Special aspects of clinical and social pathomorphosis of adolescent's suicidal performance

Purpose - study of features of clinical-social pathomorphosis of suicidal behaviour in adolescents. Materials and Methods. Design of research: comparison of groups of adolescents aged 15-17 years receiving the out-patient and inpatient care concerning deviant behaviour. Among adolescents receiving the out-patient and inpatient care, two groups were created. The out-patient care: 1) the first group - 152 adolescents, were examined in out-patient unit of the Altay Regional Psychoneurological Clinic for Children; 2) the second group - 147 case records of adolescents of 1970-1979 year of birth), observed at the psychiatrist were outpatients. The inpatients care: 1) the first group - 117 adolescents treated at the Altay Regional Narcological Clinic; 2) the second group - 152 stories of the Altay Regional Narcological Clinic. Results. The social portrait of the modern adolescent with deviant behaviour has undergone changes towards residing in less arranged well conditions, brought up in families with the broken structure or large families, with higher involvement into educational process, with low professional-labour employment of parents in comparison with the previous generation of adolescents. Mean age of the beginning of manifestation of suicide threats and the first suicide attempt is earlier in modern adolescents. The contingent of modern adolescents of a narcological hospital is characterized by more frequent fulfilment of suicide attempts, a presentation of suicide threats of demonstrative and protest character, blackmail by a suicide in comparison with adolescents of the previous generation.