ГоловнаArchive of numbers2014Volume 22, issue 2(79)Suicidal behavior in patients with anxious disorders (clinical-psychopathological characteristics and principles of preven-tion)
Title of the article Suicidal behavior in patients with anxious disorders (clinical-psychopathological characteristics and principles of preven-tion)
Authors Maruta Natalia
Nikanorova Yuliia Valeriivna
In the section PROBLEMATIC ARTICLES
Year 2014 Issue Volume 22, issue 2(79) Pages 10-15
Type of article Scientific article Index UDK 616.85-039-008.47:616.89-008.441.44-084 Index BBK -
Abstract The article is devoted to investiga-tion of psychopathological and patho-psychological regularities of a suicidal behavior formation in patients with anxious disorders and development of the system for prevention. It was found out that in patients with anxious disorders a suicidal be-havior was characterized with a signii -cant predominance of suicidal decisions, intentions, and designs over suicidal thoughts, fantasies, and emotional ex-periences (57.3 % and 42.7 %; p < 0.05). The suicidal behavior was dif erent for various forms of anxious disorders. Patients with panic disorders more often had got suicidal thoughts, fantasies, and emotional experiences (63.4 %; p < 0.05) and patients with generalized anxious and anxious-depressive disorders more often had got suicidal decisions, inten-tions, and designs (61.3 %; p < 0.05 and 71.2  %; p  <  0.01, correspondingly). In patients with generalized anxio-us and mixed anxious-depressive dis-orders it was detected a high level of a suicidal risk (41.3 ±  2.5  points and 42.4 ±  2.8  points; p  <  0.01) with a low level of a self-realizing of death (18.2 ± 1.7 points and 17.9 ± 2.0 points; p < 0.05). Patients with panic disorders dif ered from above mentioned groups by the fact that along with a high level of a suicidal risk (32.7 ±  2.2  points; p < 0.01) they had a substantially high level of a self-realizing of death. This rel ected a high activity of anti-suicidal mechanisms in this group. The investigation of clinical-psy-chopathological and pathopsychologi-cal regularities of a suicidal behavior formation in patients with anxious disorders has become as a basis of development of the system for preven-tion based on principles of a system-atizing, dif erentiating, and phasing. A combination of pharmacological and psychotherapeutic interventions with a simultaneous inl uence on psycho-pathological and pathopsychological targets determined a high ei cacy of the system developed. This allows us to recommend it for a wide implementa-tion in mental health care for patients with anxious disorders.
Key words anxious disorders, sui-cidal behavior, psychopathological and pathopsychological regularities, dif eren tiated system of prevention.
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Bibliography 1. Avedisova A.S. New issues of psychopharmacotherapy. [Novye problemy psikhofarmakoterapii]. Мoscow: FGUGNTsSSP im. V.P. Serbskogo Publ., 2005. 169 p.
2. Antomonov M.Iu. Mathematical processing and analysis of biomedical data. [Matematicheskaia obrabotka i analiz mediko-biologicheskikh dannykh]. Кyiv Publ., 2006. 556 p.
3. Bacherikov A.M., Lakinskiy R.V., Matuzok E.G. Completed suicide attempts in mentally ill population in Kharkov (2008-2009). [Zaversheni suyitsidalni sprobi u populyatsiyi psihichnohvorih u misti Harkovi (2008—2009 roki)]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2010. Vol. 18, issue 3(64). P. 115.
4. Bocharov V.V. Psychological aspects of anxiety. [Psikhologicheskie aspekty trevogi]. [Affektivnye rasstroistva. Mezhdistsiplinarnyi podkhod: nauchnyi sbornik] – SPb. Publ., 2009. Pp. 225-232.
5. Burlachuk L.F., Morozov S.M. Dictionary of psychological diagnostics. [Slovar'-spravochnik po psikhodiagnostike]. SPb.: Piter, 2002. 528 p.
6. Voitsekh V.F. Clinical suicidology. [Klinicheskaia suitsidologiia]. Moscow: Miklosh Publ., 2008. 280 p.
7. Voloshin P.V., Maruta N.A., Iavdak I.A., Cheredniakova E.S. Psychiatric and psychological determinants of suicide risk in neurotic illness. [Psikhopatologicheskie i psikhologicheskie determinanty suitsidal'nogo riska pri nevroticheskoi bolezni]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2008. — Vol. 16, iss. 1 (54). Pp. 73-74.
8. Gavenko V.L. Method of determining of suicide risk. [Sposib vyznachennja sui'cydal'nogo ryzyku]. Patent МПК7 А61В 10/00, no. 20001021010. 2001.
9. Gavenko V.L. Method of assessing of consciousness of death. [Sposib ocinky samosvidomosti smerti]. Patent 40453А, no. 20001021008. 2001.
10. Denisenko M.M. Clinico-psychopathological characteristics of endogenous and exogenous depression, accompanied by suicidal behavior. [Kliniko-psikhopatologicheskaia kharakteristika endogennykh i ekzogennykh depressii, soprovozhdaiushchikhsia suitsidal'nym povedeniem]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2010. Vol. 18, issue 3(64). Pp. 38-41.
11. Kabanov M.M. Methods of psychological diagnosis and correction in the clinic. [Metody psikhologicheskoi diagnostiki i korrektsii v klinike]. Leningrad: Medicina Publ., 1983. 312 p.
