Gender specifics of depressive disorders combined with autoaggressive behavior

Abstract

A comprehensive analysis of depressive disorders combined with autoaggressive behavior, taking into account gender specifics was conducted according survey results of 147 patients of both sexes. Gender features of the clinical structure of depressive disorders have been established. Anxious and emotionally labile variants are more common in women, astheno-apathetic and obsessive variants are for men, melancholy variant occurred with approximately the same frequency in both groups. The clinical picture of depressive disorders in men was characterized mostly by feelings of grief, daily mood swings, indifference, fears and obsessive memories, narrowing the range of interests; the clinical picture of depressive disorders in women was characterized by the idea of self-blame, guilt, inferiority, psychomotor retardation, increased vulnerability, a propensity to lacrimal reactions. Gender analysis of suicidal behavior was carried out. It has been revealed that suicidal thoughts and fantasies were more common in women; decisions, intentions and attempts were more common in men. Males used more traumatic suicide means, and females used more gentle suicide means. Suicidal behavior was analized. It has been shown that true suicidal behavior was more common in men, and affective, demonstrative types of suicide frequent were more common in women.