Thursday, 15 September 2011

In the analyzed case we ...

In the analyzed case we score on the Hamilton scale would immediately take it to a deeper level of depression and would justify the immediate hospitalization of the patient (the amount of balls over 30) / 8. In modern textbooks on psychiatry for general practitioners acquainted with the beginnings of medical Suicidology is of paramount importance. It is emphasized that the tendency to commit suicide should be determined at all (!) Patients, not only exhibiting depressive symptoms / 5, pp. 213. In the discussed observation of assessment of suicide risk (SR) could also play a significant role in the prevention of suicide. We believe that in our case, a role played by the lack (?) Opportunities for doctors, examined the patient, collect a full history: The above information in the text were obtained only during the post-mortem examination. Evaluating this information in its entirety, we can say that CP was very high already during the first medical examination patient M. SL is an indicator of high in this case, refer to suicide father and suicidal statements, the sudden abandonment of contact with the doctor, the presence of severe somatic disease in this particular individual and the family 9, 10, 11. It should be remembered guidance R. shader that suicides are the most frequent cause for the charges of psychiatrists in criminal negligence, and that should be thoroughly document all actions to identify risk and prevent suicides. Of course, we are far from being able to include the possibility of substantially change the existing situation. In large countries, is held about the same level of suicides in the population, adjusted for socio-economic situation. In the U.S. - 12 - 13. per 100000 population in Russia - more than 2.5 / 5, 12. In severe depression completed suicides have been reported in 15% of patients / 8 /, however, on the day segodneshny clinical tool that allows you to assess the dynamics of suicidal behavior, there is no / 13 /. Professional duty requires doctors to use their best efforts to reduce this disastrous due to the multifactorial phenomenon - of suicidal behavior. REFERENCES: 1. P. Pichot. The epidemiology of depression, "Zh. neuritis. and psychiatric. them. Korsakova, 1990, № 6, pp. 82-84. 2. C. Adams. The activities of the international committee for the prevention and treatment of depression, "Zh. neuritis. and psychiatric. them. Korsakov, No. 4 p.46-50. 3. NA Carnets depressive disorder - diagnostic 'invisible' in psychiatric practice and obshemeditsinskoy / Social. and clinically. psychiatrist. 1999, № 3, pp. 85-90. 4. G. Kaplan., B. rider. Clinical Psychiatry, trans. from English. Ed. T. Dmitrieva. Moscow, GEOTAR Medicine 1998 5. Psychiatry, edited by R. shader. M. Practice 1998. 6. ES Averbukh. Depression. L., "Medicine", 1982. 7. GP Panteleyev, SI Gavrilova. Standardization methods of diagnosis and quantitative assessment of the mentally ill / / VA

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