Analysis of the multidiscipline approach to the treatment of mental disorders complicated by suicidal attempt

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Abstract

The article presents an analysis of the multidisciplinary medical care to patients who have made a suicide attempt. A total of 109 patients with mental disorders complicated ин suicide attempts were examined. The average age of the surveyed was 37.8 ± 19.5 years (38 men, 42 women). The nature of suicide attempts, the severity of the general condition and the severity of the generalized mental state (according to the GAF scale), the structure of comorbidity of mental and somatic pathology were assessed. A wide range of mental pathology which complicated by suicidal attempts, was revealed, included the main diagnostic categories of ICD-10, regardless of the while mental disorder nature, exacted syndromes structure of the clinical picture was noted with a predominance of depressive (48.6 %) and anxiety-depressive (29,3 %) syndromes. The average value of the severity of the mental state on the GAF scale was 14.8 ± 4.7 points, while a very weak (r = 0.278) statistically significant (p < 0.05) correlation was found between the overall severity of the mental state and the severity of the somatic state due to perfect suicide attempt. The features of psychosomatic comorbidity, which determine the nature of suicidal behavior, the volume of psychiatric care and the tactics of managing patients of this category in a hospital setting, have been revealed.

About the authors

A. A. Krasnov

Kirov Military Medical Academy

Author for correspondence.
Email: andreysin2013@yandex.ru
Academica Lebedeva Str. 6, St. Petersburg, 194044

A. G. Sinenchenko

St. Petersburg Research Institute of Emergency Medicine named after I.I. Dzhanelidze

Email: andreysin2013@yandex.ru
Budapeshtskaya Str., 3, letter A, St. Petersburg, 192242

N. S. Rutkovskaya

Kirov Military Medical Academy

Email: andreysin2013@yandex.ru
Academica Lebedeva Str. 6, St. Petersburg, 194044

References

  1. Bohan N.A., Stojanova I.Ja., Schastny, E.D., Korolev A.A. Patopsihologicheskie harakteristiki pacientov s dvojnym diagnozom v kontekste suicidalnogo povedenija [Patopsychological characteristics of patients with a double diagnosis in the context of suicidal behavior]. Suicidologija [Suicidology]. 2014. Vol. 5, N 2 (15). Рр. 55–59. (In Russ.)
  2. Gorbunova, N.A. O kratkovremennyh formah psihogennyh rasstrojstv u bolnyh suicidalnym povedeniem v praktike skoroj medicinskoj pomoshhi [On short-term forms of psychogenic disorders in patients with suicidal behavior in the practice of emergency medical care]. Psihicheskoe zdorov'e naselenija Rossii [Mental health of the Russian population]. Moskva–Izhevsk. 1994. Рр. 105–108. (In Russ.)
  3. Polozhij B.S. Suicidalnoe povedenie (kliniko-еpidemiologicheskie i jetnokul'turalnye aspekty) [Suicidal behavior (clinical-epidemiological and ethnocultural aspects)]. Moskva. 2010. 232 р. (In Russ.)
  4. Polozhij B.S., Vasilev V.V. Suicidalnoe povedenie zhenshhin [Suicidal behavior of women]. Nacionalnoe rukovodstvo po suicidologii [National Guide to Suicidology/ed. B.S. Posozhego]. Ed. : B.S. Polozhego. Mpskva. 2019. Рр. 262–287. (In Russ.)
  5. Federalnaja sluzhba gosudarstvennoj statistiki (territorial'nyj organ po Voronezhskoj oblasti) [Federal State Statistics Service (territorial body for the Voronezh region)]. URL: https://voronezhstat.gks.ru/news/document/98165 (In Russ.)
  6. Hoyer E.H., Olesen A.V., Mortensen P.B. Suicide risk in patients hospitalised because of an affective disorder: a follow-up study, 1973–1993. J. Affect. Disord. 2004. Vol. 78. Pр. 209–217.
  7. Krysinska K., Lester D. Post-Traumatic stress disorder and suicide risk: a systematic review. Arch. SuicideRes. 2010. Vol. 14. Pр. 1–23.
  8. The Global Assessment of Functioning Scale // Diagnostic and statistical manual of mental disorders 4-th edn. (DSM IV) 1994, American Psychiatric Association Washington. DC.
  9. World Health Organization. WHO MiND bank: More Inclusiveness Needed in Disability and Development [Internet]. Geneva (Switzerland): World Health Organization; [2020 09 03]. URL: http://www.mindbank.info.

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