Prevention Of Suicidal Behavior Research Articles

Suicidal Behavior Prevention: The Time to Act is Now

Suicidal Behavior Prevention: The Time to Act is Now

Suicide in teenagers during the COVID-19 pandemic in Cuba: actions for its prevention

Introduction: Suicidal behavior in teenagers constitutes a health problem that, given the necessary measures of social isolation taken by the global emergency of the COVID-19 pandemic, must generate timely actions for its prevention and control from the public health services. Objective: To propose an action plan for the prevention of suicide in teenagers of the Remedios municipality, subjected to voluntary home confinement during the COVID-19 pandemic. Methods: an observational, descriptive, cross-sectional study was carried out in the “XXX Anniversary” Teaching Community Polyclinic of the municipality Remedios. We worked with the population of 25 teenagers between 12 and 19 years old who made suicide attempts in the period 2019-2021. The empirical methods used were: bibliographic and documentary review, participant observation, focus group, semi-structured interview and questionnaire. Results: The suicide attempt was common in female teenagers aged 17 to 19 years not identified as risk, the lack of motivation due to the study activity and the previous suicide attempts by ingesting psychotropic drugs without serious intention of dying predominated. The most frequent psychological disorders were emotional disorders, stress, depression, irritability, apathy and insomnia. Actions are presented for the prevention of suicide and promote behaviors that contribute to mental health in the context of COVID-19. Conclusion: The prevention of suicidal behavior in teenagers in conditions of social isolation due to COVID-19, must include actions that facilitate the coping with stress, intra-family communication and resilience.

FAMILY RELATIONS FROM THE PERSPECTIVES OF FEMALE YOUTHS WITH SUICIDAL BEHAVIOR: A QUALITATIVE STUDY

Research on youth's suicidal behavior often focuses on individuals rather than families. This exploratory research is related to family relations in female youths with suicidal behavior. This study's respondents were ten suicidal female youths (aged 15 to 24) divided into two groups: ' attempt' and 'no-attempt'. The FACES IV, family communication scale, and family satisfaction scale were given at the beginning of the study, which was continued with in-depth interviews to explore the flexibility, cohesion, and communication of their family relations. In the attempt group, FACES IV resulted in low balanced cohesion (35.8 respectively), low balanced flexibility (41.2 respectively), and low family communication (15.4 respectively). Surprisingly, all participants of both groups rated their family satisfaction levels low, meaning that all participants were dissatisfied with the family functioning. The interview resulted in eight main themes: lack of emotional closeness, family conflict, sibling relationship, leadership in the family, obedience, autonomy, and control, and mendhem rasa (buried emotion, in Javanese culture), and weak communication skills. In conclusion, the family's hierarchical relationships, family conflict, and emotional distance become the risk factors for adolescent suicidal behavior. The perspectives found in this study with suicidal female youths suggest that family-based prevention and intervention of suicidal behavior in youths need to understand family cultural values while encouraging to build emotional closeness and communication skills in the family.

