Signs Of Suicidal Behavior Research Articles

Structure of remissions of bipolar affective disorder in persons living in conditions of constant stress influence and having a property

The article presents an analysis of remission in 40 patients with bipolar affective disorder (BAD) with suicidal behavior who were under the emotionally significant stress influence. The mean duration of remission in the studied patients was (6.53 ± 3.82) months. The main number of patients 67.50 % (27 patients) were in partial remission — a period of significant improvement, which no longer met the syndromic criteria of the BAD episode on ICD-10 but remained minimal residual symptoms. Among the latter, the syndrome of transient anxiety was identified (48.15 % of cases), the syndrome of mild asthenic insufficiency occurred in 9 patients (33.33 % of cases), chronic subdepressive syndrome (18.52 % of patients). Complete clinical remission, when there are no manifestations of the disease at both syndromic and symptomatic levels, occurred in 10 cases (25.00 %). Complete functional remission was observed in 3 patients (7.50 %). It meant not only the absence of any clinical manifestations of the disease but also a complete return to the previous social life. The following prognostic signs of suicidal behavior in biologically active patients were also identified in patients exposed to significant stress: duration of previous remission less than 6 months (DC = 11.36; MI = 3.32); partial remission (DC = 6.1; MI = 1.32) and transient anxiety syndrome in the remission structure (DC = 12.02; MI = 3.88). In the future, the above factors should be taken into account when predicting suicide risk in patients with BAD.

Modern depressive disorder phenomena associated with suicidal male behavior

It was conducted a comprehensive survey of 100 men with depressive disorders. The clinical, psychopathological and pathopsychological features of depressive disorders associated with suicidal behavior in men were analyzed. All subjects were divided into two groups: the main group consisted of 51 patients with signs of suicidal behavior, control group consisted of 49 patients without signs of suicidal behavior. It has been shown that the clinical structure of depressive disorders is presented by sad (in 35.5 % of patients in the main group and in 34.7 % of control group), emotionally labile (in 29.9 % and in 31.3 %, respectively) and apathetic (in 34.6 % and in 34.0 %) variants. It has been established, that men with depressive disorders associated with self-destructive behavior have a high level of suicidal risk, low self-awareness of death, major or moderate depressive episode by MADRS, severe depression by HAM-D, clinically severe anxiety and depression by HADS, presence of serious suicidal intentions on the Columbian scale. Suicidogenic factors in men with depressive disorders are frustration of basic needs, loss of targeted personality installations and alcohol consumption. Keywords: depressive disorders, depression, anxiety, suicidal behavior.

МЕТОДИЧНИЙ АПАРАТ ДЛЯ ОЦІНЮВАННЯ ВІЙСЬКОВОСЛУЖБОВЦІВ НАЦІОНАЛЬНОЇ ГВАРДІЇ УКРАЇНИ, СХИЛЬНИХ ДО СУЇЦИДАЛЬНОЇ ПОВЕДІНКИ

The article discusses the most common psychodiagnostic methods for identifying people are more likely to have suicidal behavior. Existing psychodiagnostic apparatus for diagnostics and possible correction of servicemen prone to suicidal behavior in different countries of the world are described. The basic personality and character traits of a person are revealed by signs of suicidal behavior, the main tasks of organization and conducting of psychodiagnostics in different countries of the world are defined. As a result of the study of scientific sources, it was found that the problem of diagnosing the propensity for suicidal behavior among military units in different countries of the world is not as wide-spread as that of civilians, but is introduced only in some leading countries of the world. The theoretical studies which were conducted have allowed to define the concept of “suicidal behavior of the personality of the serviceman of the National Guard of Ukraine” as an act of immoral activity, the purpose of which is the termination of one’s life, characterized by a conscious, volitional (controlled, desirable) character, manifested as an outcome of complex social) psycho-traumatic factors and personality traits of a soldier of such activity and entails his own death. It is proved that most of the existing techniques are not adapted to the specifics of the military organization. They do not take into account the social and environmental factors of suicidal risk, directly related to the specifics of military service, where military personnel are often unable to overcome the extreme conditions of military life on their own. They contain direct questions about the presence of suicidal thoughts and experiences and are therefore not recommended for widespread use, so as not to make ordinary people commit suicidal acts. It is described that psychodiagnostic methods for detection and diagnostics of suicidal risk evaluate only the psychological side of the individual. From the same standpoint, criteria and indicators of motives for suicidal behavior and factors of its occurrence, as well as preventive measures, are being developed. However, the diagnosis of suicidal risk involves taking into account the multifactoriality of suicide, conducting activities not only to identify psychological but also social and environmental factors.

