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The Modern View on the Problem of Formation of Suicidal Behavior in Patients with a Pharmacoresistance Form of Epilepsy in the Postoperative Period (Review).

https://doi.org/10.18705/2311-4495-2019-6-2-5-11

Abstract

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.

About the Authors

N. I. Shova
Federal State Institution «National Medical Research Center of Psychiatry and Neurology by V.M. Bekhterev» Ministry of Health of Russia
Russian Federation

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

Bekhterev str. 3, Saint Petersburg, 196019


Competing Interests: No conflict of interest


V. A. Mikhailov
Federal State Institution «National Medical Research Center of Psychiatry and Neurology by V.M. Bekhterev» Ministry of Health of Russia
Russian Federation

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


Competing Interests: No conflict of interest


G. V. Odintsova
Polenov Neurosurgical Institute
Russian Federation

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

Saint Petersburg


Competing Interests: No conflict of interest


A. K. Druzhinin
Federal State Institution «National Medical Research Center of Psychiatry and Neurology by V.M. Bekhterev» Ministry of Health of Russia
Russian Federation

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

Saint Petersburg


Competing Interests: No conflict of interest


Yu. V. Popov
Federal State Institution «National Medical Research Center of Psychiatry and Neurology by V.M. Bekhterev» Ministry of Health of Russia
Russian Federation

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


Competing Interests: No conflict of interest


А. Yu. Ulitin
Polenov Neurosurgical Institute
Russian Federation

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

Saint Petersburg


Competing Interests: No conflict of interest


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Review

For citations:


Shova N.I., Mikhailov V.A., Odintsova G.V., Druzhinin A.K., Popov Yu.V., Ulitin А.Yu. The Modern View on the Problem of Formation of Suicidal Behavior in Patients with a Pharmacoresistance Form of Epilepsy in the Postoperative Period (Review). Translational Medicine. 2019;6(2):5-11. (In Russ.) https://doi.org/10.18705/2311-4495-2019-6-2-5-11

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