Anxiety, Suicidal Risk and Personal Characteristics of Medical Students

Background. The prevalence of anxiety, depression, personality traits and poor quality of life among medical students contributes to the formation of suicidal behaviorAims. To reveal the relationship between the severity of anxiety, hopelessness, personality traits and suicidal risk in students of Irkutsk State Medical University.Material and methods. The study included third-year students of the medical faculty of Irkutsk State Medical University (n = 61), average age – 19.7 ± 2.2 years. We used Spielberger – Khanin and Sheehan scales of self-assessment of the anxiety level, the personality questionnaire of Smisek – Mueller “Accent 2-90”, and Beck’s hopelessness scale.Results. According to the results of testing on the Spielberger – Khanin scale, the severity of reactive anxiety reached moderate values in 57.3 % of students, severe anxiety was found in 32.8 %, the absence of anxiety – in 9.8 %. Personal anxiety on the Spielberger – Khanin scale was characterized by moderate values in 52.5 % of cases, severe anxiety was found in 45.9 %, the absence of anxiety – in 1.6 %. Moderate and high values of reactive and personal anxiety were significantly more common compared to the students with no anxiety. According to the psychometric assessment of students using Sheehan scale, clinically expressed anxiety was observed in 47.5 % of cases, severe anxiety disorder – in 4.9 %, lack of anxiety – in 47.5 %. The personality traits of students with anxiety include hyperthymia, excitability, dysthymia, cyclothymia, introversion and exaltation.Нopelessness in students was detected in 27.9 % of cases (mild – in 16.4 %, moderate – in 9.8 %, severe – in 1.6 %). Тhe criterion of hopelessness was detected with pronounced situational and personal anxiety in comparison with moderately pronounced anxiety using Spielberger – Khanin scale (50 % and 39.3 % respectively); expressed and severe anxiety was detected in 51.7 % and 66.7 % of cases on the Sheehan scale.The personality traits of students with hopelessness included stuckness, pedantry (standard level and level above average); cyclothymia in the form of unstable mood; demonstrativeness; excitability (normative level); dysthymia in the form of attempts to deny difficulties; exaltation (average level); introverted personality direction.Conclusion. Determination of factors of suicidal risk is important in the prevention of suicidal behavior among medical students.

The Depression Sensitivity Index: Initial Development and Tests of Convergent and Construct Validity

Background: Depression and suicide are prominent and increasing U.S. public health issues, which suggests novel assessment and treatment approaches are needed. Reiss’ Expectancy Model of Fear, Anxiety, and Panic states that fear is based on two classes of variables, expectations and sensitivities, which has led to much research on anxiety sensitivity as a significant risk factor for later anxiety psychopathology. Major depressive disorder also includes biased expectations and sensitivities; however, a depression sensitivity rooted in Expectancy Theory has never been formalized. Uncovering depression-related sensitivities may lead to earlier risk detection and prevention before mood disorders develop. Method: The goal of the paper was to create a Depression Sensitivity Index using exploratory factor analysis and item response theory and then conduct tests of convergent and construct validity using structural equation modeling using three independent samples. Results: indicated two lower order factors: 1) physical and cognitive concerns (DSPCC) and 2) social concerns (DSSC). Factors showed incremental associations with depression (DSPCC), social anxiety (both) and suicidal thoughts and behaviors (DSPCC), above and beyond anxiety sensitivity cognitive concerns. Both factors together predicted depressive disorder diagnoses Limitations: Mostly self-report data, large percentage of non-Hispanic White participants in Study 1. Conclusions: The results offer initial evidence that expectancy theory applies beyond “fear, anxiety, and panic” and that with further development depression sensitivity could be an important intervention target for prevention of major depressive disorder and suicidal thoughts and behaviors.

Effects of psychosocial interventions among people cared for in emergency departments after a suicide attempt: a systematic review protocol

BackgroundThe care of the emergency department (ED) for a person after a suicide attempt can act as a protector against future suicidal behavior. For this reason, it is essential that the ED ensure an assistance that involves effective interventions in preventing suicidal behaviors. Among suicidal behaviors, it is known that suicide attempt is one of the most lethal risk factors for consummated suicide. In addition, the risk for further attempts is greater in the period from the immediate post-discharge up to 12 months after the last attempt. This makes the ED a key link in the suicide prevention chain. The purpose of this review is to investigate the effects of psychosocial interventions on suicide prevention, when applied in the ED after a suicide attempt.MethodsThis systematic review protocol was built and registered with the collaboration of a multidisciplinary scientific team. The review will include randomized clinical studies, quasi-experimental trials, and comparative observational studies, all conducted with people (11 years old or more) who have received a psychosocial suicide prevention intervention initiated in the ED after a suicide attempt. The research will be conducted across databases such as Cochrane Library, PubMed, EMBASE, PsycINFO, and DARE. The repetition of a suicide attempt and death by suicide as primary outcomes will be analyzed. The eligibility of the studies and data extraction will be carried out by matched and blind researchers. The risk of bias will be addressed using appropriate instruments. The analyses and synthesis of the results will be both qualitative and quantitative.DiscussionFrom a public health point of view, suicide is in itself a public health problem and requires appropriate interventions at different levels of care in order to be prevented. Taking into account that a high percentage of people who died by suicide sought the ED for suicide attempt in the year before their death, the ED is a clinical context with a privileged potential to implement these interventions. Presently, several clinical studies seek to validate interventions to be adopted regarding the prevention of suicidal behavior. Current evidence indicates that different interventions must be strategically combined to reduce suicide attempts and their mortality.Systematic review registrationPROSPERO registration number CRD42019131040

Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.

