The program of complex differentiated medical and psychological rehabilitation of suicidal behavior in dementia

INTRODUCTION: The course of dementia is accompanied by aggression, wandering, agitation, sexual and eating disorders, suicidal behavior (SB). OBJECTIVES: Develop and approbate a program of medical and psychological rehabilitation (MPRP) SB in patients with dementia. METHODS: It were treated 199 patients with SB in dementia of which 107 get cured according to the developed programs and 92 people received traditional treatment. RESULTS: The program of MPRP combines pharmacotherapy, psychotherapy psychoeducation, psychological training and developed taking into account the mechanisms and predictors of SB. The program included phases: diagnostic phase, phase of active intervention, psychoprophylactic phase. Pathogenetic treatment of dementia was performed with acetylcholinesterase inhibitors and / or NMDA-receptor blockers for 4-6 months. Patients with dementia with a depressive mechanism of SB were additionally prescribed antidepressants from the class of SSRIS for 3-4 months; with the psychotic mechanism of SB – atypical neuroleptics (risperidone, quetiapine) for 2-3 months. The system of psychotherapeutic and psychosocial intervention included rational and family psychotherapy, cognitive training, self-care training and psychoeducation for patients with the cognitive mechanism of SB – art therapy and family psychotherapy, communicative trainings and psychoeducation for patients with the depressive mechanism of SB; crisis psychotherapy and art therapy, social skills training and psychoeducational classes for patients with a psychotic mechanism. Improvement of mental state and reduction of symptoms of SP were diagnosed in 72.9% of patients, and after the use of traditional forms of prevention – only in 40.2% (DC=2.58; MI=0.43, p>0.001). CONCLUSIONS: The results of approbation MPRP program in SB testify to its effectiveness. DISCLOSURE: No significant relationships.