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