The authors sought to identify scalable evidence-based suicide prevention strategies. A search of PubMed and Google Scholar identified 20,234 articles published between September 2005 and December 2019, of which 97 were randomized controlled trials with suicidal behavior or ideation as primary outcomes or epidemiological studies of limiting access to lethal means, using educational approaches, and the impact of antidepressant treatment. Training primary care physicians in depression recognition and treatment prevents suicide. Educating youths on depression and suicidal behavior, as well as active outreach to psychiatric patients after discharge or a suicidal crisis, prevents suicidal behavior. Meta-analyses find that antidepressants prevent suicide attempts, but individual randomized controlled trials appear to be underpowered. Ketamine reduces suicidal ideation in hours but is untested for suicidal behavior prevention. Cognitive-behavioral therapy and dialectical behavior therapy prevent suicidal behavior. Active screening for suicidal ideation or behavior is not proven to be better than just screening for depression. Education of gatekeepers about youth suicidal behavior lacks effectiveness. No randomized trials have been reported for gatekeeper training for prevention of adult suicidal behavior. Algorithm-driven electronic health record screening, Internet-based screening, and smartphone passive monitoring to identify high-risk patients are understudied. Means restriction, including of firearms, prevents suicide but is sporadically employed in the United States, even though firearms are used in half of all U.S. suicides. Training general practitioners warrants wider implementation and testing in other nonpsychiatrist physician settings. Active follow-up of patients after discharge or a suicide-related crisis should be routine, and restricting firearm access by at-risk individuals warrants wider use. Combination approaches in health care systems show promise in reducing suicide in several countries, but evaluating the benefit attributable to each component is essential. Further suicide rate reduction requires evaluating newer approaches, such as electronic health record-derived algorithms, Internet-based screening methods, ketamine's potential benefit for preventing attempts, and passive monitoring of acute suicide risk change.

Meanings of suicidal behavior from the perspective of primary care professionals.

To explore the meaning of suicidal behavior from the perspective of family health professionals. A qualitative study developed during 2017-2018 with 18 primary care professionals from a Brazilian municipality. Grounded theory was used as the methodological framework. Semi-oriented interviews were conducted, transcribed, and analyzed by open, axial, and selective coding. The professionals perceived themselves as unprepared, emotionally affected, and fearful to work in suicide prevention, prioritizing the referral of people to specialized services regardless of the severity of the situation. Suicide was represented as both a choice and a condition of vulnerability, being more reprehensible when associated with individual choice. We identified beliefs related to suicidal behavior that could affect the care of people at risk. Our findings reinforce the need for education and training in the prevention of suicidal behavior in primary care.

Adaptive intervention for prevention of adolescent suicidal behavior after hospitalization: a pilot sequential multiple assignment randomized trial.

