Takhtashova D. Clinical-psychopathological regularities of formation of a suicidal behavior in patients with bipolar affective disorders

The dissertation is devoted to analysis of clinical-psychopathological and pathopsychological regularities of formation of a suicidal behavior in patients with different stages of bipolar affective disorder (BAD) and to development on this basis a system of psychoprevention for this contingent of patients. The performed analysis of clinical-psychopathological and pathopsychological regularities of formation of a suicidal behavior in different BAD variants allowed us to work out and implement a differential system of psychoprevention. This system consists of five stages: a crisis therapy, a comprehensive diagnosis, the main and adjuvant measures of treatment and prevention, and a social psychological assistance. The means of therapeutic influence on all the stages were applied in form of pharmacological therapy, psychotherapy, and psychosocial assistance. An analysis of effectiveness of the program proposed allowed us to conclude about efficacy of the developed measures. This conclusion was supported with dynamics of clinical-psychopathological, pathopsychological parameters, a suicidological status, and quality of life of patients with a suicidal behavior in BAD. The efficacy of the developed therapy was supported also with a stable prevention influence which had been achieved. This was evidenced by two-year catamnestic examinations.