ГоловнаArchive of numbers2018Volume 26, issue 2 (95)The role of socio-demographic and clinical anamnestic factors in the formation of suicidal behavior in patients with dementia
Title of the article The role of socio-demographic and clinical anamnestic factors in the formation of suicidal behavior in patients with dementia
Authors Mudrenko Iryna
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND BEHAVIORAL DISORDERS
Year 2018 Issue Volume 26, issue 2 (95) Pages 77-82
Type of article Scientific article Index UDK 616.89-008.454:616.89-008.441.44]-053-055:316.343/.346 Index BBK -
Abstract The objective of the research is to defi ne the clinico-anamnestic and socio-demographic predictors of suicidal behavior in patients with diff erent types of dementia. A total of 213 patients were examined with the help of the clinico-anamnestic method, 75 of them had the dementia caused by Alzheimer’s disease, 50 patients had vascular dementia and 60 patients suff ered from mixed dementia. According to the presence of suicidal behavior symptoms (intentions, attempts, thoughts, utterances) all the patients were divided into two groups: the main and the control one. The socio-demographic predictors of suicidal risk in dementia caused by Alzheimer’s disease include: male sex; low level of education; loneliness, lack of marriage throughout life. In vascular dementia: male sex; age 78—88 years); loneliness, lack of marriage throughout life. In dementia of mixed type: the aged age of 78—88 years. The factors of suicide anti-risk in dementia caused by Alzheimer’s disease: female sex; higher education; stay in marriage. In vascular dementia: stay with a spouse in marriage and joint residence. In mixed dementia: younger age 40—55 years old and 67—77 years. In the process of the research the clinico-anamnestic factors of suicidal risk in patients with diff erent types of demen tia were defi ned: In dementia caused by Alzheimer’s disease: heterogeneity of the coexistent somatic disorders in the form of the diabetes, COPD, osteoarthritis deforming; traumatic events (craniocerebral traumas, fractures of the body and limb bones) and chronic alcoholism within the medical history; suicidal attempts in the pas; suicidal history and alcoholism in the family. In vascular dementia: coexistence with cardiac disorders; traumatic events throughout life: craniocerebral traumas; surgery; suicidal attempts. In mixed dementia: coexistence with diabetes; traumatic events (craniocerebral traumas, suicidal attempts) throughout life; acute cerebrovascular haemorrhagic disorders within the medical history; hereditary cognitive disorders load.
Key words suicidal behavior, Alzheimer’s disease, vascular dementia, mixed dementia, clinical anamnestic predictors, socio-demographic predictors
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Bibliography 1. Maruta N. A., Mudrenko I. H. Factors of a suicidal behavior in patients with dementia (age, gender aspects, psychotraumatic factors) // 26th European congress of psychiatry // European Psychiatry. 2018. 48S S 429. 2. Зыков В. В., Мальцев А. Е. Значение сомати чес ких заболе- ваний в возникновении сомати чес ких болезней // Тюменский медицинский журнал. 2013. Т. 15, № 4. С. 5—6. 3. Положий Б. С. Концептуальная модель суицидального поведения // Суицидология. 2015. Т. 6, № 1 (18). С. 3—7. 4. Мудренко І. Г. Сучасні погляди на соціально-психологічні, клініко-психопатологічні закономірності суїцидоґенезу при деменціях та методи медико-соціальної допомоги // Психіатрія, неврологія та медична психологія. 2017. Т. 4, № 2 (8). С. 33—39. 5. Мудренко І. Г. Клініко-психопатологічні особливості хворих на судинну деменцію з високим ризиком суїциду // Український вісник психоневрології. 2018. Т. 26, вип. 1 (94). С. 83—88. 6. Detection of silent cerebrovascular disease refines risk stratification of hypertensive patients / Henskens L. H., van Oostenbrugge R. J., Kroon A. A. [et al.] // J Hypertens 2009; 27 (4): 846—853. doi: 10.1097/HJH.0b013e3283232c96. 7. Blood pressure and treatment of persons with hypertension as it relates to cognitive outcomes including executive function / Gorelick P. B., Nyenhuis D., American Society of Hypertension Writing Group. // J Am Soc Hypertens. 2012; 6 (5): 309—315.