The need for effective interventions for psychiatrically hospitalized adolescents who have varying levels of postdischarge suicide risk calls for personalized approaches, such as adaptive interventions (AIs). We conducted a nonrestricted pilot Sequential, Multiple Assignment, Randomized Trial (SMART) to guide the development of an AI targeting suicide risk after hospitalization. Adolescent inpatients (N=80; ages 13-17; 67.5% female) were randomized in Phase 1 to a Motivational Interview-Enhanced Safety Plan (MI-SP), delivered during hospitalization, alone or in combination with postdischarge text-based support (Texts). Two weeks after discharge, participants were re-randomized in Phase 2 to added telephone booster calls or to no calls. Mechanisms of change were assessed with daily diaries for four weeks and over a 1- and 3-month follow-up. This trial is registered with clinicaltrials.gov (identifier: NCT03838198). Procedures were feasible and acceptable. Mixed effects models indicate that adolescents randomized to MI-SP+Texts (Phase 1) and those randomized to booster calls (Phase 2) experienced significant improvement in daily-level mechanisms, including safety plan use, self-efficacy to refrain from suicidal action, and coping by support seeking. Those randomized to MI-SP+Texts also reported significantly higher coping self-efficacy at 1 and 3months. Although exploratory, results were in the expected direction for MI-SP+Texts, versus MI-SP alone, in terms of lower risk of suicide attempts (Hazard ratio=0.30; 95% CI=0.06, 1.48) and suicidal behavior (Hazard ratio=0.36; 95% CI=0.10, 1.37) three months after discharge. Moreover, augmentation with booster calls did not have an overall meaningful impact on suicide attempts (Hazard ratio=0.65; 95% CI=0.17, 3.05) or suicidal behavior (Hazard ratio=0.78; 95% CI=0.23, 2.67); however, boosters benefited most those initially assigned to MI-SP+Texts. The current SMART was feasible and acceptable for the purpose of informing an AI for suicidal adolescents, warranting additional study. Findings also indicate that postdischarge text-based support offers a promising augmentation to safety planning delivered during hospitalization.

La Facultad de Ciencias de la Salud responde a la Pandemia Covid 19 desde la investigación científica

La respuesta desde la investigación científica, que se ejecutó en la Universidad Técnica de Ambato, comprende temáticas de actualidad: plataformas de atención en salud a pacientes en condiciones de aislamiento basadas en el desarrollo y aplicación de las más novedosas tecnologías convergentes (concurrentes), que permiten la autoevaluación del enfermo y la valoración por especialistas de Medicina Interna, Inmunología Clínica, Medicina Familiar durante las 24 horas, desde cualquier país del mundo enfocado en los factores de riesgo, diagnostico, tratamiento, pronóstico y geolocalización; el desarrollo de todas las potencialidades de la Telemedicina; estrategias de prevención en comunidades indígenas; diagnósticos moleculares y serológicos; prevención de conductas suicidas; atención a grupos prioritarios (niños, ancianos).

METHODOLOGY OF SUICIDAL PREVENTION AMONG STUDENT YOUTH

The article analyzes the methodology and methods of suicide prevention among young students. Theoretical and methodological bases of the problem of prevention of suicidal behavior of adolescents are revealed and systematized. Based on the systematization of pedagogical experience, specific opportunities for psychological and pedagogical prevention of suicide in educational institutions have been established. As a result of the analysis of data on adolescent suicide, we found that one of its main causes is pedagogical errors, which both directly lead to suicide and affect the emergence of children’s perceptions of suicide as a possible solution to personal difficulties. To determine the possibilities of psychology and pedagogy in suicide prevention were studied factors and stages of suicidal behavior: difficult life circumstances (external suicidal factors) and personality traits that determine the nature of the reaction to external circumstances. We correlated the stages of suicidal behavior with the types of preventive activities and identified: primary prevention of suicidal behavior, secondary and tertiary. Primary prevention of suicidal behavior is characterized by its focus on the education of a person who is able to adequately respond to life’s difficulties, to turn them into a situation of self-development; that is, the education of a viable and viable personality. In fact, pedagogical prevention of suicidal behavior is not to eliminate its external causes, but to educate a person who is able to withstand difficult life circumstances, turning them into a situation of conscious self-development. The composition and structure of viability are determined and on its basis diagnostic tools for safe detection of suicide risk in adolescents are developed. To confirm the feedback between resilience and suicidal ideation, we conducted a comparative analysis of the characteristics of "suicidal" and resilient individuals. The pedagogical system of prevention of suicidal behavior on the basis of formation of viability of teenagers in the conditions of comprehensive school is substantiated. Initially, a theoretical model was built based on the assumed conditions and an abstract model of the pedagogical objectsystem. Then on its basis normative. Experimental verification of theoretical and normative models was carried out in three stages. The first stage (diagnostic) was devoted to determining the level of development of the components of the viability of adolescents. The formative stage included: registration by teenagers of diaries of self-development, class hours at which conversations, debates, trainings, seminars directed on development of components of vitality were carried out. The third stage was devoted to the re-diagnosis of the components of the viability of adolescents, which was carried out using the same techniques as in the first stage. Mathematical processing of diagnostic results allowed to record the positive dynamics of viability in experimental classes.

