[Peculiarities of suicidal behavior of patients with paranoid schizophrenia with various clinical symptoms].

OBJECTIVE: Introduction: Suicidal behavior in schizophrenia is one of the most urgent problems of modern psychiatry. The aim of the study was to study the suicidal activity of patients with paranoid schizophrenia in the context of clinical symptoms.

PATIENTS AND METHODS: Materials and methods: The medical documentation of 407 men and 409 women who were diagnosed as "paranoid schizophrenia" in the period 1967-2017 on the basis of the Vinnytsia Regional Psychoneurological Hospital was studied by the method of continuous analysis; the prevalence of separate symptoms was analyzed in accordance with the standard ICD-10 criteria in the context of the presence of suicidal thoughts and suicidal actions.

RESULTS: Review and conclusions: The main clinical symptoms of paranoid schizophrenia, as well as certain additional symptoms (chronic hallucinatory and delusional symptoms, negative symptoms and behavioral changes) are associated with suicidal thoughts and suicidal actions; while in men with suicidal actions, a disturbance of the speech function and catatonic symptomatology are more often detected.