zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2021-18-3-2zdor-2028Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESВыделение групп суицидального риска в целях организации оказания медицинской помощи этой категории населенияDetermination of suicide risk groups for the purpose of the organization of medical assistance to this segment of the populationhttps://orcid.org/0000-0002-6518-1880ЩербаковаЕ. Н.ShcharbakovaK. N.

Щербакова Екатерина Николаевна, магистр медицинских наук, ассистент кафедры общественного здоровья и здравоохранения с курсом ФПКиП 

Гомель 

Katsiaryna N. Shcharbakova, Master of Medical Sciences, Assistant Lecturer at the Department of Public Health and Health Care with the course of the Faculty of Professional Development and Retraining 

Gomel

ekateryna.shcherbakova@gmail.comГомельский государственный медицинский университетGomel State Medical University2021290920211831522Copyright © Щербакова Е.Н., 20212021Щербакова Е.Н.Shcharbakova K.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/2028

В обзоре литературы приведены данные мировой статистики о распространенности в различных странах как завершенного суицида, так и его попыток. Названы причины, способствующие возникновению суицидального риска, факторы, провоцирующие суицидальное поведение, в их числе — гендерная принадлежность, возраст, семейное положение, тяжелые заболевания, психоэмоциональное состояние человека, экономические, социальные причины и др. А учитывая охватившую весь мир пандемию коронавирусной инфекции, приведены также результаты проведенных в разных странах исследований о влиянии COVID-19 на людей, причем не только на пациентов, но и на медицинский персонал, испытывающий значительные перегрузки при работе в условиях пандемии. Сделан вывод о необходимости и возможности предотвращения суицидальных попыток, проанализирован опыт других стран по организации помощи этой категории населения. Высказано мнение о целесообразности разработки в Республике Беларусь национальной интегрированной стратегии по предотвращению суицидальных рисков.

The literature review presents international statistical data on the rates of both completed and failed suicide attempts in various countries. The works lists the reasons contributing to suicide risk, factors triggering suicidal behavior among which are: gender, age, marital status, severe diseases, psycho-emotional state, economic, social reasons and others. Also, in consideration of the coronavirus disease pandemic spreading around the world, the work adduces the results of the studies on the COVID-19 impact on people including not only patients but also medical personnel severely strained in the situation of the pandemic which have been performed across countries. We have made a conclusion about the necessity and possibilities to prevent suicide attempts, have analyzed the experience of other countries in the organization of assistance to this segment of the population, have advanced forth an opinion on the appropriateness of the development of the national integrated suicide risk prevention policy in the Republic of Belarus.

