conviction of committing unworthy or even criminal acts, usually not subject to forgiveness and requiring severe punishment. Most often, delusional ideas of self-blame are combined with depressive symptoms and are accompanied by an increased risk of suicide. Patients with delusions of self-accusation believe that in the future they will face punishment, retribution for mistakes or simply significant life hardships. In some cases, patients with such experiences commit so-called “extended suicides” – they seek to kill not only themselves, but also their loved ones in order to “protect them from suffering”. Particular cases of delusions of self-accusation:1) Guilt – the patient’s belief that his actions or inactions caused some negative events. Close in meaning is the delirium of sinfulness – the attribution of various sins to oneself;
2) Self-abasement – the patient’s conviction of his own insignificance (physical, mental or moral);
3) Impoverishment (ruin) – the conviction that the patient and his family are imminent or have already lost their material values with the conviction that they will “remain on the street” or “die of hunger”;
4) Dysmorphomania – delusions of physical imperfection, deformity;
5) Hypochondriacal – delusions of the disease.