Abstract
The development of adequate measures to combat the spread of socially significant diseases requires the use of modern tools available to demographers and epidemiologists for entering, analyzing and visualizing data on the spread of population movement processes in space. A medical and demographic geoinformation system has been created to study the dynamics of suicidal behavior in the Amur region of the Russian Far East. The main factors involved in the psychopathogenesis of suicidal behavior are considered. The research was conducted using various ecological and mathematical methods to assess the quality of life of the human population in extreme the conditions of the Far Amur region of the East of Russia, taking into account various factors of interaction between the individual, society and the environment. The features of the spread of suicidal attempts in the Amur region are revealed. The set of the main causes and factors of low intensity characterizing the current suicidal situation in the Amur region of the Russian Far East is studied on the example of the Khabarovsk city. The medical-demographic and socio-psychological problems of suicidal behavior caused by depressive disorders are analyzed from the standpoint of the geoinformation modeling method. Original methodological approaches to the use of information models for medical-demographic and socio-economic studies of depressive spectrum disorders and the prevention of adolescents suicidal behavior are proposed.
Highlights
The growing social significance of the damage caused by depressive disorders in recent decades, as well as real hopes for success in the fight against suicidal behavior, were the main reasons that retain scientific interest in DD [Bostic et al, 2005; Carrellas et al, 2017; Krasnov, 2011; Kripke, 1998; Malone et al, 2013]
The epidemiological study was conducted by two methods: by clinical analysis of past life events and establishing their significance in the occurrence and development of pre-suicide DD and by direct clinical examination of patients aimed at identifying factors of etiological and pathogenetic significance
The results of the study were obtained during a clinical and psychopathological examination of 62 adolescents with non-psychotic DD living in Khabarovsk, who were admitted to the Khabarovsk Regional psychiatric Hospital after an incomplete suicide attempt
Summary
The growing social significance of the damage caused by depressive disorders in recent decades, as well as real hopes for success in the fight against suicidal behavior, were the main reasons that retain scientific interest in DD [Bostic et al, 2005; Carrellas et al, 2017; Krasnov, 2011; Kripke, 1998; Malone et al, 2013]. Suicides occupy one of the leading places in the structure of premature mortality of the population, and their maximum frequency falls on the young and socially active age of the population[3]. The relevance of the problem of DD, which are increasingly manifested already in adolescence, is determined by their wide prevalence, the difficulty of recognizing this pathology in the early stages of the disease[4], and the high risk of suicide [Clayton et al, 2013; Gladstone et al, 2009; Jinnin et al, 2016; Kretinin, 2015].
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