Aim. To determine the medical and statistical features of somatic pathology in patients of a therapeutic district with severe mental disorders. Methods. Conducted was a comparative clinical statistical analysis of data on patients’ referral to outpatient psychiatric health services (924 people, the main group) and patients of one therapeutic district of Naberezhnye-Chelny city (2250 pe-ople, the comparison group) for the year 2010. The method of observation - comprehensive, obtaining the necessary medical and statistical information - copying of the data from the ambulatory patient records. Results. In the structure of the somatic pathology among patients of the therapeutic district (comparison group) according to the referral data the leading position is held by cardiovascular disease (32.2%), diseases of the nervous (24%) and respiratory (21.1%) systems. In the group of patients with mental disorders the leading nosological group were diseases of the nervous system (30.2%) and cardiovascular disease (28.2%). Patients of the main group rarely visited the district physician themselves, most often it occured after the referral of a psychiatrist in order to pass the medical and social assessment, or to obtain medications. Conclusion. Due to the lack of criticism for their own condition, the patients with chronic mental illnesses rarely come to visit physicians of the therapeutic service, thus greater attention to this on behalf of the psychiatrists and other specialists is needed, as well as of the relatives of patients.

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The results of clinico-psychopathological study of 80 mental patients are given. The above mentioned patients made offence on the ground of jealosy. The correlation was established between psychopathological peculiarities of the disease clinical symptoms and severity and direction of aggression. Some specific facts in relation to adultery, peculiarities of decision-making for doing offence were described; and they depended on the main psychopathological syndrome and its nosology. It was found that the most significant parameter is the structure of psychopathological syndrome, but not its nosologic belonging.