Citation

Pilyagina G. Psychiatr. Danub. 2006; 18(Suppl 1): 126.

Affiliation

Ukrainian Scientific Research Institute of Social, Forensic Psychiatry and Narcology, Frunze str., 04107 Kiev, 03080 Ukraine. (pilyagin@visti.com)

Copyright

(Copyright © 2006, Facultas Universitatis Studiorum Zagrabiensis - Danube Symposion of Psychiatry)

DOI

unavailable

PMID

16964094

Abstract

The present problem has two main aspects: 1. Evaluation of actual situation concerning autoaggressive behaviour. During last decades the high level of suicides has been registered in Ukraine (per 100 thousands: 21, 1 suicide in 1989; 26, 8 - in 1994; 29, 0 in 1999; 23, 6 in 2004 - more than 14 thousands people). The higher prevalence of suicides is in the south-eastern regions of the country in comparison with western ones. Indirectly the increasing rate of autoagressive behaviour (AB) can be proved by the increasing number of it equivalents (indeterminate deaths, drug addiction, alcohol addiction, affective and neurotic disorders). The most alarming things are that at the second place (after people over 60) in committing suicide are men of 20-49 years old - the most capable part of the population and that recently the suicide rate has increased among children including children under 9. The most important factors of siucidogenesis are maladjustment (the low economical level of life, social loneliness); psychological problems (interpersonal communicative disturbances); mental disorders. The existing system of medical care for AB in Ukraine is not geared to the problem and makes adequate intervention and prevention impossible. Really specialized help to prevent suicide is offered only in big cities by a few specialists. The use of psychotherapy during the treatment of AB is limited. Most suicidal persons with transitory mental disorders consider themselves as healthy people and so do not access professional help. These persons have a high risk of further suicide attempts as they fail to receive adequate intervention and postvention. All this determines the vital necessity of the development of a National Program of prevention AB (suicides) and National Suicidological Service. 2. Further trends of Program realization. Since 1999 the National program has been underway and it includes following branches: organizing-methodological, scientific, diagnostic and treatment, preventive, social-informative. The process of realization of the National program is complicated by the poor financial support of health care services in Ukraine especially psychiatry. Besides, suicidology as a branch of mental health care has no separate financing. Work is underway to realize the legislative and scientific methodological basis of State suicidological service, to the development of standard diagnostics and therapy of suicide behaviour and its; equivalents, to the introduction of suicidological education in medical institutes and postgraduate study, to the suicidological care of population. The real steps toward these aims help to prevent the progress of auto destructive activity and to save people lives.

Language: en