12. Kozhina A.M. Autoaggressive behavior in non-psychotic depressive disorders (mechanisms of formation and approaches to the correction). [Autoagressivnoe povedenie pri nepsikhoticheskikh depressivnykh rasstroistvakh (mekhanizmy formirovaniia i podkhody k korrektsii)]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2008. Vol. 16, issue 1(54). P. 78.
13. Krasnov V.N., Dovzhenko T.V., Bobrov A.E. et all. The improvement of methods for early diagnosis of mental disorders (based on interaction with experts from primary care). [Sovershenstvovanie metodov rannei diagnostiki psikhicheskikh rasstroistv (na osnove vzaimodeistviia so spetsialistami pervichnogo zvena zdravookhraneniia)]. Moscow: «Izdatel'skii Dom «Medpraktika-M» Publ., 2008. 136 p.
14. Markova M.V. Features of autoaggressive behavior in patients with non-psychotic mental disorders of anxiety-depressive spectrum which are comorbid with cardiovascular diseases, and their therapy. [Osoblyvosti autoagresyvnoi' povedinky u pacijentiv z nepsyhotychnymy psyhichnymy rozladamy tryvozhno-depresyvnogo spektra, komorbidnymy iz sercevo-sudynnymy zahvorjuvannjamy ta i'h psyhoterapija]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2008. Vol. 16, issue 1(54). P. 81.
15. Maruta N.O., Zavalko Ju.M. Clinical and psychopathological patterns of dysthymia formation. [Kliniko-psyhopatologichni i patopsyhologichni zakonomirnosti formuvannja dystymii']. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2008. Vol. 16, issue 1(54). Pp. 23-25.
16. Maruta N.A., Shestakova M.V. Pathopsychological regularities of suicidal behavior in elderly patients with depression. [Patopsikhologicheskie zakonomernosti formirovaniia suitsidal'nogo povedeniia u pozhilykh bol'nykh depressiiami]. Meditsinskaia psikhologiia-Medical psychology, 2009. Vol. 4. No. 2-3, pp. 4-10.
17. Maruta N.A., Iavdak N.A., Denisenko M.M. Suicide risk in patients with neurotic disorders. [Suitsidal'nyi risk u bol'nykh nevroticheskimi rasstroistvami]. Ukrains’kyi Visnyk Psykhonevrolohii - The Ukrainian bulletin of psychoneurology, 2007. Vol. 15, iss. 1(50), (Supplement). P. 208.
18. Piliagina G.Ia. Autoaggressive behavior: pathogenetic mechanisms and clinical-typological aspects of diagnosis and treatment: Author's abstract for the degree of Doctor of Medical Sciences. [Autoagressivnoe povedenie: patogeneticheskie mekhanizmy i kliniko-tipologicheskie aspekty diagnostiki i lecheniia: avtoref. dis. na soiskanie uch. stepeni d-ra med. nauk]. Kyiv, 2004. 34 p.
19. Raigorodskii D.Ia. Practical psychodiagnostics. [Prakticheskaia psikhodiagnostika]. Samara: BAKhRAKh-M Publ., 2000. 672 p.
20. The state of mental health and mental health care in Ukraine: analytical review, 2000-2009. [Stan psyhichnogo zdorov'ja naselennja ta psyhiatrychnoi' dopomogy v Ukrai'ni: informacijno-analitychnyj ogljad za 2000—2009 rr.] under edition of Voloshyn P.V., Maruta N.O. Kharkiv: Arsis Publ., 2010. 160 p.
21. Fantalova E.B. About one methodological approach to the study of motivation and internal conflicts. [Ob odnom metodicheskom podkhode k issledovaniiu motivatsii i vnutrennikh konfliktov]. Psikhologicheskii zhurnal –Psychological journal, 1992. Vol. 13, no. 1. Pp. 107-117.
22. Shestakova M.V. Suicidal behavior in depressed elderly patients (clinical-psychopathological characteristics and prevention): Author’s abstract. [Sui'cydal'na povedinka pry depresijah u hvoryh pohylogo viku (kliniko-psyhopatologichna harakterystyka ta systema profilaktyky: avtoref. dys. na zdobuttja nauko vogo stupenja kand. med. nauk: spec. 14.01.16]. Kharkiv, 2010. 20 p.
23. Iur'eva L.N. Clinical suicidology. [Klinicheskaia suitsidologiia]. Dnepropetrovsk: Porogi Publ., 2006. 472 p.
24. Derogatis L.R. The SCL-90-R. Clinical Psychometric Research. Baltimore, 1975. Pp. 1-134.
25. Mehlum L., Jensen A.I. Suicidal behavior in borderline personality disorder. Tidsskr. Nor. Laegeforen., 2006. Vol. 126. No. 22. Pp. 2946-2949.
26. Rihmer, Z. Prediction of suicide in mood disorders. Tallinn: 10th ECNP, 2009. S. 1.04/CD.
27. Rutz W. Male depression and suicide. Tallinn: 10th ECNP, 2009. S.1.03/CD.
28. Tondo L. Suicide prevention: Updated findings. 16th Congress of the European Psychiatry: abstract. 2008. Vol. 23, suppl. 2. P. 34.03.
29. Vieta E. Suicidal behaviour in the forthcoming classifications of mental disorders. Ibid. P. 34.04. 30. Wasserman D. Suicide prevention in youth. Ibid. P. 08.04.