On the contrary, antisuitsidalnymi factors are: severe emotional attachment to a close, a strong sense of duty, particularly in the area of ??parenting, the fixation on the state of their own health, heavy reliance on public opinion and the desire to avoid condemnation from others, ideas of sin and infamous suicide of unused life opportunities, the availability of creative (and life in general), plans and ideas, the existence of stable aesthetic criteria in thought (unwillingness to look good, I'm sorry, ugly, even after death). Most of these factors is subject to change over time, so a person diagnosed with a specific suicide risk can not be extrapolated to the future, since it requires periodic adjustment. Among persons with mental disorders dominate people with schizophrenia (11-18% according to different authors), reactive states (15%), alcoholism and drug (toxic), delusions (13-20%), affective disorders (5%) and patients with abnormalities of personality (including psychopathy, harakteropatii, abnormal development of up to 25% of cases). It is important to emphasize that before committing suicide attempt on the account in the MHP is not more than 23-28% suicides. If we analyze the mental state of suicides is not a nosological point of view, as we have done now, with the syndromal and then we can say that in most cases we are talking about the different clinical and typological variants depressive syndrome. It is believed that depression - a disease of suicide, 60-70% of depressed patients exhibit suicidal tendencies, and approximately 15% of them commit suicide. Therefore the problem of suicide - this is the problem of depression. Unfortunately, almost half of depressed patients do not seek medical help, remaining only a 25-30% fall in the field of view of the psychiatrist, the other avoids it and treated in primary care network, primarily outpatient therapists and neurologists. There is evidence that up to 60% of patients who come to the clinics, exhibit depressive disorders of varying severity. Meanwhile, in outpatient depression is diagnosed in no more than 5% of all depressed patients go there. Therefore, the medical aspect of suicide prevention is that, on the one hand, to bring mental health care to needy patients of somatic hospitals and on the other - to raise awareness of general practitioners and specialists - nepsihiatrov in matters of the clinic and treatment of depression and suicidal phenomena in depressed patients. There are practically no depression, which is not accompanied by any physical disorders, functional or organic disorders of various organs and body systems (in particular cardiovascular, gastrointestinal, dermatological and excretory). Therefore, depressed patients and treated in the general profile institutions. There is some clinical and typological variations combination of depression with somatic diseases (comorbid conditions).
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