The role of impairment of higher mental functions in suicidogenesis in the dementia caused by Alzheimer's disease

Background Dementia is the age-related disease. At the same time, the elderly age has one of the peaks in the number of suicides. Psychology of patients with demetia is characterized by the feeling of hopelessness, pessimism, awareness of own insolvency, dependence on others, that affects the risk of suicide. It is established that the highest risk of suicide in the early stages of dementia with the progression of cognitive deficit, the risk of suicide decreases. Aim To study the role of impairment of higher mental functions (perception, reasoning, attention, memory, emotions, will, speech) in the formation of suicidal behaviour in patients with dementia in Alzheimer's disease. Materials and methods There were examined 75 patients with dementia in Alzheimer's disease, 36 patients with a history of suicidal behavior composed the main group, and 39 patients without the signs of suicidal behavior composed control group. The study was carried out using clinical-anamnestic, psychopathological methods and mathematical statistical methods. Results The high risk of suicide in dementia caused by Alzheimer's disease is combined with the inhibition of thinking, the delusional ideas of self-blame and self-effacement (p ≤ 0.05); depressed mood, inner agitation, anxiety, feeling of despair, hopelessness, guilt, melancholia, apathy (p ≤ 0.05); effector-volitional disorders in the form of hypobulia, hypokinesia, hypomimia, decreased libido (p ≤ 0.05); speech disturbance in the form of bradylalia p ≤ 0.05; greater exhaustion and decreased attention (p ≤ 0.05). On the contrary, the following peculiarities of higher mental functions, namely thought disorder are referred to the anti-risk factors of suicide in dementia caused by Alzheimer's disease: the delusional ideas of relation and damage (p ≤ 0.05); emotions: the feeling of fear (p ≤ 0.05); effector-volitional sphere: parabulia and hyperkinesia (p ≤ 0.05). Conclusion On the basis of clinical and psychopathological study of patients with dementia in Alzheimer's disease, the specific impairment of higher mental functions and emotional-volitional spheres reasoning, memory, attention, perception, speech, emotions) are identified associated with high risk of suicide.

Clinical-psychopathological analysis of current depressive disorders associated with suicidal behavior of women

Aim of research. Study of clinical and psychopathological features of depressive disorders associated with suicidal behavior in women in modern conditions Materials and methods of research. A comprehensive survey of 150 women aged 25-65 years was conducted who were diagnosed with depressive disorders: disorders of adaptation, in the form of depressive reaction (42.8%); moderate and severe depressive episode (35.1%), recurrent depressive disorder (22.1%) The main group consisted of 77 patients with signs of suicidal behavior, control - 73 patients without signs of suicidal behavior. Methods of research: clinical-anamnestic, psychodiagnostic, clinical-psychopathological Results. Distinguished anxiety (45.4% of the patients in the main and 32.1% of the control group), obesity (35.2% and 36.3% respectively), asthenia-apathetic (7.1% of the patients in the main and 18.2% of the control group) and melancholic (12.3% and 13.4% respectively) variants of depressive disorders. It is proved that women with depressive disorders combined with suicidal behaviour are adhered to high suicide risk, high anhedonia, severe anxiety and depression on the Hamilton scale, a large depressive episode on the Montgomery - Iceberg scale. For women with depressive disorders without signs of suicidal behaviour there was an average level of suicidal risk, high level of anhedonia, severe anxiety and depression on the Hamilton scale, a large depressive episode on the Montgomery - Iceberg scale Conclusions. 1. Women with depressive disorders with suicidal behaviour characterized by anxiety, tedious, asthenia-apathy and melancholy variants of depressive disorders. Patients with disturbing and timid variants of depression are characterized by a high level of suicidal risk. 2. Women with depressive disorders associated with suicidal behaviour there is a high level of suicidal risk, high anhedonia, severe anxiety and depression on the Hamilton scale, a large depressive episode on the Montgomery - Iceberg scale. 3. Prognostically significant in the formation of suicidal behaviour are disturbing and timid variants of depressive disorders, high rates of clinical anxiety and depression scales, high suicidal, obese suicidal anamnesis

Психологическая компетентность сотрудников органов внутренних дел при профилактике суицидальных рисков в служебной деятельности

The article considers the signs of suicidal behavior of a person. Based on a survey of law enforcement officers in which they provide self-assessment of knowledge about the signs of suicide, as well as the possibilities and nature of applying this knowledge to suicides, it is concluded that it is necessary to train internal affairs officials in the prevention of suicidal behavior. Based on the analysis of the results of the study, it was concluded that it is necessary to improve and systematize the knowledge of employees of the internal affairs agencies on suicidal behavior of the individual, and also to conduct educational work in this direction.

