Qualitative Research (Case study). Six months experience report as a psychiatrist by Médecins Sans Frontières (MSF), in a refugee detention center located in Nauru, an island country in Oceania. In this study, the author discusses the topic of suicide and the specificity of this issue for the group of refugees and asylum seekers served, as well as reporting the discovery of a new clinical diagnosis called resignation syndrome.

78 of the patients treated by MSF had suicidal ideas and/or performed acts of self-mutilation or suicide. hopelessness was the guiding thread for suicidal ideation and suicide attempts. Yet, the author’s listening exercise during consultations with reports of suicidal ideation, or acting in suicidal acts in Nauru, made possible to understanding of a singular feature of suicide for these refugees: the suicide revealed as an act of re-empowerment.

Domingues-Castro and Torres


Integrative Review on Hikikomori.

Hikikomori is a serious phenomenon of prolonged and voluntary social isolation, in which the subject presents losses in the bond with the family due to the altered pattern of sleep, eating problems, authoritarian attitudes, compulsive, destructive and violent behaviors, behaviors fostered by social isolation.