transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2019-6-2-5-11transmed-459Research ArticleНЕВРОЛОГИЯNEUROLOGYСовременный взгляд на проблему формирования суицидального поведения у пациентов с фармакорезистентной формой эпилепсии в послеоперационном периоде (литературный обзор)The Modern View on the Problem of Formation of Suicidal Behavior in Patients with a Pharmacoresistance Form of Epilepsy in the Postoperative Period (Review).ШоваН. И.ShovaN. I.

Шова Наталья Игоревна - аспирант отделения реабилитации больных с психосоматическими расстройствами.

Ул. Бехтерева, д. 3, Санкт-Петербург, 196019

Natalya I. Shova - Postgraduate Student of the Department of Rehabilitation of Patients With Psychosomatic Disorders.

Bekhterev str. 3, Saint Petersburg, 196019

skins_cassi@outlook.comМихайловВ. А.MikhailovV. A.

Михайлов Владимир Алексеевич - доктор медицинских наук, заместитель директора по инновационному научному развитию и международному сотрудничеству, руководитель международного отдела, главный научный сотрудник и научный руководитель отделения реабилитации больных с психосоматическими расстройствами.

Санкт-Петербург

Mikhalov Vladimir A. - PhD, Dr. Sc., Deputy Director for Innovative Scientific Development and International Cooperation, Head of the International Department, Chief Researcher and Scientific Director of the Department of Rehabilitation of patients with psychosomatic disorders.

Saint Petersburg

vladmikh@yandex.ruhttps://orcid.org/0000-0002-7186-0054ОдинцоваГ. В.OdintsovaG. V.

Одинцова Галина Вячеславовна - кандидат медицинских наук, старший научный сотрудник.

Санкт-Петербург

Odintsova Galina V. - PhD, Senior Researcher, Department of Epileptology.

Saint Petersburg

ajo@mail.ruДружининА. К.DruzhininA. K.

Дружинин Андрей Константинович - кандидат медицинских наук, младший научный сотрудник отделения реабилитации больных с психосоматическими расстройствами.

Druzhinin Andrey K. - PhD, Junior Research of the Department of Rehabilitation of Patients With Psychosomatic Disorders.

Saint Petersburg

ankod63@mail.ruПоповЮ. В.PopovYu. V.

Попов Юрий Васильевич - доктор медицинских наук, профессор, заслуженный деятель науки РФ, главный научный сотрудник и научный руководитель отделения лечения психических расстройств у лиц молодого возраста.

Санкт-Петербург

Popov Yuriy V. - PhD, Dr. Sc., Professor, Chief Researcher and Scientific Director of the Department of Treatment of Mental Disorders in Young People.

Saint Petersburg

popov62@yandex.ruУлитинА. Ю.UlitinА. Yu.

Улитин Алексей Юрьевич - доктор медицинских наук, профессор, заслуженный врач РФ, директор.

Санкт-Петербург

Ulitin Alexey Yu. - PhD, Dr. Sc., Director.

Saint Petersburg

ulitinaleks@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр психиатрии и неврологии имени В.М. Бехтерева» Министерства здравоохранения Российской ФедерацииРоссияFederal State Institution «National Medical Research Center of Psychiatry and Neurology by V.M. Bekhterev» Ministry of Health of RussiaRussian FederationРоссийский научно-исследовательский нейрохирургический институт имени профессора А.Л. ПоленоваРоссияPolenov Neurosurgical InstituteRussian Federation20190906201962511Copyright © Шова Н.И., Михайлов В.А., Одинцова Г.В., Дружинин А.К., Попов Ю.В., Улитин А.Ю., 20192019Шова Н.И., Михайлов В.А., Одинцова Г.В., Дружинин А.К., Попов Ю.В., Улитин А.Ю.Shova N.I., Mikhailov V.A., Odintsova G.V., Druzhinin A.K., Popov Y.V., Ulitin А.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/459

Количество пациентов c эпилепсией и завершенной попыткой суицида в 5 раз выше, чем в общей популяции, и занимает третью позицию среди причин смерти в этой нозологической группе. Изучение психопатологических характеристик больных эпилепсией приближает нас к пониманию возможного суицидального поведения в этой группе пациентов. Особый интерес представляют больные с фармакорезистентной формой в послеоперационном периоде. Длительное течение заболевания и наличие «кризисной ситуации» как осознания факта оперативного лечения может деформировать внутреннюю картину болезни и на фоне изменений личности в послеоперационном периоде приводить к социальной дезадаптации, ухудшая прогноз заболевания, вплоть до возникновения суицидальных намерений. Учитывая клиническую значимость заболевания и высокую частоту психических нарушений при эпилепсии, в том числе возникающих после операции, лучшее понимание возможных суицидальных намерений может помочь в оптимизации социальной адаптации больных и превенции суицидов.

The number of patients with epilepsy and completed attempt at suicide is 5 times higher than in the general population and ranks third among the causes of death in this group. Studying the psychopathological characteristics of patients with epilepsy brings us closer to an understanding of the possible suicidal behavior in this group of patients. Of particular interest are patients with pharmacoresistant form in the postoperative period. The long course of the disease and the presence of a “crisis situation”, as an awareness of the fact of operative treatment, can deform the internal picture of the disease and, against the background of personality changes in the postoperative period, lead to social disadaptation, worsening the prognosis of the disease, up to the occurrence of suicidal intentions. Given the clinical significance of the disease and the high incidence of mental disorders during epilepsy, including those that occur after surgery, a better understanding of possible suicidal intentions can help in optimizing the social adaptation of patients and the prevention of suicides.

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The authors declare that there are no conflicts of interest present.