The Modern View on the Problem of Formation of Suicidal Behavior in Patients with a Pharmacoresistance Form of Epilepsy in the Postoperative Period (Review).

Abstract

The number of patients with epilepsy and completed attempt at suicide is 5 times higher than in the general population and ranks third among the causes of death in this group. Studying the psychopathological characteristics of patients with epilepsy brings us closer to an understanding of the possible suicidal behavior in this group of patients. Of particular interest are patients with pharmacoresistant form in the postoperative period. The long course of the disease and the presence of a “crisis situation”, as an awareness of the fact of operative treatment, can deform the internal picture of the disease and, against the background of personality changes in the postoperative period, lead to social disadaptation, worsening the prognosis of the disease, up to the occurrence of suicidal intentions. Given the clinical significance of the disease and the high incidence of mental disorders during epilepsy, including those that occur after surgery, a better understanding of possible suicidal intentions can help in optimizing the social adaptation of patients and the prevention of suicides.