[SUICIDAL RISK FACTORS IN PATIENTS WITH COGNITIVE IMPAIRMENTS IN DEPRESSIVE DISORDERS].

The aim of the study is to determine the factors of suicidal risk in patients with cognitive impairment with depressive disorders. 362 patients with cognitive impairment in depressive disorders were examined: 123 patients with recurrent depressive disorders, 141 patients with bipolar affective disorders, and 98 people with prolonged depressive reactions. A complex of research methods was used: clinical-psychopathological, psychodiagnostical, psychometrical and statistical. Suicidal risk factors were determined in patients with cognitive impairments in depressive disorders, which included the clinical and psychopathological features of the manifestation of depressive disorder, anamnestic burden, the course and severity of stress factors and impaired communication. The relationship between cognitive dysfunction and the level of suicidal risk, differentiated depending on the type of depressive disorder, was determined. The identified suicidal risk factors can serve as diagnostic criteria for differential diagnostics and should be taken into account when creating psychocorrectional programs aimed at reducing suicidal risk in patients with cognitive impairment in depressive disorders.

[PSYCHO-EDUCATIONAL PROGRAM IN PREVENTION OF MENTAL HEALTH OF INTERNALLY DISPLACED PERSONS].

The goal is to develop and evaluate the effectiveness of a psychoeducational program (PP) aimed at timely detection, prevention of the formation and prevention of chronicity of mental disorders in internally displaced persons (IDPs). 414 IDPs took part in the research. A complex of clinical-psychopathological, psychometric, psychodiagnostic and statistical methods were used. It was found that the group of IDPs is heterogeneous and includes 3 categories of persons: group I - IDPs without signs of mental disorders (conditionally healthy) (53,86%), group II - IDPs with individual symptoms of mental disorders (risk group) (20,05%) and group III - IDPs with established mental disorders (26,09%). The examined IDPs of the III group were found mental disorders, predominantly of the anxiety-depressive spectrum. Factors of psychic traumatization (FPT) were assessed in a dynamic aspect: retrospectively (during of staying in the anti-terrorist operation (ATO) zone), 12 and 24 months after leaving the ATO zone and during of examination. The dynamics of FPT and their significance in time and with regard to gender specificity were shown. In order to timely identify and prevent the formation of mental disorders in IDPs and increase their adaptive capabilities, it is proposed to use PP, which had a group structured work format. The results of its approbation were presented and it were proved that the using of PP could significantly increase the level of psychological adaptation of IDPs by reducing the level of mental stress, reactive anxiety and the severity of negative perception of the future and improving the quality of life.