HEMOCONTACT VIRUS INFECTIONS (HIV INFECTION, HEPATITIS B AND C) IN PATIENTS WHO HAVE MADE AUTOAGGRESSIVE ACTIONS

Objective. To study the detection rate for hemocontact virus infections (HVI) (HIV infection, hepatitis B and C) in individuals who had made autoaggressive actions and to form a social nosological portrait of a group of suicidents who were found to have laboratory markers of HVI. Subjects and methods. The study enrolled 688 patients admitted to the N.V. Sklifosovsky Research Institute of Emergency Care (RIEC) after making autoaggressive actions. The patients of the RIEC, admitted for different types of urgent pathology unassociated with suicidal attempts (21 231 samples), and those of Moscow therapeutic-and-prophylactic institutions (TPI) were examined as a comparison group (233,867 samples were tested for hepatitis B and C and 456,955 samples for HIV infection). Results. Mechanical injury is a leading somatic pathology in the patients admitted after autoaggressive acts; alcoholism and alcoholic and endogenous psychoses are a leading psychological pathology. In the suicidents, the detection rates for laboratory markers of hepatitis B and C and HIV infection were 2, 4.4, and 10 times, respectively, higher than those in the patients of all Moscow TPIs. The subjects with pathopsychological, behavioral, and social characteristics form a risk group in terms of both the rate of autoaggression and the probability of HVI. The high risk of autoaggressive behavior and significant infection rates in this category of persons with HVI infection are likely to be due to the social models of citizen’s behavior. Conclusion. Autoaggressive actions are part of the complex range of the body’s neuropsychic activity and due to a diversity of social and personality causes, including the somatic and psychosomatic health status.

urgent pathology, mental disorders, autoaggression, hemocontact infections, HIV infection, hepatitis B and C