организация здравоохранениясуицидсуицидальные рискиоказание помощиCOVID-19коронавирусная инфекцияhealthcare organizationsuicidesuicide risksmedical assistanceCOVID-19coronavirus diseaseReferencesSuicide Data [Электронный ресурс]. World Health Organization. [date of access 2021 April 07]. Available from: http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/Suicide Data [Электронный ресурс]. World Health Organization. [date of access 2021 April 07]. Available from: http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/Зинчук МС, Аведисова АС, Жабин МО, Гехт АБ. Суицидальность в позднем возрасте: социокультуральные и клинические факторы риска. Журнал неврологии и психиатрии им. С.С. Корсакова. 2018;118(7):104-111. DOI: https://doi.org/10.17116/jnevro201811871104Zinchuk MS, Avedisova AS, Zhabin MO, Guekht AB. Suicidality at a later age: sociocultural and clinical risk factors. Journal of Neurology and Psychiatry. S.S. Korsakov. 2018;118(7):104-111. (In Russ.). DOI: https://doi.org/10.17116/jnevro201811871104Морозова ИС, Белогай КН, Евсеенкова ЕВ. Нервно-психическое напряжение подростков как предиктор суицидального риска: гендерные аспекты проблемы. Общество: социология, психология, педагогика. 2019;(10). [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/nervno-psihicheskoenapryazhenie-podrostkov-kak-prediktor-suitsidalnogoriska-gendernye-aspekty-problemyMorozova IS, Belogai KN, Evseenkova EV Nervous and mental stress in adolescents as a predictor of suicidal risk: gender aspects of the problem. Society: sociology, psychology, pedagogy. 2019;(10). [date of access 2021 April 07]. Available from: https://cyberleninka.ru/article/n/nervno-psihicheskoe-napryazhenie-podrostkovkak-prediktor-suitsidalnogo-riska-gendernye-aspektyproblemy (In Russ.).Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, Blasco MJ, Cebrià A, Gabilondo A, Gili M, Lagares C, Piqueras JA, Rodríguez-Jiménez T, Rodríguez-Marín J, Roca M, Soto-Sanz V, Vilagut G, Alonso J. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019 Mar;64(2):265-283. DOI: https://doi.org/10.1007/s00038-018-1196-1Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, Blasco MJ, Cebrià A, Gabilondo A, Gili M, Lagares C, Piqueras JA, RodríguezJiménez T, Rodríguez-Marín J, Roca M, Soto-Sanz V, Vilagut G, Alonso J. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019 Mar;64(2):265-283. DOI: https://doi.org/10.1007/s00038-018-1196-1Gelaye B, Kajeepeta S, Williams MA. Suicidal ideation in pregnancy: an epidemiologic review. Arch Womens Ment Health. 2016 Oct;19(5):741-751. DOI: https://doi.org/10.1007/s00737-016-0646-0Gelaye B, Kajeepeta S, Williams MA. Suicidal ideation in pregnancy: an epidemiologic review. Arch Womens Ment Health. 2016 Oct;19(5):741-751. DOI: https://doi.org/10.1007/s00737-016-0646-0Dutta R, Ball HA, Siribaddana SH, et al. Genetic and other risk factors for suicidal ideation and the relationship with depression. Psychol Med. 2017;47(14):2438-2449. DOI: https://doi.org/10.1017/S0033291717000940хDutta R, Ball HA, Siribaddana SH, et al. Genetic and other risk factors for suicidal ideation and the relationship with depression. Psychol Med. 2017;47(14):2438-2449. DOI: https://doi.org/10.1017/S0033291717000940хSuicide and suicide risk. Nat Rev Dis Primers.2019;5:73. DOI: https://doi.org/10.1038/s41572-019-0130-zSuicide and suicide risk. Nat Rev Dis Primers.2019;5:73. DOI: https://doi.org/10.1038/s41572-019-0130-zJärventie I, Kivelä S-L. Suicide mortality among the elderly Finnish population 1960—1979. Public Health. 1986;100(6):375-384. DOI: https://doi.org/10.1016/s0033-3506(86)80100-7Järventie I, Kivelä S-L. Suicide mortality among the elderly Finnish population 1960—1979. Public Health. 1986;100(6):375-384. DOI: https://doi.org/10.1016/s0033-3506(86)80100-7Liu H. Epidemiologic Characteristics and Trends of Fatal Suicides among the Elderly in Taiwan. Suicide and Life-Threatening Behavior. 2009;39(1):103-113. DOI: https://doi.org/10.1521/suli.2009.39.1.103Liu H. Epidemiologic Characteristics and Trends of Fatal Suicides among the Elderly in Taiwan. Suicide and Life-Threatening Behavior. 2009;39(1):103-113. DOI: https://doi.org/10.1521/suli.2009.39.1.103Conwell Y, van Orden K, Caine ED. Suicide in Older Adults. Psychiatric Clinics of North America. 