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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2025-22-2-12</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-2871</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЩЕСТВЕННОЕ ЗДОРОВЬЕ И ЗДРАВООХРАНЕНИЕ, ГИГИЕНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PUBLIC HEALTH AND HEALTH CARE, HYGIENE</subject></subj-group></article-categories><title-group><article-title>Организационно-медицинские барьеры при оказании медицинской помощи населению по профилактике суицидов</article-title><trans-title-group xml:lang="en"><trans-title>Organizational and medical barriers in providing medical care to the population for suicide prevention</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6518-1880</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербакова</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcharbakova</surname><given-names>K. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Щербакова Екатерина Николаевна - заместитель декана по идеологической и воспитательной работе лечебного факультета, старший преподаватель кафедры общественного здоровья и здравоохранения с курсом ФПКиП.</p><p>Гомель</p></bio><bio xml:lang="en"><p>Katsiaryna N. Shcharbakova - Deputy Dean for Ideological and Educational Work of the Faculty of General Medicine, Senior Lecturer at the Department of Public Health and Healthcare with the course of Advanced Training and Retraining, Gomel State Medical University.</p><p>Gomel</p></bio><email xlink:type="simple">ekateryna.shcherbakova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5580-5939</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаршакова</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharshakova</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шаршакова Тамара Михайловна - д.м.н., профессор, заведующий кафедрой общественного здоровья и здравоохранения с курсом ФПКиП.</p><p>Гомель</p></bio><bio xml:lang="en"><p>Tamara M. Sharshakova - Doctor of Medical Sciences, Professor, Head of the Department of Public Health and Healthcare with the course of Advanced Training and Retraining, Gomel State Medical University.</p><p>Gomel</p></bio><email xlink:type="simple">t_sharshakova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9148-487X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалев Алексей Алексеевич - старший преподаватель кафедры медицинской и биологической физики, инженер-программист центра науки, медицинской информации и клинических испытаний.</p><p>Гомель</p></bio><bio xml:lang="en"><p>Alexey A. Kovalev - Senior Lecturer at the Department of Medical and Biological Physics, Software Engineer at the Center for Science, Medical Information and Clinical Trials, Gomel State Medical University.</p><p>Gomel</p></bio><email xlink:type="simple">kovalev.data.analysis.gsmu@yandex.by</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>06</month><year>2025</year></pub-date><volume>22</volume><issue>2</issue><fpage>102</fpage><lpage>111</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Щербакова Е.Н., Шаршакова Т.М., Ковалев А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Щербакова Е.Н., Шаршакова Т.М., Ковалев А.А.</copyright-holder><copyright-holder xml:lang="en">Shcharbakova K.N., Sharshakova T.M., Kovalev A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/2871">https://journal.gsmu.by/jour/article/view/2871</self-uri><abstract><sec><title>Цель исследования</title><p>Цель исследования. Оценить информированность медицинских работников о профилактике суицидов.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведено анкетирование руководителей, врачей общей практики, врачей-специалистов Гомельской области по теме «Организационно-медицинские барьеры при оказании медицинской помощи населению по профилактике суицидов». Также респондентам было предложено дать рекомендации и предложения для улучшения мер по профилактике самоубийств (СУ) на уровне организации здравоохранения, на районном (городском) и областном уровнях оказания медицинской помощи.</p></sec><sec><title>Результаты</title><p>Результаты. Проведенное исследование дало возможность определить наличие барьеров при оказании медицинской помощи населению по профилактике суицидов.</p><p>Более половины респондентов (255 (51,93 %) человек) отметили, что наличие суицидальных мыслей является очень редким явлением, в 344 (70,06 %) ответах опрошенные предположили, что, если кто-то хочет убить себя, он не говорит об этом; 241 (49,08 %) врач считает, что люди говорят о возможном причинении вреда себе лишь для привлечения внимания. Значительное большинство специалистов (442 (90,02 %)) указали, что люди, совершающие попытки СУ, часто имеют серьезное чувство безнадежности и изоляции и не хотят обсуждать свои суицидальные мысли.</p><p>Две трети респондентов (327 (66,60 %)) предположили уровень ежегодной смертности в мире от суицида около 4,5 на 100 тыс. населения. Мнения касательно частоты встречаемости суицидальных попыток по половому признаку разделились примерно поровну. Так, лишь 290 (59,06 %) опрошенных отметили, что суицидальные попытки чаще встречаются среди мужчин, чем среди женщин.</p></sec><sec><title>Заключение</title><p>Заключение. Изученные данные свидетельствуют о низкой осведомленности работников здравоохранения по вопросам распространенности суицидальной активности среди населения. Однако выявлена достаточная информированность врачей об особенностях суицидального поведения, суицидального мышления, действий, мотивов и условий для совершения СУ. Это определяет необходимость усиления образовательных программ, направленных на повышение осведомленности специалистов.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Objective</title><p>Objective. To assess the awareness of healthcare professionals about suicide prevention.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. A survey of managers, general practitioners, and medical specialists of Gomel region was conducted on the topic of “Organizational and medical barriers in providing medical care to the population for the prevention of suicides (SU)”. Respondents were also asked to provide recommendations and suggestions for improving SU prevention measures at the level of healthcare organizations, at the district (city) and regional levels of medical care.</p></sec><sec><title>Results</title><p>Results. The conducted study made it possible to determine the presence of barriers in provision of medical care to the population for the prevention of SU.</p><p>More than half of the respondents (255 (51,93 %) people) noted that the presence of suicidal thoughts is a very rare phenomenon, in 344 (70,06 %) responses the respondents assumed that if someone wants to kill themselves, they do not talk about it. 241 (49,08 %) doctors believe that people talk about possible self-inflicted harm only to attract attention. A significant majority of specialists (442 (90,02 %)) indicated that people who attempt SU often have a serious sense of hopelessness and isolation and are unwilling to discuss their suicidal thoughts.</p><p>Two thirds of respondents (327 (66,60 %)) assumed the annual mortality rate from SU in the world to be about 4,5 per 100000 of population. Opinions regarding the frequency of SU attempts by gender divided approximately equally. Thus, only 290 (59,06 %) respondents noted that SU attempts are more frequent among men than women.</p></sec><sec><title>Conclusion</title><p>Conclusion. The studied data indicate low awareness of health workers on the prevalence of suicidal activity among the population. However, sufficient awareness of doctors on the characteristics of suicidal behavior, suicidal thinking, actions, motives and conditions for committing SU was revealed. This determines the need to strengthen educational programs aimed at raising the awareness of specialists.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>организация здравоохранения</kwd><kwd>самоубийство</kwd><kwd>суицидальные риски</kwd><kwd>профилактика суицида</kwd><kwd>организационные барьеры</kwd></kwd-group><kwd-group xml:lang="en"><kwd>organization of healthcare</kwd><kwd>suicide</kwd><kwd>suicide risks</kwd><kwd>suicide prevention</kwd><kwd>organizational barriers</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">WHO. [Electronic resource]. World Health Organization [date of access 2025 April 09]. Available from: https://www.who.int/teams/regulation-prequalification/regulation-and-safety/pharmacovigilance/networks/vaccine-safety-net/vsn-members/centers-for-disease-control-and-prevention</mixed-citation><mixed-citation xml:lang="en">WHO. 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