Andrei Vch Golenkov

• MD PhD DSc
• Professor at Chuvash State University

Objective: The primary objective was to conduct a comparative analysis of homicide cases and their perpetrators with psychotic illnesses in samples from Turkiye and Russia to elucidate contextual similarities and differences, and providing novel perspectives to enhance international research in this field. Method: This cross-national retrospectiv...

The topic of suicide in painting is very multifaceted and poorly studied. The goal is to collect and describe paintings depicting the phenomenon of suicide. Materials and methods. The search for paintings and their descriptions was carried out by the request: "Suicide in painting" (in the search engines Google, Yandex). The stories of their creatio...

Many researchers have analyzed images of diseases on artistic canvases. However, the study of alcoholic themes in painting was rarely and fragmentarily covered. Materials and methods: We analyzed 113 paintings and their descriptions, collected on the request: “Alcoholism and drunkenness in painting /on paintings” (in the Google search engine, Yande...

The use of snake venom as a means of committing suicide and murder is a rare phenomenon. The aim of the study was to examine cases of violent deaths committed with the help of snake bites (venom) primarily in scientific literature. Materials and methods. The search for cases of murders and suicides using snake venom was conducted in the search engi...

Such a fundamental concept as suicidal behavior (SB) does not have clearly defined boundaries and content. Currently, SB and suicide are considered as a multifactorial pathology. However, classical studies based on the criteria of F. Vogel and A. Motulski confirming this idea have not yet been carried out. The aim of the study was to demonstrate th...

This article presents a review of clinical cases of hospital-acquired suicide that occurred abroad. Cases of completed suicides are analyzed both within the walls of hospital institutions of different profiles and within them. Data collected from media publications are reviewed and compared with scientific literature describing similar incidents in...

We found no studies that investigated the mode of inheritance of suicidal behaviour (SB) using a clinical and genealogical method. The study aim was to analyse a clinical and genealogical case-control study of familial inheritance and accumulation of SB to demonstrate that the inheritance of SB is multifactorial. Material and Methods. Genealogical...

The PubMed database has been searched for publications on suicides committed by children primarily under 12 years of age. Based on the analysis of the found material, a justification is given for the increased research interest from the point of view of the genetics of suicide in children under the age of 12. It is emphasized that these children do...

Purpose – to study GATS indicators on tobacco consumption and the impact of the COVID-19 pandemic on them. Materials and methods. In 2022, 2,453 residents were surveyed (men - 1137, women - 1316) aged from 15 to 86 years (average age – 43,0 ± 16,4 years). There were 58,9% city dwellers, 41,1% villagers. The GATS technique was used. The results of t...

This study compares the features of homicide-suicide in Russia and Pakistan. To understand this, we conducted a content analysis of news reports about homicide-suicide published in Pakistani and Russian newspapers between March 2020 and May 2023. We identified 35 and 104 homicide-suicide cases in Pakistani and Russian media, respectively. Men were...

The problem of diagnosing primary hyperaldosteronism remains relevant. A rare manifestation of primary hyperaldosteronism is secondary hypokalemic myoplegia, which may be the initial manifestation and cause difficulties in diagnosing primary hyperaldosteronism. It is expedient to describe new cases of primary hyperaldosteronism with an analysis of...

Systematic and methodologically verified research of clinical characteristics and methods of suicide in patients who commit suicide in hospital settings is long overdue. Such events are rare, but have extremely negative consequences for both families and institutions. The aim of the review is to summarize information on completed suicides in depart...

Background. Suicides in the elderly, later and senile ages are most common, therefore they remain a pressing public health problem and are of interest in terms of studying the socio-economic factors (income level, attitude in society, stigmatization, living conditions, accessibility of medical and social services), suicide risk factors, psychologic...

There is a high frequency of suicides in the northern regions, which for Eurasia is explained by the accumulation of genes that implement the suicidal phenotype of behavior in the Finno-Ugric peoples. According to WHO and a number of authors in such regions as: Hungary, Serbia, Sweden, Finland, Altai Territory, Buryatia, Tyva, Chukotka Autonomous O...

“Mercy killing” (MK) is a kind of liberation of a person from any suffering by deliberately ending his life. Aim of the study – to study the cases of MK in regions of Russia (RF). Material and methods. In electronic regional media in 2006-2024 there were found 50 cases of MK committed by 32 men and 18 women aged 20 to 60 (mean age – 55.0±15.0) in 2...

The growing popularity of electronic nicotine delivery devices (ENDD) has raised concerns among health au-thorities in recent years. The aim is to study the results of a survey on the use of ENDD among the population ofChuvashia in 2022. Materials and methods. Using the GATS questionnaire (10 questions on ENDD) in Chu-vashia in 2022, there were int...

Premenstrual syndrome is observed in 20–80% of women of reproductive age and manifests itself in four clinical forms (neuropsychic, cephalgic, edematous, crisis). The article discusses the main risk factors for its occurrence in nurses, recommendations for treatment and prevention.

