Clinical and socio-psychological characteristics of patients with suicidal attempts

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Abstract

The article presents a retrospective analysis of medical records of 192 patients with suicide attempts who were treated in somatopsychology department for surgical patients in Scientific Research Institute of Emergency Care named after N.V. Sklifosovsky. The sample consisted of 64% men and 36% women. Most patients didn’t have higher education (82%), were not married (71%), and were in active working age from 15 to 45 years old (74%). The analysis of the medical records revealed that most patients were diagnosed with affective and personality disorder (56%), suffered from addiction and consumed alcohol and drugs regularly (11%), gave themselves stab and incision wounds of different localization (74%), a lot of them had hepatitis C virus (65%). Exasperation of severity of their mental state and growth of psychological and social maladjustment of patients after the initial auto-aggressive action often act as the factors of repetitive and multiple suicide attempts. We conclude that it is necessary to create special centers for the rehabilitation of patients who committed a suicide attempt and for the prevention of repeated auto-aggressive actions based on the model of centers of dialectical behavioral therapy, which provide specialized care for patients with chronic suicidal behavior.

General Information

Keywords: suicidal behavior, socio-psychological factors, suicide attempt, prevention

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2016240305

For citation: Chernaia M.I., Kholmogorova A.B., Zubareva O., Zhuravleva T.V. Clinical and socio-psychological characteristics of patients with suicidal attempts. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2016. Vol. 24, no. 3, pp. 69–88. DOI: 10.17759/cpp.2016240305. (In Russ., аbstr. in Engl.)