CONTENT VALIDATION FOR THE BRAZILIAN VERSION OF THE NURSES GLOBAL ASSESSMENT OF SUICIDE RISK INDEX

ABSTRACT Objective: to perform the content validation of the Nurses Global Assessment of Suicide Risk index for the Brazilian population served in primary care. Method: a methodological study of cultural adaptation and content evaluation of the NGASR index, original scale from the United Kingdom, carried out through the stages: evaluation of verbal comprehension by an experts committee (semantic, idiomatic, conceptual and cultural equivalence and content validity), back-translation and verification of clarity by means of a pre-test. The experts committee was composed of nine judges and the pre-test with 30 users of primary care services and 19 nurses. The Content Validation Index was calculated. Results: the final validated version is composed of 15 items that obtained a Content Validation Index greater than 0.78 by the experts committee and in the application of the pre-test with users and nurses. Conclusion: the instrument favors the performance of professional nurses in primary health care in the prevention of suicidal behavior by facilitating risk assessment and the adoption of relevant actions.

Medico-geoinformaton system for suicide prevention among adolescents

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.

Typology and Factorial Conditioning of Suicidal Behavior of Adolescents

The problem of suicidal behavior of an individual continues to remain relevant, due to the increase in the number of suicides among people of different ages, on the one hand, and insufficient information about the factors of suicidal behavior of an individual. The purpose of the study is to identify the factors that determine the formation of a certain type of personality who committed suicidal attempts in adolescence. In order to identify the types of adolescent suicides, there was conducted a survey of 20 doctors in psychiatric clinical hospitals in Moscow. The survey results were processed using cluster analysis. To identify the factorial conditioning of suicidal behavior of each personality type, a complex of psychodiagnostic techniques was used, focused on the study of the characteristics of the emotional, value-semantic and behavioral spheres of the personality. The obtained empirical data were processed with the help of factor analysis. Three clusters have been identified that combine similar personality characteristics of suicides. It was specified that among adolescents there are the following personality types: “militant” (22%), “sacrifice” (54%) and “self-deprecating” (24%). Each type of adolescent suicide is due to the characteristics of the emotional, value-semantic and behavioral spheres of their personality. To develop targeted programs for the prevention of suicidal behavior among adolescents, it is necessary to take into account the results of the study, since such programs should be aimed at blocking the factors that form a certain type of suicide.

SUBJECTIVE WELL-BEING IN THE DIGITAL WORLD (BASED ON THE MATERIALS OF THE INTERNATIONAL ONLINE CONFERENCE «THE TOPICAL ISSUES OF APPLIED PSYCHOLOGY IN THE CURRENT SOCIAL AND CULTURAL CONTEXT»)

The paper describes the main results of the intense discussion of current challenges related to using new digital technologies and emerging online risks in various spheres of human life within a framework of the International Online Conference «The Topical Issues of Applied Psychology in the Current Social and Cultural Context» (November 30 – December 3, 2020) organized by the Udmurt State University (the city of Izhevsk, Russian Federation). The conference has been held primarily due to the necessity of drawing the authorities’ attention to the critical concerns regarding psychological prevention of suicidal behavior in the region. The conference included a variety of the events: three symposia, sections for university and secondary school students; workshops and a documentary film discussion. According to the results of the conference debates and discussions, it has been pointed out that incorporation of digital technologies in psychological practice (counselling, therapy, etc.) provides psychology professionals with new opportunities through expanding their self-boundaries and enriching the field of professional reflection with additional meanings and senses. It is recognized that using artificial intelligence tools for initial appointments, basic diagnosis, and psychological prevention will facilitate professional activities of a psychology practitioner. The problem of psychological effects of everyday life application of digital technologies to maintain individual well-being, notably, the regulation of one’s own inner space and coping with difficult situations is specified. It has been stated that transdisciplinary studies of the effectiveness of diverse organizational forms of teaching and learning (onsite, distance, online, etc.) in connection with the subjective well-being of students are believed to be forward-looking and promising.