2011;34(2):451-468. DOI: https://doi.org/10.1016/j.psc.2011.02.002Conwell Y, van Orden K, Caine ED. Suicide in Older Adults. Psychiatric Clinics of North America. 2011;34(2):451-468. DOI: https://doi.org/10.1016/j.psc.2011.02.002Yeh J-Y, Xirasagar S, Liu T-C, Li C-Y, Lin H-C. Does Marital Status Pre-dict the Odds of Suicidal Death in Taiwan? A Seven-Year Population-Based Study. Suicide and Life-Threatening Behavior. 2008;38(3):302-310. DOI: https://doi.org/10.1521/suli.2008.38.3.302Yeh J-Y, Xirasagar S, Liu T-C, Li C-Y, Lin H-C. Does Marital Status Pre-dict the Odds of Suicidal Death in Taiwan? A Seven-Year Population-Based Study. Suicide and Life-Threatening Behavior. 2008;38(3):302-310. DOI: https://doi.org/10.1521/suli.2008.38.3.302Li G. The interaction effect of bereavement and sex on the risk of suicide in the elderly: An historical cohort study. Social Science and Medicine. 1995;40(6):825-828. DOI: https://doi.org/10.1016/0277-9536(94)00135-gLi G. The interaction effect of bereavement and sex on the risk of suicide in the elderly: An historical cohort study. Social Science and Medicine. 1995;40(6):825-828. DOI: https://doi.org/10.1016/0277-9536(94)00135-gWang M, Hu C, Zhao Q, et al. Acute psychological impact on COVID-19 patients in Hubei: a multicenter observational study. Transl Psychiatry.2021;11:133. DOI: https://doi.org/10.1038/s41398-021-01259-0Wang M, Hu C, Zhao Q, et al. Acute psychological impact on COVID-19 patients in Hubei: a multicenter observational study. Transl Psychiatry.2021;11:133. DOI: https://doi.org/10.1038/s41398-021-01259-0Luceno-Moreno L, Talavera-Velasco B, GarcíaAlbuerne Y, Martín-García J. Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020. Jul 30;17(15):5514. DOI: https://doi.org/10.3390/ijerph17155514Luceno-Moreno L, Talavera-Velasco B, GarcíaAlbuerne Y, Martín-García J. Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020. Jul 30;17(15):5514. DOI: https://doi.org/10.3390/ijerph17155514World Health Organization. WHO MiNDbank: More Inclusiveness Needed in Disability and Development [Electronic resource]. Geneva (Switzerland): World Health Organization. [date of access 2021 June 07]. Available from: URL: http://www.mindbank.infoWorld Health Organization. WHO MiNDbank: More Inclusiveness Needed in Disability and Development [Electronic resource]. Geneva (Switzerland): World Health Organization. [date of access 2021 April 07]. Available from: http://www.mindbank.infoGentile S. Suicidal mothers. J Inj Violence Res. 2011 Jul;3(2):90-97. DOI: https://doi.org/10.5249/jivr.v3i2.98Gentile S. Suicidal mothers. J Inj Violence Res. 2011 Jul;3(2):90-97. DOI: https://doi.org/10.5249/jivr.v3i2.98Любов ЕБ, Чубина СА. Статистика суицидов в мире: Корни и крона. Социальная и клиническая психиатрия. 2016;26(2):26. [дата обращения 2021 апрель 07]. Режим доступа: https://psychiatr.ru/fles/magazines/2016_06_scp_946.pdfLyubov EB, Chubina SA. World Suicide Statistics: Roots and Crown. Social and Clinical Psychiatry. 2016;26(2):26. [date of access 2021 April 07]. Available from: psychiatr.ru/fles/magazines/2016_06_scp_946.pdf (In Russ.).Букин СИ, Сурмач МЮ Медико-социальная характеристика общественного мнения жителей Гродненской области по проблеме суицида как основа для превенции. Журнал Гродненского государственного медицинского университета. 2017;58(2):181-185. [дата обращения 2021 апрель 07]. Режим доступа: http://elib.grsmu.by/handle/fles/3129Bukin SI, Surmach MJ Medico-social characteristics of the public opinion of Grodno region residents on the problem of suicide as a basis for prevention. Journal of Grodno State Medical University.2017;58(2):181-185. [date of access 2021 April 07]. Available from: http://elib.grsmu.by/handle/fles/3129 (In Russ.).Привалова НН, Станишевская ЛС. Дети Беларуси: социально-демографический портрет. Белорусский экономический журнал. 2020;(1):41-55. [дата обращения 2021 апрель 07]. Режим доступа: http://edoc.bseu.by:8080/handle/edoc/82417Privalova NN, Stanishevskaya LS. Children of Belarus: a socio-demographic portrait. Belarusian economic journal. 