| Popis: |
Background. The relevance and clinical and social need for this study is determined by the fact that to date, no comprehensive therapy and prevention of suicidal behavior (SB) has been developed in patients with schizophrenia from the area of the anti-terrorist operation (ATO). Objective – to analyze the features of positive and negative syndromes by using the PANSS scale before and after complex therapy in people with schizophrenia who in the past had suicidal behavior. Materials and methods. 266 people aged 22 to 50 years were selected with a diagnosis of schizophrenia, who in the past had suicidal behavior. 136 people with suicidal behavior in schizophrenia who were treated in 2014-2016 constituted the main group (МG). The control group (CG) constituted 130 people with suicidal behavior in schizophrenia who were examined in 2006-2013. Results. In order to improve care for patients with suicidal behavior in schizophrenia who have been living in the ATO zone, we proposed an algorithm for the treatment process, which included a comprehensive and phased provision of medical and social assistance. In addition to standard care using clinical protocols, we have introduced a comprehensive approach taking into account the gender characteristics of patients with schizophrenia with suicidal behavior. Integrated author’s therapy was carried out at the inpatient and outpatient stages. Treatment measures were aimed both at the patients with schizophrenia with suicidal behavior, and at their relatives. After the treatment, we analyzed dynamics of positive, negative and psychopathological syndromes according to the PANSS, compared the results obtained before and after therapy. It was found that the main number of results that have a significant difference in МG and CG, relates to general psychopathological symptoms, which were identified as markers. Conclusions. The highlighted markers of positive, negative and psychopathological syndromes, that reduce the quality of life and lead to impaired social functioning, underwent positive changes when introducing a model of comprehensive measures to help patients with suicidal behavior in schizophrenia. |
