Algorithm of a pro-active therapeutic interview during the collection of a suicidal history in narcological practice

The collection of a suicidological history in narcology continues to be a matter in need of further development. First of all, this is due to the formalization of the process itself and the receipt of irrelevant information. Most of the tests and questionnaires created are aimed, at best, to ascertain the presence or absence of one or another pattern and predictor that is significant for suicidal practice. However, in our work, we did not find indications of the existence of interview models that are both diagnostic in nature and representing a direct opportunity for the interviewing doctor to carry out the basic psychotherapeutic effect. Which, of course, is important not only for suicidological practice, but also can improve the compatibility of interactions in the doctor-patient realm with the formation of a qualitative therapeutic request for the treatment of the underlying disease. Methodology. A short version of a semi-structured, therapeutic provital interview with a sequential discussion of the patient's answers to 17 questions. This series of questions reflects the most important factors for the diagnosis of auto-aggressive behavior, so it was decided to use this series of questions as a therapeutic tool. Results and its discussion. Since the first publication of the provital therapeutic interview in 2000, it has been successfully used to solve research and therapeutic tasks in a number of scientific projects, PhD and doctoral dissertations, where it has successfully demonstrated its effectiveness and ease of use. The proposed shortened version has also found wide application in narcological suicidology, due to its compactness and ease of use in practical work. Separately, it is worth noting the therapeutic focus of the proposed algorithm, which, in essence, is its significant and undeniable competitive advantage. In addition, the proposed approach makes it possible to decon-fuse the doctor in relation to the subject under discussion and to avoid formalizing the collection of the corresponding part of the anamnesis, which significantly increases the likelihood of finding information of interest to us (which, with high probability, would be hidden from the interviewer). The importance of having objective information in the context of secondary preventive work is difficult to overestimate. Conclusion. It seems advisable to recommend the proposed algorithm of provital therapeutic interviews for wide use in the work of psychiatrists, narcologists, as well as employees of crisis departments.