Attitude towards suicide and assessment of risk factors of suicide among adolescent at selected schools, Sikkim

Introduction: Suicide among the adolescent has witness a rapid increase over the past few decades. The major health problems in an adolescent are self-harm and suicide. The present study examined the attitude towards suicide and risk factor of suicide among adolescent demographic variables.Methods: Descriptive survey design was employed among 201 (M = 125, F = 76) students in age group of 15-18 years of class X and XII of selected Senior Secondary Schools of East Sikkim. The sample was selected through lottery method. The tools used were demographic proforma, attitude towards suicide questionnaire (standards questionnaire) which was divided into six domain (1) Permissiveness -people have the right to take their own life and acceptance of suicide in the situation of incurable disease; (2) Preventability -suicide can and must be prevented; (3) Incomprehensibility-suicide cannot be justified or understood; (4) Avoidance of talking -talking about suicide trigger suicidal thoughts which stay with a person forever; (5) Unpredictability-suicide happens without any warning and people who talk about suicide do not usually commit it; (6) loneliness & appeal-loneliness is the reason for suicide and an attempt of suicide is mostly a cry for help and structured questionnaire on assessment of risk factors of suicide.Result: The findings of the study revealed that majority 63 (50.4%) of male while 37 (48.7%) female participate had a permissive attitude towards suicide. Majority 79 (63.2%) of male and 64 (84.25%) female participants had preventable attitude towards suicide. Most of the male participate 94 (75.2%) and 57 (75%) female participates had an incomprehensible attitude and majority of male 61 (48.8%) and 36 (47.4%) female participant had given an undecided response on whether they should talk about suicide or not. The study also revealed that 85 (68%) male and 49 (64.5%) female participants feels that suicide is unpredictable and 63 (40.4%) male and 37 (48.7%) female participants agreed that loneliness is the reason for suicide and an attempt of suicide is mostly a cry for help. The risk factors included individual, familial, social, peer relationship and academic factors. It was found that there was significant associate between individual factors, social factors, peer relationship and type of family.Discussion and Conclusion: The result was therefore clear that we should work towards changing the attitude towards suicide. Considering the result further research should address to build positive attitude for prevention of suicidal behaviour. The intervention of preventive program has become an emergency to overcome the issue of suicide among adolescent in Sikkim.

Suicidal behavior in patients with dementia

203 patients were examined, including 75 with dementia at Alzheimer’s disease (AD), 73 with vascular dementia (VD) and 60 patients with mixed dementia (MD). Patients were divided into main and control group by the factor of presence/absence of signs of suicidal behavior (intentions, attempts, thoughts, anti-vital mood, statements). Among patients with AD, 36 patients were the main group, 39 were the control group; at VD 39 patients were main group, 34 were control group; in mixed dementia, 30 patients were included in the main group, 30 patients were in the control group. It has been found that in 56 % of cases with dementia due to Alzheimer’s disease, in 65 % with vascular dementia and 56 % with mixed dementia of the clinical picture, suicidal behavior (SB) is observed. The complex of factors of SB risk/anti- risk and suicide-genesis mechanisms in dementia, that became the targets for development of differentiated program for medical and psychological rehabilitation and prevention (MPRP) patients with SB in dementia were distinguished. The suicide-genesis concept in dementia which determines the mechanisms of the formation of suicidal behavior under the influence of clinical and intra-personal indexes, was worked out. Accounting the formation mechanisms and SB predictors, special features of clinical and psychopathological, clinical and phenomenological SB demonstration in various types of dementia the complex and differentiated MPRP program and SB prevention, realized on the basis of complex approach including usage of psychopharmacological, psychotherapeutic, psychoeducational psychosocial actions was worked out and tested. The result of the developed system testing proved its high efficiency, which is supported by the positive dynamics of clinical and psychopathological indexes of suicide status and level of independence in the everyday life of patients with SB in dementia.

