Doctors agree Lyme disease patients at-risk for suicide are under-recognized group

There are many documented cases of patients with Lyme disease suffering from suicidal or homicidal tendencies.  In the journal Neuropsychiatric Disease and Treatment, psychiatrist Robert Bransfield, MD, expresses his concern for this under-recognized patient population.  “Suicidal and homicidal tendencies after Lyme disease are clearly an ignored problem that deserves greater attention.” [1]

 

by Daniel J. Cameron, MD, MPH

Bransfield’s colleagues from Howard University, Rush University Medical Center and the University of North Dakota agree with his assessment, stating, “We would like to applaud the author for conducting such an important study by performing a comprehensive assessment of suicide and its association with Lyme-associated diseases (LADs).” [2]

Suicidal and homicidal tendencies in Lyme disease patients is an ignored problem.

In their article “Suicidal and homicidal tendencies after Lyme disease: an ignored problem,” these three psychiatrists listed published case reports supporting Bransfield’s concerns:

• “A 44-year-old male without any past psychiatric history presented with a third unsuccessful suicide attempt and was later diagnosed as having  Borrelia infection.” One month of medical therapy with intravenous ceftriaxone resulted in improvements in his mental status and resolution of suicidal ideation. [3]

• “Patients with Lyme borreliosis can experience psychiatric issues during both acute and late phases of the disease, most common being depression. In some cases, it slowly progresses to severity and suicidality … but in some cases, it is unpredictable.” [4]

• “[Two] patients were diagnosed with Lyme disease and appropriate treatment was offered. A few months after the treatment, both patients developed severe depression along with suicidal threats and an attempt by one patient. Evidence of persistent Lyme borreliosis was found in both cases.” [5]

In the third highlighted case, patient A was also suicidal, violent, and physically assaultive to her son. Patient B, who was followed over a span of 30 years, “was highly suicidal, had horrific intrusive images of killing others, and had violent impulses which were eliminated with treatment,” explains Bransfield. [2] Both patients recovered with antibiotic and psychotropic treatment, which “was clearly life saving.”

An estimated 1200 suicides take place each year in the US due to Lyme and associated diseases. Click To Tweet

Bransfield raises several questions: [6]

  1. Why do only some patients with Lyme-associated diseases develop chronic symptoms, psychiatric symptoms, different types of psychiatric symptoms, suicidality, or homicidality?
  2. What is the exact pathophysiology and what are the most effective diagnostic and treatment approaches?
  3. How many patients are actually impacted by these conditions and to what extent?

 

Related Articles:

Suicidal behaviors in patients with Lyme and associated diseases

Lyme disease patients struggle with depression

 

References:

  1. Bransfield RC. Suicide and Lyme and associated diseases. Neuropsychiatr Dis Treat. 2017;13:1575-1587.
  2. Munir A, Aadil M, Rehan Khan A. Suicidal and homicidal tendencies after Lyme disease: an ignored problem. Neuropsychiatr Dis Treat. 2017;13:2069-2071.
  3. Banerjee R, Liu JJ, Minhas HM. Lyme neuroborreliosis presenting with alexithymia and suicide attempts. J Clin Psychiatry. 2013;74(10):981.
  4. Juchnowicz D, Rudnik I, Czernikiewicz A, Zajkowska J, Pancewicz SA. [Mental disorders in the course of lyme borreliosis and tick borne encephalitis]. Przegl Epidemiol. 2002;56 Suppl 1:37-50.
  5. Fallon BA, Schwartzberg M, Bransfield R, et al. Late-stage neuropsychiatric Lyme borreliosis. Differential diagnosis and treatment. Psychosomatics. 1995;36(3):295-300.
  6. Bransfield RC. Author’s reply. Neuropsychiatr Dis Treat. 2017;13:2071.

 


3 Replies to "Doctors agree Lyme disease patients at-risk for suicide are under-recognized group"

  • Linda Osborn
    09/14/2017 (4:20 pm)
    Reply

    Thank you for speaking about Lyme Suicide. It is my mission to raise awareness and prevent this from happening. https://www.eventbrite.com/e/conference-on-neurological-tick-infections-mental-illness-suicide-prevention-tickets-35080930006?aff=es2

    • Dr. Daniel Cameron
      09/15/2017 (5:05 am)
      Reply

      You have an outstanding faculty. The goal is great “This educational summit is a 1-1/2 day program for physicians and nurses on the diagnosis and treatment of neurological tick infections ( i.e.: Borellia Burdorferi, Bartonella etc.) which lead to cognitive impairments, mental illness and ideations of suicide/violence.”

  • Amy
    09/17/2017 (12:18 am)
    Reply

    This is very real. It haplened to me. I attempted suicide three times and almost succeeded twice. Doctors misdiagnosed and mistreated me. It was the most painful and scariest part of my life. I estimate I went undiagnosed for at least 7 years. I was losing my mind and my life and knew I was in a struggle for my life. I am one of the lucky who remember the tick bite and how things went downhill after it. I found a Lyme doctor and within a couple of month the depression was gone after taking antibiotics. It has taken longer for other symptoms to slowly get better but having the depression clear was the first step in having my life return to what it once was. Anyone older who is depressed and has never had depression before should be evaluated for a medical problem thag may be the cause of the depression. My depression was treatment resistant. That should have been a sign to the doctors.


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