CLINICAL DIFFERENCES IN MANIFESTATIONS OF SELF-DESTRUCTIVE BEHAVIOR IN PATIENTS WITH SCHIZOPHRENIA SPECTRUM PSYCHOTIC DISORDERS

Manifestations of self-destructive behavior (SDB) differ in patients with schizophrenia spectrum psychotic disorders and our study aims to identify these differences through the demonstration of clinical cases. The purpose of the study is to explore clinical differences in manifestations of self-destructive behavior in patients with schizophrenia spectrum psychotic disorders. The study involved 95 patients diagnosed with schizophrenia spectrum disorders. The patients were divided into two groups. The first group (Gr1 PermSDB) included 40 patients (42% of the total number of subjects) with psychiatric disorders, who expressed a constant presence of manifestations of self-destructive behavior throughout the whole disease period or during more than half of this period (both according to the patients and to the medical records). The second group (Gr2 ImpSDB) included 55 patients (58% of the total number of subjects), where the manifestations of self-destructive behavior appeared only at the height of exacerbation of psychopathological symptoms, and this caused the acts of impulsive self-harm. Looking at the examples, we see a difference in motivational statements in different groups of patients: in Gr2, the main factor that motivated patients to harm themselves was the exacerbation of psychotic symptoms. At the same time, the main factors influencing the self-harm in Gr1 were personal experiences related to psychological problems