Inspiration project: Motivation, experiences, messages of support, overcoming and prevention of suicidal behavior

ObjectivesThe aim of that study was to analyze reasons for living, overcoming experiences and messages of support directed to people with suicidal behavior. ResultsThe analysis resulted in the categories: “Social, Interpersonal and Emotional Stressors”, “Emotional and Relational Needs”, “Persistence and Resilience”, “Counseling”, and “Barriers to Help Someone at Risk of Suicide”, in which was expressed the importance of social support, persistence and resilience, counseling people in distress and identifying important barriers to help someone at suicide risk. ConclusionThis study reveals experiences and behaviors related to helping people at risk, coping mechanisms, risk and protective factors related to suicide prevention.

Interdisciplinary measures to prevent suicidal behavior among the presonnel of the internal affairs bodies

Professional activities of employees of the Internal Affairs Bodies (IAB) are associated with increased stress which affects their emotional state, reduces the psychological resources and may have serious consequences for mental health including the risk of suicide. Development of suicidal behavior in police officers is a result of a complex interaction of social, personal and occupational factors. The Ministry of Internal Affairs (MIA) of Russia prioritizes promotion of mental health and prevention of mental illnesses. Thus, it is necessary to develop complex measures for early detection of deviations in the state of mental health of IAB employees associated with the risk for suicidal behavior. The aim of the study is the methodological substantiation and systematization of modern trends in the organization of interdisciplinary interaction for prevention of suicidal behavior in the Internal Affairs Bodies. Methods. We performed a comprehensive analysis of the regulatory documentation of the Russian Ministry of Internal Affairs on the reorganization of medical, psychiatric and psychological services for the employees. Results. Prevention of suicidal behavior in the system of the Ministry of Internal Affairs has two levels: 1) implementation of measures for the professional psychological selection of candidates for police services. 2) annual medical examinations and psychological services for the employees. Organizational and methodological measures aimed at the interaction of medical, psychological, personnel services and educational organizations of the Russian Ministry of Internal Affairs on prevention of suicidal behavior are proposed. A unified mechanism for monitoring of the state of mental health of employees has been developed using departmental electronic digital resources. Conclusion: to improve the effectiveness of the measures directed at prevention of suicide among police officers, it is necessary to take organizational and methodological measures aimed at systematizing interdisciplinary interaction with a consistent differentiation of services and specialists' functions and improving the regulatory and methodological basis to ensure the activities of specialists in the field of mental health.

Групповые способы профилактики суицидального поведения среди сотрудников МВД России

The article discusses the features of suicidal behavior and substantiates the relevance of group forms of prevention of such destructions. A separate part of the work is devoted to factors and indicators of suicidal behavior, which should pay attention to the heads of divisions of the internal Affairs bodies of the Russian Federation when conducting preventive measures to identify and prevent suicidal behavior among personnel. Big and main part of the work devoted to group forms of prevention of suicidal behavior among cadets of the Moscow regional branch Moscow University of the MIA of Russia named after V.Ya. Kikot. The novelty of this work is the use of socio-psychological training classes for the prevention of suicidal behavior of students. Such classes in the article are divided into several areas: 1) Training and game forms aimed at active physical interaction of participants in order to maximize the inclusion of a person in the group. 2) Game problem situations in order to solve and get out of them with the help of logical thinking of each individual. 3) Exercises for the development of human energy potential. These exercises are associated with addressing the unused physical and energy capabilities of a person. This can include perception training practices, active and passive meditative training, which participants should eventually use in their private life practice as often as possible. Such group classes can be used not only in educational organizations of the Ministry of internal Affairs of Russia, but also used in similar formats in other structures of internal Affairs bodies of the Russian Federation.