FAILED SUICIDE BY AMANITA-PHALLOIDES (MYCETISMUS) AND SUBSEQUENT LIVER-TRANSPLANT - CASE-REPORT

The case described is a serious parasuicide (failed suicide) by volunt ary ingestion of a considerable amount of highly poisonous mushrooms ( Amanita phalloides). The liver transplant performed straight afterward s enabled the patient to survive, but after a period of relative well- being in the immediate postoperative period, her pervasive suicidal id eation returned to the fore in all its dramatic ambivalence. The diffi culties involved in managing the case and the decision to transplant a living organ in an individual who has just attempted suicide are disc ussed.