THE PROGRAM OF THE COMPLEX DIFFERENTIATED MEDICAL AND PSYCHOLOGICAL REHABILITATION OF THE PATIENTS WITH SUICIDAL...

The conceptual model of rehabilitation and suicidal behaviour prevention in dementia, considering the multiple components, is presented in the article. The developed program of the complex differentiated medical and psychological rehabilitation and suicidal behaviour prevention (MPRS BP) in patients with dementia is aimed at the preventive measures of the suicidal behaviour (SB) through the depressive symptoms reduction, patient's mind and cognitive status stabilization, self-aggression decreases, social functioning and independence increase in patients with dementia. The individual approach to the prevention of SB in patients with dementia considered the SB factors (extra- and intrapersonal), SB formation mechanisms (cognitive, depressive, and psychological), clinical psychopathological SB correlators (especially gender-based) in different types of dementia. Offered MPRS BP program is based on the complex approach to rehabilitation. It combines pharmacotherapy, psychotherapy (crisis therapy, rational psychotherapy, art therapy, family psychotherapy), psychoeducation, psychological training (cognitive, communicative and social skills training) keeping to the principles of systematicity, complexity, integrity, phasing, personal interventions, provision of assistance in time. According to the approbation results of the MPRS BP program in dementia, its high efficiency was demonstrated compared to the traditional treatment programs of this category of patients.