References

  1. Ambrumova A.G. Individual’no-psikhologicheskie aspekty cuitsidal’nogo po- vedeniya [Individual-psychological aspects of suicidal behavior]. Aktual’nye problemy suitsidologii [Actual problems of suicidology]. Moscow: B. i., 1978, pp. 44—59.
  2. Ambrumova A.G., Tikhonenko V.A. Suitsid kak fenomen sotsial’no-psikhologiches- koi dezadaptatsii lichnosti [Suicide as a phenomenon of socio-psychological mal- adjustment of personality]. Aktual’nye problemy suitsidologii [Actual problems of suicidology]. Moscow: B. i., 1978, pp. 6—28.
  3. Bisaliev R.V., Veshneva S.A. Suitsidal’noe povedenie u addiktov i ikh rodstvennikov [Suicidal behavior in addicts and their relatives]. Astrakhan: Publ. AGTU, 2013. 10 p.
  4. Voitsekh V.F. Klinicheskaya suitsidologiya [Clinical suicidology]. Moscow: Publ. Miklosh, 2008. 280 p.
  5. Gorchakova V.A., Arbuzova L.A., Palin A.V., Kholmogorova A.B. Travmaticheskii stress u patsientov s khronicheskim suitsidal’nym povedeniem i chertami pogranich- nogo lichnostnogo rasstroistva [Traumatic stress in patients with chronic suicidal be- havior and characteristics of borderline personality disorder]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling psychology and psychotherapy], 2014. Vol. 22, no. 2, pp. 119—139. (In Russ., Abstr. in Engl.).
  6. Grollman E. Suitsid: preventsiya, interventsiya, postventsiya [Suicide: prevention, intervention, postvention]. In Suitsidologiya: Proshloe i nastoyashchee: Problema samoubiistva v trudakh filosofov, sotsiologov, psikhoterapevtov i v khudozhestven- nykh tekstakh [Suicidology: Past and present: The problem of suicide in the works of philosophers, sociologists, psychotherapists and in fiction]. Moscow: Publ. Kogito- Tsentr, 2001. 232 p.
  7. Zhabenko N.Yu. Suitsidal’noe povedenie i VICh-infektsiya [Suicidal behaviour and HIV]. Klіnіchnі doslіdzhennya [Clinical advancements], 2011, no. 4, pp. 45—47.
  8. Kargin A.M., Voitsekh V.F., Kholmogorova A.B. Lichnostnye faktory suitsidal’nogo povedeniya u patsientov krizisnogo statsionara, sovershivshikh suitsidal’nye popytki [Personal factors of suicidal behavior in patients of the crisis inpatient facility with suicidal attempts]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2009. Vol. 19, no. 4, pp. 15-20. (In Russ., Abstr. in Engl.).
  9. Konina M.A., Kholmogorova A.B., Sorokova M.G. Fenomen neogranichennogo seksual’nogo povedeniya v sovremennom obshchestve: patologicheskie tendentsii kul’tury ili patologiya lichnosti? [The phenomenon of unrestricted sexual behav- ior in modern society: pathological culture tendency or personality pathology?]. Konsul’tativnaia psikhologiia i psikhoterapiia [Counseling Psychology and Psychother- apy], 2014. no. 2, pp. 88—118. (In Russ., аbstr. in Engl.)
  10. Kudryavtsev I.A. Kompleksnaya sudebnaya psikhologo-psikhiatricheskaya ekspertiza [Comprehensive forensic psychological and psychiatric examination]. Moscow: Publ. MGU, 1999. 414 p.
  11. Kudryavtsev I.A., Dekalo E.E. Psikhologicheskie faktory i mekhanizmy suitsido- geneza kak kriterii suitsidal’nogo riska i napravlennoi profilaktiki [Psychological factors and mechanisms of suicide genesis as criteria of suicide risk and targeted prevention]. Suitsidologiya [Suicidology], 2012, no. 2, pp. 3—10. (In Russ., Abstr. in Engl.).
  12. Linehan M. Kognitivno-povedencheskaya terapiya pogranichnogo rasstroistva li- chnosti [Cognitive-behavioral therapy of borderline personality disorder]. Moscow: Publ. Vil’yams, 2007. 50 p. (In Russ.)
  13. Lapitskii M.A., Vaulin C.B., Voitsekh V.F., Yakovleva C.B. Suitsidal’nye otravleniya. Epidemiologicheskie i kliniko-toksilogicheskie aspekty [Suicidal poisoning. Epide- miological and clinical-toxicological aspects]. Sotsial’naya i klinicheskaya psikhi- atriya [Social and clinical psychiatry], 2004, no. 1, pp. 28—33.
  14. Lasovskaya T.Yu. Samopovrezhdayushchee povedenie pri pogranichnom lichnost- nom rasstroistve [Self-injurious behavior in borderline personality disorder]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling Psychology and Psycho- therapy], 2014, no. 2, pp. 38—47. (In Russ., аbstr. in Engl.)
  15. Lasyi E.V., Davidovskii S.V., Khvostova I.I. Otsenka suitsidal’nogo riska i profilak- tika suitsidal’nogo povedeniya [Assessment of suicidal risk and prevention of suicidal behavior]. Minsk: Publ. Belorusskaya meditsinskaya akademiya poslediplomnogo obrazovaniya, 2009. 34 p.
  16. Menninger K. Voina s samim soboi [Man Against Himself]. Moscow: Publ. Ekspo- press, 2000. 480 p. (In Russ.)
  17. Nasilie i ego vliyanie na zdorov’e. Doklad VOZ o situatsii v mire: per. s angl. [World report on violence and health]. In E.G. Krug et al. (eds). M.: Publ. «Ves’ mir», 2003. 376 p. (In Russ.)
  18. Pavlova T.S. Diagnostika riska suitsidal’nogo povedeniya detei i podrostkov v obrazovatel’nykh uchrezhdeniyakh [Assessment of risk of suicidal behavior in chil- dren and adolescents in educational establishments]. Sovremennaya zarubezhnaya psikhologiya [Modern foreign psychology], 2013, no. 2, pp. 79—89. (In Russ., Abstr. in Engl.).
  19. Polozhii B.S. Suitsidal’noe povedenie (kliniko-epidemiologicheskie i etno- kul’tural’nye aspekty) [Suicidal behavior (clinical, epidemiological and ethno-cul- tural aspects)]. Moscow: Publ. FGU GNTs SSP im. Serbskogo, 2010. 232 p.
  20. Polskaya N.A. Prichiny samopovrezhdeniya v yunosheskom vozraste (na osnove shkaly samootcheta) [The reasons of self-injurious behavior in youth (based on a self-report scale)]. Konsul’tativnaya psikhologiya i psikhoterapiya [Counseling psy- chology and psychotherapy], 2014, no. 2, pp. 140. (In Russ., Abstr. in Engl.).
  21. Polskaya N.A., Vlasova N.V. Autodestruktivnoe povedenie v podrostkovom i yunosheskom vozraste [Self-destructive behavior in adolescence and youth]. Konsul’tativnaia psikhologiia i psikhoterapiia [Counseling Psychology and Psychother- apy], 2015. Vol. 23, no. 4, pp. 176—190. doi:10.17759/cpp.2015230411. (In Russ., аbstr. in Engl.).
  22. Smulevich A.B. Psikhopatologiya lichnosti i komorbidnykh rasstroistv: uchebnik [Psychopathology of personality and comorbid disorders]. Moscow: Publ. Med- press-inform, 2009. 140 p.
  23. Starshenbaum G.V. Suitsidologiya i krizisnaya psikhoterapiya: uchebnik [Suicide- studying and crisis psychotherapy]. Moscow: Publ. Kogito-tsentr, 2005. 376 p.
  24. Kholmogorova A.B., Garanyan N.G., Gorshkova D.A., Mel’nik A.M. Suitsidal’noe povedenie v studencheskoi populyatsii [Suicidal behavior in a student population]. Kul’turno-istoricheskaya psikhologiya [Cultural-historical psychology], 2009, no. 3, pp. 101-110. (In Russ., Abstr. in Engl.).
  25. Chistopol’skaya K.A., Enikolopov S.N., Badalyan A.V., Sarkisov S.A. Adaptatsiya metodik otnosheniya k smerti u lyudei v ostrom postsuitside i v otnositel’nom psik- hologicheskom blagopoluchii [Adaptation of the attitude to death and fear of death assessment techniques for the healthy individuals and those in acute post-suicidal condition in a Russian sample]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2012, no. 2. pp. 35-42. (In Russ., Abstr. in Engl.).
  26. Shneidman E. Dusha samoubiitsy [The Suicidal Mind]. Moscow: Publ. Smysl, 2001. 315 p.
  27. Wasserman D. A stress-vulnerability model and the development of the suicidal pro- cess. In Suicide, An unnecessary death. London: Martin Dunitz Publishers, Taylor & Francis Group, 2001. Р. 13—27.

Information About the Authors

Mariia I. Chernaia, Junior Researcher, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia, e-mail: Chernaya_masha@mail.ru

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

Olga Zubareva, PhD in Medicine, Head of psychosomatic disorders department, N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russia, e-mail: olgazubareva@yandex.ru

Tatyana V. Zhuravleva, Junior Researcher, laboratory of Medical Biochemistry and Psychoneuroendocrinology, Federal State Budgetary Institution of Science State Scientific Center of the Russian Federation – Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Russia, e-mail: tita1993@mail.ru

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