It is increasingly talked about the mother ...

It is more often the mother talked about the hopelessness of the situation, the need for the whole family to die in order to escape poverty and suffering, came to the well by inserting a nail into the wall. She talked in detail about the order in a domestic samoutopleniya well. In early August, she called the house of relatives and made available on its property, presenting them with poultry and poultry feed. In this case, her speech, movement, clothing had not been violated. She paid the utility bills has led to the order of the house. According to investigators, she had committed the murder of his daughter, strangled her with a handkerchief, the details of drowning mother and most M. clarify failed. If the court showdown in Moscow revealed nodular uterus. When viewed from the house during the investigation were found neatly folded sets of clothes M., her daughter and mother, to which were attached candles, religious pamphlets. On the table lay two multi suicide notes, executed by hand, Moscow, without erasures and corrections, a neat handwriting. They Moscow, reported "a general hatred for her and contempt, of" bullying "over it at work and their belief that the same will scoff at her daughter. She wrote about her illness "cancer of the uterus, pain all over my body. She mentioned about his "ugliness" (in particular, the blue color of his face "), anguish associated with this deformity, the sin of cohabitation without marriage to G., who was called" a man of hell "and wrote that his "Genes must die" with his daughter. Significantly the end of the letter: "I do not blame the fact that I had such instincts, apparently, I was born a devil." These observations are typical, no doubt causing diagnostic cases the effective disorder in the form of major depressive episode. Based on the task before us, we omit the independent interest nosological ekspertologicheskuyu qualifications and assessment, and consider the practical aspects of diagnosis and evaluation of the variance of suicidal risk. Recognition of depression is one of the central problems of modern psychiatry, which in our conditions exacerbated by the lack of educational reform, relevant international standards, diagnostic / 3 /. Assimilation techniques of clinical examination of the type "structured interview", which allows a fairly simple form an opinion about the presence of depression without going into psychopathology "details" should be included in the syllabus of all kinds of doctors nonpsychiatric profile. This favors the emergence of a sale of contemporary guidelines for general practitioners / 4,5 /. A careful introduction to the typology of depressive states must develop a physician vigilance in regard to depressive-hypochondriac syndrome as a distinct option, "conceals" the external manifestations of depression (ES Averbukh) / 6 /, and masked depression have been widely discussed in the special printing . Mastering the techniques of examination and evaluation of mental status using the rating scales can certainly reduce the number of tragic outcomes in patients with depression / 7.