Citation

Kutlubaev MA. Nevrologicheskii Zhurnal 2016; 21(3): 124-130.

Copyright

(Copyright © 2016)

DOI

10.18821/1560-9545-2016-21-3-124-130

PMID

unavailable

Abstract

The article is devoted to the problem of suicidal behavior in some neurological diseases. PubMed and Google scholar were browsed using key words "suicide", "suicidal behavior", "stroke", "epilepsy", "multiple sclerosis", "motor neuron disease", "Parkinson's disease", "dementia", "neurological disorders". The risk of suicidal behavior is increased among patients with neurological diseases. For instance, up to third of deaths among patients with epilepsy is associated with suicide. The risk of suicide is especially high in temporal-lobe epilepsy and in drug-resistant forms. The frequency of suicide in patients with multiple sclerosis is approximately twice higher than on average in population. The risk of suicide is increased among patients with motor neuron disease, during first years after stroke, after diagnosing of dementia or Huntington's disease. There is high frequency of suicidal thoughts in all the above mentioned diseases. The main risk factors of suicidal behavior in neurological diseases are affective disorders, social problems (loneliness, low income). The role of certain medications (beta-interferon, anticonvulsive drugs) in the development of suicidal behavior in neurological disorders is also discussed. The risk of suicide is especially high immediately after the establishing of disabling disease. Arranging medical care for patients it is necessary to pay special attention to screening and correction of psychiatric complications of neurological diseases. Suicidal behavior in neurological diseases could be prevented by establishing respectful therapeutic relationship between healthcare professional and a patient, involving in the medical care the psychologists, psychotherapists for cognitive-behavioral therapy and social workers. Neurological wards should be located on the lower floors of hospital buildings.

Language: ru

Keywords

Prevention; Epilepsy; Suicidal behavior; Multiple sclerosis; Dementia; Stroke; Parkinson's disease; Motor neuron disease; Neurological disorders