2020;(1):41-55. [date of access 2021 April 07]. Available from: http://edoc.bseu.by:8080/handle/edoc/82417 (In Russ.).Zhi GYJ, Flaherty GT, Hallahan B. Final journeys: exploring the realities of suicide tourism. J Travel Med. 2019 May 10;26(3):taz016. DOI: https://doi.org/10.1093/jtm/taz016Zhi GYJ, Flaherty GT, Hallahan B. Final journeys: exploring the realities of suicide tourism. J Travel Med. 2019 May 10;26(3):taz016. DOI: https://doi.org/10.1093/jtm/taz016Saathoff G. Suicide Terrorism: Performance Violence as Public Plunge. New England Journal of Public Policy. 2017;29(1):8. [date of access 2021 April 07]. Available from: https://scholarworks.umb.edu/nejpp/vol29/iss1/8Saathoff G. Suicide Terrorism: Performance Violence as Public Plunge. New England Journal of Public Policy. 2017;29(1):8. [date of access 2021 April 12]. Available from: https://scholarworks.umb.edu/nejpp/vol29/iss1/8Садуакасова КЗ. Суицид как биопсихосоциальная проблема. Введение в проблему. Вестник КазНМУ. 2017;(1). [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/suitsid-kak-biopsihosotsialnaya-problema-vvedenie-v-problemuSaduakasova KZ. Suicide as a biopsychosocial problem. Introduction to the problem. KazNMU Bulletin. 2017;(1). [date of access 2021 April 12]. Available from:https://cyberleninka.ru/article/n/suitsid-kak-biopsihosotsialnayaproblema-vvedenie-v-problemu (In Russ.).Любов ЕБ, Зотов ПБ. Диагностика суицидального поведения и оценка степени суицидального риска. Сообщение II. Суицидология. 2018;31(2). [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/diagnostika-suitsidalnogo-povedeniya-iotsenka-stepeni-suitsidalnogo-riska-soobschenie-iiLyubov EB, Zotov PB. Diagnostics of suicidal behavior and assessment of the degree of suicidal risk. Communication II. Suicidology. 2018;31(2). [date of access 2021 April 07]. Available from: https://cyberleninka.ru/article/n/diagnostika-suitsidalnogo-povedeniya-i-otsenkastepeni-suitsidalnogo-riska-soobschenie-ii (In Russ.).Дуткин МП. Этнокультуральные факторы суицидального поведения. Вестник Северо-Восточного федерального университета им. М. К. Аммосова. Сер. Медицинские науки. 2017;9(4):42-45. [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/etnokulturalnye-faktory-suitsidalnogo-povedeniyaDutkin MP. Ethnocultural factors of suicidal behavior. Bulletin of the North-Eastern Federal University. M.K. Ammosov. Series: Medical Sciences. 2017;9(4):42-45 [date of access 2021 April 07]. Available from: https://cyberleninka.ru/article/n/etnokulturalnye-faktorysuitsidalnogo-povedeniya (In Russ.).Mark L, Karlijn LA Roex, Tisch D. Anomie or imitation? The Werther effect of celebrity suicides on suicide rates in 34 OECD countries, 1960–2014, Social Science & Medicine.2020;246. DOI: https://doi.org/10.1016/j.socscimed.2019.112755Mark L, Karlijn LA Roex, Tisch D. Anomie or imitation? The Werther effect of celebrity suicides on suicide rates in 34 OECD countries, 1960–2014, Social Science & Medicine.2020;246. DOI: https://doi.org/10.1016/j.socscimed.2019.112755Enrique Albert Lopez, Lorena Garcia Fernandez, Marina Senent-Valero, Maria Pastor-Valero Psycological impact of the frst wave of covid-19 on health workers in spain. What do we know about health interventions to protect their mental health during pandemic and post-pandemic times? В: Современные подходы к продвижению здоровья: сборник материалов VIII Международной научно-практической конференции; 2021 27 мая 2021; Гомель: ГомГМУ, 2021. с.150-154.Enrique Albert Lopez, Lorena Garcia Fernandez, Marina Senent-Valero, Maria Pastor-Valero Psycological impact of the frst wave of covid-19 on health workers in spain. What do we know about health interventions to protect their mental health during pandemic and post-pandemic times? In: Modern approaches to health promotion: a collection of materials of the VIII International Scientifc and Practical Conference; 2021 May 27; Gomel: GomGMU; 2021. р. 150-154. (In Russ.).Kang L, Ma S, Chen M, Yang J, Wang Y, Li R., et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity. 2020;87:11-17. DOI: https://doi.org/10.1016/j.bbi.2020.03.028Kang L, Ma S, Chen M, Yang J, Wang Y, Li R., et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity. 2020;87:11-17. DOI: https://doi.org/10.1016/j.bbi.2020.03.028Pandemic fans the flames of smoking and health inequity. The Lancet Respiratory Medicine. 2021;9(5):435 DOI: https://doi.org/10.1016/S2213-2600(21)00180-6Pandemic fans the flames of smoking and health inequity. The Lancet Respiratory Medicine. 