Differentiated rehabilitation programs for adolescents with borderline mental disorders and suicidal behavior

Improving therapeutic approaches to the problem of suicidal behavior of adolescents involves the study of modifiable risk factors, which include, in particular, the specificity of adolescent thinking in crisis state. Investigating the characteristics of crisis thinking may be important for effective psychotherapy of suicidal behavior, which reduces suicidal risk in the future. The aim of the study was to develop methods of rehabilitation and preventive measures based on an assessment of the characteristics of crisis thinking of adolescents with borderline mental disorders and suicidal behavior. 122 adolescents with various suicidal behaviors were studied, they were divided into 3 clinical groups: with a depressive episode (n=26), with stress reactions and adjustment disorders (n=64), with emerging personality disorders (n=32). The clinical and dynamic features of borderline disorders and suicidal behavior were studied, as well as features of crisis thinking: cognitive distortions and meta-programs of suicidal conflict, as well as motives and personal meaning of suicidal behavior...