Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions
The effective care for patients with self-poisoning with antihypertensive and antiarrhythmic drugs is associated with taking into account both clinical and adverse social, psychological and environmental stress factors. To identify their specifics, a retrospective analysis of 120 medical records and...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2023-02-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/1515 |
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| author | A. B. Kholmogorova O. D. Pugovkina M. I. Subotich A. V. Komova M. M. Potskhveria G. N. Sukhodolova |
| author_facet | A. B. Kholmogorova O. D. Pugovkina M. I. Subotich A. V. Komova M. M. Potskhveria G. N. Sukhodolova |
| author_sort | A. B. Kholmogorova |
| collection | DOAJ |
| description | The effective care for patients with self-poisoning with antihypertensive and antiarrhythmic drugs is associated with taking into account both clinical and adverse social, psychological and environmental stress factors. To identify their specifics, a retrospective analysis of 120 medical records and a clinical and psychological examination of 20 patients with antihypertensive and antiarrhythmic drugs self-poisoning and a comparison group of 34 patients with selfpoisoning with psychotropic drugs were carried out. It has been shown that the risk group for re-suicide in self-poisoning with antihypertensive and antiarrhythmic drugs is about 30% of patients. Risk factors are depressive symptoms that persist before discharge from the hospital, as well as dysfunctional personality traits (perfectionism in the form of increased preoccupation with the assessments of other people and frequent unfavorable comparisons with them, experiencing loneliness and isolation, increased impulsivity and a feeling of hostility from others) and unproductive ways of coping with stress (ruminative thinking or repetitive unpleasant and unproductive thoughts about anergy, lack of strength and loneliness). The results of the study and the developed psychodiagnostic complex can be used to identify targets for urgent psychological assistance and screening for the risk of re-suicide. |
| format | Article |
| id | doaj-art-08fbed19b59f4f5fba7f22b271baf9ee |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2023-02-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-08fbed19b59f4f5fba7f22b271baf9ee2025-08-20T03:35:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172023-02-0111458459110.23934/2223-9022-202211-4-584-591813Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal ActionsA. B. Kholmogorova0O. D. Pugovkina1M. I. Subotich2A. V. Komova3M. M. Potskhveria4G. N. Sukhodolova5N.V. Sklifosovsky Research Institute for Emergency Medicine; Moscow State University of Psychology and EducationN.V. Sklifosovsky Research Institute for Emergency Medicine; Moscow State University of Psychology and EducationN.V. Sklifosovsky Research Institute for Emergency MedicineN.V. Sklifosovsky Research Institute for Emergency MedicineN.V. Sklifosovsky Research Institute for Emergency Medicine; Scientific and Practical Toxicological Center, FMBA of Russian Federation; Russian Medical Academy of Continuing Professional EducationN.V. Sklifosovsky Research Institute for Emergency Medicine; Scientific and Practical Toxicological Center, FMBA of Russian FederationThe effective care for patients with self-poisoning with antihypertensive and antiarrhythmic drugs is associated with taking into account both clinical and adverse social, psychological and environmental stress factors. To identify their specifics, a retrospective analysis of 120 medical records and a clinical and psychological examination of 20 patients with antihypertensive and antiarrhythmic drugs self-poisoning and a comparison group of 34 patients with selfpoisoning with psychotropic drugs were carried out. It has been shown that the risk group for re-suicide in self-poisoning with antihypertensive and antiarrhythmic drugs is about 30% of patients. Risk factors are depressive symptoms that persist before discharge from the hospital, as well as dysfunctional personality traits (perfectionism in the form of increased preoccupation with the assessments of other people and frequent unfavorable comparisons with them, experiencing loneliness and isolation, increased impulsivity and a feeling of hostility from others) and unproductive ways of coping with stress (ruminative thinking or repetitive unpleasant and unproductive thoughts about anergy, lack of strength and loneliness). The results of the study and the developed psychodiagnostic complex can be used to identify targets for urgent psychological assistance and screening for the risk of re-suicide.https://www.jnmp.ru/jour/article/view/1515self-poisoningantihypertensive and antiarrhythmic drugsrisk factorsdepressive disorderssuicidal behaviorprevention |
| spellingShingle | A. B. Kholmogorova O. D. Pugovkina M. I. Subotich A. V. Komova M. M. Potskhveria G. N. Sukhodolova Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions Неотложная медицинская помощь self-poisoning antihypertensive and antiarrhythmic drugs risk factors depressive disorders suicidal behavior prevention |
| title | Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions |
| title_full | Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions |
| title_fullStr | Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions |
| title_full_unstemmed | Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions |
| title_short | Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions |
| title_sort | clinical and psychological features of patients with poisoning by antihypertensive and antiarrhythmic drugs as a result of suicidal actions |
| topic | self-poisoning antihypertensive and antiarrhythmic drugs risk factors depressive disorders suicidal behavior prevention |
| url | https://www.jnmp.ru/jour/article/view/1515 |
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