2021;9(5):435 DOI: https://doi.org/10.1016/S2213-2600(21)00180-6Щербакова ЕН, Флейтух ДА. Уровень тревожности населения при скрининговой диагностике основных неинфекционных заболеваний в условиях распространения коронавирусной инфекции. В: Современные подходы к продвижению здоровья: сборник материалов VIII Международной научно-практической конференции; 2021 27 мая; Гомель: ГомГМУ; 2021. с.141-142.Shcherbakova EN, Fleytukh DA. The level of anxiety of the population during screening diagnostics of the main non-infectious diseases in the context of the spread of coronavirus infection. In: Modern approaches to health promotion: a collection of materials of the VIII International Scientifc and Practical Conference; 2021 May 27; Gomel: GomGMU; 2021. р. 141-142. (In Russ.).Harris EC, Barraclough BM. Suicide as an outcome for medical disorders. Medicine (Baltimore). 1994 Nov;73(6):281-296. DOI: https://doi.org/10.1097/00005792-199411000-00001Harris EC, Barraclough BM. Suicide as an outcome for medical disorders. Medicine (Baltimore). 1994 Nov;73(6):281-296. DOI: https://doi.org/10.1097/00005792-199411000-00001Лихачев СА, Усова, НН, Савостин АП, Железнякова ДА, Могилевская АВ. Болевой синдром у пациентов с оперированным позвоночником. Неврология и нейрохирургия. Восточная Европа. 2020;10(4):534-543.Likhachev SA, Usova, NN, Savostin AP, Zheleznyakova DA, Mogilev AV. Pain syndrome in patients with operated spine. Neurology and Neurosurgery. Eastern Europe. 2020;10(4):534-543. [date of access 2021 April 07]. Available from: https://elib.gsmu.by/handle/GomSMU/7782 (In Russ.).Devinsky O. Postictal psychosis: common, dangerous, and treatable. Epilepsy Curr. 2008;8(2):31-34. DOI: https://doi.org/110.1111/j.1535-7511.2008.00227Devinsky O. Postictal psychosis: common, dangerous, and treatable. Epilepsy Curr. 2008;8(2):31-34. DOI: https://doi.org/110.1111/j.1535-7511.2008.00227Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004 Jun 14;164(11):1179-1184. DOI: https://doi.org/10.1001/archinte.164.11.1179Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004 Jun 14;164(11):1179-1184. DOI: https://doi.org/10.1001/archinte.164.11.1179Букин СИ. Критерии оценки риска суицида. Журнал Гродненского государственного медицинского университета. 2019;17(5):530-537. [дата обращения 2021 апрель 07]. Режим доступа: http://elib.grsmu.by/bitstream/handle/fles/14418/530-537%20z.pdf?sequence=1&isAllowed=yBukin SI. Criteria for assessing the risk of suicide. Journal of Grodno State Medical University. 2019;17(5):530-537. [date of access 2021 April 07]. Available from:http://elib.grsmu.by/bitstream/handle/files/14418/530-537%20z.pdf?sequence=1&isAllowed=y (In Russ.).Лучшева ЛВ. Суицид как комплексная проблема и пути ее преодоления. Вестник экстренной медицины. 2019;12(1):71-74. [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/suitsidkak-kompleksnaya-problema-i-puti-ee-preodoleniyaLuchsheva LV. Suicide as a complex problem and ways to overcome it. Emergency Medicine Bulletin. 2019;12 (1):71-74. [date of access 2021 April 07]. Available from: https://cyberleninka.ru/article/n/suitsid-kakkompleksnaya-problema-i-puti-ee-preodoleniya (In Russ.).Разводовский ЮЕ, Зотов ПБ. Самоубийства и смертность от туберкулеза в России: сравнительный анализ временных серий. Российский медико-биологический вестник им. академика И.П. Павлова. 2017;25(4):599-611. DOI: https://doi.org/10.23888/PAVLOVJ20174599-611Razvodovsky YUE, Zotov PB. Suicides and deaths from tuberculosis in Russia: a comparative analysis of time series. Russian medical and biological bulletin named after Academician I.P. Pavlova. 2017;25(4):599-611. DOI: https://doi.org/10.23888 / PAVLOVJ20174599-611 (In Russ.).Асмаковец ЕС. Суицид и профессиональная деятельность. Сообщение 1. Трудоголизм и безработица. Омский психиатрический журнал. 2014;(1):55-59. [дата обращения 2021 апрель 07]. Режим доступа: https://cyberleninka.ru/article/n/suitsid-i-professionalnayadeyatelnost-soobschenie-1-trudogolizm-i-bezrabotitsaAsmakovets ES. Suicide and professional activities. Message 1. Workaholism and unemployment. Omsk Psychiatric Journal. 2014;(1):55-59. [date of access 2021 April 07]. Available from: https://cyberleninka.ru/article/n/suitsid-i-professionalnaya-deyatelnostsoobschenie-1-trudogolizm-i-bezrabotitsa (In Russ.).

The authors declare that there are no conflicts of interest present.