Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot14910.32687/0869-866X-2019-27-si1-529-535Научная статьяDeliberate medication poisoning in adolescence as a medical and socially significant problemAfukovI. I.afukovdoc@yandex.ruDolginovD. M.-IpatovaM. G.-KovalenkoA. A.-BuromskayaN. I.-N. F. Filatov Children City Hospital No.13N. I. Pirogov Russian National Research Medical UniversityMedical Academy of Continuing Professional EducationG. E. Sukhareva Scientific and Practical Center for Mental Health of Children and Adolescents151220192752953506042021Copyright © 2019,2019One of the urgent medical and social problems of modern society is the steady growth of auto-aggressive behavior and deliberate medication poisoning among adolescents and young adults. This investigation was held to optimize the provision of specialized medical care for acute deliberate self-poisoning in teenagers. We examined 498 patients admitted to the Toxicology Department of N. F. Filatov Children City Clinical Hospital No. 13 with a diagnosis of acute deliberate medication poisoning. The diagnosis was confirmed by chemical and toxicological urine test using thin-layer chromatography. From 2016 to 2018 the number of patients with deliberate medication poisoning increased by more than 2.5 times and amounted to 236 cases. Female patients were prevalent and accounted for up to 85% of cases. The leading position among medication self-poisoning is held by psychopharmacological drugs at 56%, in second place are non-steroidal anti-inflammatory drugs at 18.5%. The main causes of self-poisoning were social or family conflicts (47%), problems at school (35%), and Internet-related complaints (18%). The clinical manifestations of the disease in the acute period of chemical poisoning depended on the toxic agent and the dose taken. Psychological testing revealed a high level of neuroticism in 71% of adolescents, severe anxiety was observed in 57% of patients, and depression was diagnosed in 28% of cases. All patients were provided specialized medical care, including resuscitation, detoxification, and psychiatrist examination. Based on the accumulated clinical experience, an algorithm for managing adolescents with deliberate medication poisoning has been developed, which has reduced the number of repeated suicides by 1.8 times.deliberate poisoningmedicationadolescentsпреднамеренное отравлениелекарственные препаратыподростки1.Предотвращение самоубийств. Глобальный императив [Электронный ресурс]. Официальный сайт ВОЗ. Режим доступа: https://www.who.int/mental_health/suicide-prevention/world_report_2014/ru/2.Иванова А. Е., Сабгайда Т. П., Семенова В. Г., Антонова О. И., Никитина С. Ю., Евдокушкина Г. Н., Чернобавский М. В. Ситуация с суицидами в России и мире. В кн.: Смертность российских подростков от самоубийств. М.: ЮНИСЕФ; 2011. С. 8-18.3.Каршибаева Г. А. Особенности суицидального поведения в подростковом возрасте. Молодой ученый. 2015;(7):663-5. Режим доступа: https://moluch.ru/archive/87/16634/4.Райгородский Д. Я., редактор. Практическая психодиагностика. Методики и тесты. Учебное пособие. Самара: Бахрах-М; 2001. C. 169-71.5.Smets E. M., Garssen B., Bonke B., De Haes J. C. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J. Psychosom. Res. 1995;39(3):315-25.6.Bagshaw S. M., George C., Bellomo R. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients. Nephrol. Dial. Transplant. 2008;23:1569-74.