. . "Sebevra\u017Eda je komplexn\u00ED lidsk\u00E9 chov\u00E1n\u00ED, jeho\u017E podstata je biologick\u00E1, sociologick\u00E1 a psychologick\u00E1. Je osmou nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou smrti u dosp\u011Bl\u00FDch a druhou nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou smrti ve v\u011Bkov\u00E9m obdob\u00ED 15 a\u017E 24 let. Sez\u00F3nn\u00ED nejvy\u0161\u0161\u00ED v\u00FDskyt sebevra\u017Ed je pozorov\u00E1n b\u011Bhem pozdn\u00EDho jara a druh\u00FD, ni\u017E\u0161\u00ED v\u00FDkyv v po\u010Dtu sebevra\u017Ed je v podzimn\u00EDm obdob\u00ED. U v\u00EDce ne\u017E 90 % osob s dokon\u010Denou sebevra\u017Edou je diagnostikov\u00E1no z\u00E1va\u017En\u00E9 du\u0161evn\u00ED onemocn\u011Bn\u00ED a u 50 % je v dob\u011B sebevra\u017Edy p\u0159\u00EDtomna deprese. T\u00E9m\u011B\u0159 jedna t\u0159etina sebevra\u017Ed je spojena s chronick\u00FDm alkoholismem, schizofreni\u00ED nebo \u00FAzkostn\u00FDmi poruchami. Asi 5 % dokonan\u00FDch sebevra\u017Ed je spojeno se z\u00E1va\u017Enou t\u011Blesnou nemoc\u00ED. L\u00E9ka\u0159i by si m\u011Bli b\u00FDt v\u011Bdomi mo\u017Enosti suicid\u00E1ln\u00EDho jedn\u00E1n\u00ED u jak\u00E9hokoliv pacienta s du\u0161evn\u00ED poruchou, zvl\u00E1\u0161t\u011B je-li doprov\u00E1zeno depresivn\u00ED symptomatikou. Mnoho suicid\u00E1ln\u00EDch nemocn\u00FDch chce mluvit o suicid\u00E1ln\u00EDch my\u0161lenk\u00E1ch, pokud se na n\u011B psychiatr zept\u00E1. \u010Casto se v\u0161ak nemocn\u00FD takov\u00FDch my\u0161lenek ob\u00E1v\u00E1 a v souvislosti s nimi m\u00E1 pocity viny. \u00DAlevu m\u016F\u017Ee nemo" . "1" . . . "398323" . "Suicidal patient and therapeutic intervention"@en . . . . "9"^^ . "Suicid\u00E1ln\u00ED pacient a terapeutick\u00E1 intervence" . . "1"^^ . "1"^^ . . "suicide; risk; assessment; therapeutic alliance; hospitalization; medication; clinical management"@en . "Pra\u0161ko, J\u00E1n" . . "Suicide is a complex human behavior with biological, sociological, and psychological roots. It is the eighth most frequent cause of death for adults and the second leading cause of death for persons between ages 15 and 24. Suicide rates tend to peak during the late spring and have a smaller secondary peak in the fall. More than 90 % of suicide completers had a major psychiatric illness and half were clinically depressed at the time of the act. Nearly one-third of suicides occur in persons with chronic alcoholism; schizophrenia, anxiety disorders. About 5% of suicide completers have serious physical illness at the time of suicide. The clinician should be alert to the possibility of suicide in any psychiatric patient, especially a patient who is depressed or has a depressed affect. Most suicidal patients are willing to discuss their thoughts with a psychiatrist if asked, but are often fearful and even feel guilty about having suicidal thoughts. Giving the patient an opportunity to discuss them may itsel"@en . . . . . "Suicid\u00E1ln\u00ED pacient a terapeutick\u00E1 intervence" . "Suicid\u00E1ln\u00ED pacient a terapeutick\u00E1 intervence"@cs . "[1958780AF498]" . "CZ - \u010Cesk\u00E1 republika" . . "Suicid\u00E1ln\u00ED pacient a terapeutick\u00E1 intervence"@cs . "Suicidal patient and therapeutic intervention"@en . . . "Psychiatrie" . "Sebevra\u017Eda je komplexn\u00ED lidsk\u00E9 chov\u00E1n\u00ED, jeho\u017E podstata je biologick\u00E1, sociologick\u00E1 a psychologick\u00E1. Je osmou nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou smrti u dosp\u011Bl\u00FDch a druhou nej\u010Dast\u011Bj\u0161\u00ED p\u0159\u00ED\u010Dinou smrti ve v\u011Bkov\u00E9m obdob\u00ED 15 a\u017E 24 let. Sez\u00F3nn\u00ED nejvy\u0161\u0161\u00ED v\u00FDskyt sebevra\u017Ed je pozorov\u00E1n b\u011Bhem pozdn\u00EDho jara a druh\u00FD, ni\u017E\u0161\u00ED v\u00FDkyv v po\u010Dtu sebevra\u017Ed je v podzimn\u00EDm obdob\u00ED. U v\u00EDce ne\u017E 90 % osob s dokon\u010Denou sebevra\u017Edou je diagnostikov\u00E1no z\u00E1va\u017En\u00E9 du\u0161evn\u00ED onemocn\u011Bn\u00ED a u 50 % je v dob\u011B sebevra\u017Edy p\u0159\u00EDtomna deprese. T\u00E9m\u011B\u0159 jedna t\u0159etina sebevra\u017Ed je spojena s chronick\u00FDm alkoholismem, schizofreni\u00ED nebo \u00FAzkostn\u00FDmi poruchami. Asi 5 % dokonan\u00FDch sebevra\u017Ed je spojeno se z\u00E1va\u017Enou t\u011Blesnou nemoc\u00ED. L\u00E9ka\u0159i by si m\u011Bli b\u00FDt v\u011Bdomi mo\u017Enosti suicid\u00E1ln\u00EDho jedn\u00E1n\u00ED u jak\u00E9hokoliv pacienta s du\u0161evn\u00ED poruchou, zvl\u00E1\u0161t\u011B je-li doprov\u00E1zeno depresivn\u00ED symptomatikou. Mnoho suicid\u00E1ln\u00EDch nemocn\u00FDch chce mluvit o suicid\u00E1ln\u00EDch my\u0161lenk\u00E1ch, pokud se na n\u011B psychiatr zept\u00E1. \u010Casto se v\u0161ak nemocn\u00FD takov\u00FDch my\u0161lenek ob\u00E1v\u00E1 a v souvislosti s nimi m\u00E1 pocity viny. \u00DAlevu m\u016F\u017Ee nemo"@cs . "P(1M0517)" . . "RIV/00023752:_____/08:00000823" . . "1211-7579" . "RIV/00023752:_____/08:00000823!RIV09-MSM-00023752" . "12" .