Attempts to prevent suicides in people treated at the Institute of Forensic Psychiatry (IFPK)

It is proven from the literature that in more than 90% of cases of suicide, individuals have obvious mental disorders. Other identified causes are various circumstances, stress and trauma. Treating people with mental health problems, especially those with suicidal ideation, is a challenge for mental health professionals. PURPOSE of this survey is the presentation of our problems and experiences, during last six years, with the patients who come from the criminal conditions - the procedures of confrontation with the court, the prosecution, the police . Our goal is to present our thoughts on suicide prevention in these conditions. Criminal conditions, even for a normal person, are abnormal, where the person feels guilty, worthless and automatically clings to depressive, nihilistic and suicidal ideas. METHODOLOGY The patients files have been analyzed, especially of the cases that have had the most special treatment, cases which have had auto-aggressive, violent manifestations, self-harm in terms of suicide, which have come for treatment or psychiatric evaluation from prisons in IFPK. These people have swallowed dangerous things, hiding razors, and tablets for suicidal tendencies. FINDINGS We found 19 people with self aggressive behavior. Of this number males 18, females 1. Personality disorders and the use of psychoactive substances have been dominated by male and female 9, female 1, then in turn: bipolar disorder, schizoaffective disorders, disorders of the group of schizophrenia, psychosis and psycho organic disorders. DISCUSSION Among the factors that are most potential for self aggressive manifestations and lead to suicide, are mental disorders, new circumstances, or even submission through proceedings, court hearings, police investigation , etc. Disconnection of family relations, a daily strict routine for some of the people in these conditions are burdensome and without perspective. CONCLUSION However, despite psychosocial and biological treatment, dangerous behaviors in psychiatric patients still remain a phenomenon that will probably never end, as is their etiology. So staying in penal conditions ,or penal condition treatment are always potential for incidents like emotional explosions, injuries, threats, irritations, suicide. Suicide as a phenomenon regardless of where the person is, at home, at work, in criminal conditions, on a plane, in a car, remains a challenge that we will face for a long time