Use of Gene Expression Biomarkers to Predict Suicidality.

Since the tragic accident of Germanwings flight 4U9525, there has been discussion about methods to identify and prevent suicidality in pilots. Neurogenetic scientists claim that biomarker tests for suicidality as part of healthcare assessments may lead to early identification of suicidal behavior. In this commentary the value of these gene expression biomarkers for aeromedical purposes is evaluated based on relevant literature. It is concluded that the currently identified biomarkers for suicidality need thorough validation before they can be used. The aeromedical examiner's most important tool is still an anamnesis, in which warning signs of suicidal behavior can be picked up. Simons R. Use of gene expression biomarkers to predict suicidality. Aerosp Med Hum Perform. 2016; 87(7):659-660.

P03-286 - Characteristic of suicidal behavior peoples in Minsk city

Minsk city is the capital of the Republic of Belarus, in which 1 770 000 people live. Minsk had a heavy figures of suicidal activity (2003 -19,7 cases per 100 000, 2004 - 15,7 cases per 100 000 population).To prevent suicide in Minsk a suicidal activity monitoring is conducted since 2005; it includes registration of all cases of suicide and suicide attempts. The monitoring aimed to identify main forms of suicidal behavior, gender and age-specific characteristics of suicide. It was revealed that among suicides prevailed men, aged 40-59 year. Most common type of suicide are hanging, 85% of all cases. Among suicides 62.3% have one or another concentration of alcohol in the blood, often a concentration of from 1.5 to 2.5%.Only 16.6% of the total committed suicides get to medical help as a result of addiction problems. About 30% of the total committed suicides seek medical help to a general practitioner, but no signs of suicidal behavior did not. 65% of the total committed suicides never worked and has not studied. This group do not seek psychological help (request it mostly women - 85%, aged 35-45 years).As shown by 3-year observation, only 0.5% persons who commit suicide attempts committed suicide later.As a result of this work a strategy for prevention of suicidal behavior has been elaborated, including: implemented control of psychoactive drugs use; organized collaboration with mass media; educational seminars for general practitioners and social workers.

Adolescent Suicide: Risk Factors and Countermeasures

Abstract Suicide is the second leading cause of death for adolescents aged 15-to-24. The rate of completed and attempted suicides could be reduced by training teachers, counselors, and students to recognize those who are high risk and immediately responding by implementing both prevention and postvention strategies. Prevention strategies include identifying warning signs of suicidal behavior, referring to trained personnel, and teaching alternative coping techniques. Postvention strategies are directed toward sharing information, expressing feelings, and identifying those who are most vulnerable for suicidal actions.

Prediction of Suicide in Military Medical Facilities

The scope of the suicide problem is briefly reviewed and the distinction between actuarial and clinical prediction is discussed. Three approaches to the process of clinical prediction are (1) use of multiple predictors; (2) use of objective rating scales, and (3) psychodynamic formulation of risk. These are discussed and specific suggestions are offered for incremental implementation in military medical facilities depending on availability of psychiatric resources. The major warning signs of suicidal behavior are outlined and recommendations offered for training of ward personnel.

Three different types of clinical suicide.

A total of 149 inpatients were identified who had committed suicide in two Swiss psychiatric institutions in the years 1960-1981. Using Research Diagnostic Criteria, 49 were diagnosed as schizophrenics, 75 as depressives, and 9 as alcoholics. The first two groups were significantly overrepresented and the third one underrepresented when compared with a control sample. There were considerable differences between the individual diagnostic groups of clinical suicides: schizophrenic suicides were characterized by a disturbed early social adjustment, a high degree of later disability and an unfavorable course of their illness, depressive suicides were much less handicapped, although they presented a much higher long-term suicidal potential, and alcoholic suicides demonstrated no signs of suicidal behavior in the clinic and committed suicide unexpectedly after experiencing negative life events. These findings have therapeutic implications.