Kononchuk N V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(4):76-80.
The paper is concerned with persons with depressive symptomatology revealed immediately after an attempt of committing suicide. Three groups of patients were distinguished: with endogenous depression, with reactive (psychotic) and psychogenous depressions. The main causes were established of the difficulties in diagnosing depressions after a suicidal attempt: relative independence of the clinical manifestations of depression on the nosology in the presuicidal period and unmarked intensity of the disorders, capacity of the suicidal act to reduce the manifestations of depression, and the effect of the joy proper of returning to life. In persons who made suicidal attempts, the prognosis of depressions is dependent in a large measure on the disease character.
本文关注的是自杀未遂后立即出现抑郁症状的人群。区分出了三组患者:内源性抑郁症患者、反应性(精神病性)和心因性抑郁症患者。确定了自杀未遂后抑郁症诊断困难的主要原因:抑郁临床表现相对独立于自杀前时期的疾病分类学,且障碍强度不明显,自杀行为减轻抑郁表现的能力,以及重返生活带来的喜悦本身的影响。在自杀未遂的人群中,抑郁症的预后在很大程度上取决于疾病特征。