt amid severe depression and delirium.

  • 3

    Symptoms included disturbances of orientation, impaired attention, paranoid ideation, and persistent nihilistic beliefs during lucid intervals.

  • 4

    Treatment with risperidone, mirtazapine, and supportive psychotherapy led to gradual resolution of the confusional state and nihilistic delusions.

  • 5

    The case highlights the complex interplay of delirium, severe depression, suicidal behavior, and neurocognitive impairment in older adults.

Original Source(s)

Case Report: Cotard’s syndrome associated with suicide attempt-related delirium

  • by Richárd Flach, Júlia Éva Varga, Róbert Herold, Vita Bányavölgyi, Péter Osvath, Sándor Fekete, Viktor Voros, Tamás Tényi

  • July 3, 2026

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