A large body of literature has been accumulated, which proves that suicidal behavior (completed suicides) is induced by inflammation of the peripheral and central nervous system, which is realized as a result of congenital gene polymorphisms and/or changes in epigenomic marks. The purpose of the work is to systematize information about the role of...

The pathophysiology of the formation of suicidal behavior is considered using examples of the connection between neuroinflammation and its manifestations (suicidal thoughts, suicidal attempts and completed suicides) in individuals with such mental disorders as: depressive disorder (major, peripartum depression), neurogenic anorexia (anorexia nervos...

A case from a psychiatric clinic is cited, in which a 43-year-old schizophrenic patient with a secondary education immediately after admission began insistently demanding electroconvulsive therapy (ECT), hoping to die in this way. Previously, he attended a religious sect, and after leaving it, he was subjected to humiliation and persecution by its...

Despite a slight decrease in the number of suicides in the Russian Federation in recent years, their share in the structure of mortality, especially among the young population, remains significant. For suicide prevention, information about the methods and reasons for voluntary death is important. The aim is to study suicide in children and adolesce...

Впервые в отечественной литературе описаны постгомицидные самоубийства (самоубийства после убийства), их распространенность в регионах Российской Федерации (по данным репрезентативной выборки, собранной в 2002–2021 гг.), проведено сравнение с убийствами и самоубийствами. Авторами предложена оригинальная типология постгомицидных самоубийств, которая...

Freely available information in the PubMed database on suicidal behavior of twins was collected and analyzed. In the literature review, data are stratified into thematic sections on the difficulties of determining heritability when assessing the suicidality of twins, predictors of their suicidal behavior, analysis and comparison of registry studies...

The development of molecular biology methods has made it possible to identify new, previously unknown mechanisms of the formation of the suicidal phenotype and suicidal behavior. This allowed specialists in the field of suicidology to regard the suicidal phenotype as an independent polygenic and multifactorial pathology that can accompany mental il...

In the last 30 years, there has been increased interest in mass murders (MM; with three or more victims) among a wide range of specialists in many countries of the world. The aim is to study MM with the use of firearms in the Russian Federation and compare various types of MM, including MM weapons with each other. Materials and methods. We analyzed...

The purpose of the study is to analyze perception of the adult population about intellectual disability (ID), its causes and effectiveness of specialist interventions. Material and methods. 1119 people were interviewed (men — 441, women — 678) aged 18 to 85 years (mean age — 34.3 ± 14.5 years). Urban residents — 851 people (76.1%), rural dwellers —...

Murders are one of the most important causes of mortality in Russia, and most aggressors suffer from mental disorders. The purpose of the research is to study the structure of mental disorders of murderers and its features in Chuvashia in 2011–2020. Materials and methods. The forensic psychiatric examination examined 507 murderers (409 men and 98 w...

Mass murders are understudied in the Russian Federation (RF), while there is a tendency for them to increase in our country. Materials and Methods. 303 murders (with three victims or more) committed by 303 murderers (men – 295, women – 8) aged 15 to 71 years (mean age – 33.6±11.0 years) in 85 regions of the Russian Federation in 2002-2021 were anal...

Alcoholic intoxication is closely connected to homicide. Features of alcohol consumption vary greatly in the regions of Russia. Aim of the article – to study the influence of the state of intoxication and the type of alcoholic beverages on the characteristics of murders. Materials and Methods. We analyzed 485 murders committed by 504 killers (men –...

Despite the fact that suicides are potentially preventable, the prevention of suicides, the death rate from which is comparable to that from bacterial epidemics, remains an urgent global problem. The WHO describes suicide as "an act of deliberate killing" that is at the extreme end of a continuum of suicidal behavior. The purpose of the study is to...

Introduction. There is a clear link between homicide and mental disorders (MD), but there are demographic, clinical and criminological differences in different regions of the world, including the Russian Federation (RF). The goal is to study murders committed by persons with MD in the regions of Russia. Methods.The electronic media (mass media) col...

Introduction. There is a clear link between homicide and mental disorders (MD), but there are demographic, clinical and criminological differences in different regions of the world, including the Russian Federation (RF). The goal is to study murders committed by persons with MD in the regions of Russia. Methods.The electronic media (mass media) col...

Currently, cardiovascular diseases remain the leading ones in mortality among other causes. Increasingly, interventional methods are used in their treatment. In the postoperative period, complications in the form of somatogenic psychoses, including postoperative delirium, are not uncommon. The purpose of the review is to study the prevalence, patho...

Lithium has a wide range of beneficial pharmacological effects and is practically a single option drug in some patients with bipolar affective disorder. At the same time, lithium can cause changes in the structure and function of the thyroid gland. Hypothyroidism and goiter are the most common thyroid disorders in patients receiving long-term lithi...

In foreign publications, there has appeared information about an increase in the number of suicides caused by a jump from a height. The aim of the study is to compare the frequency of committing suicides by jumping from a height and self-hanging, as the most common methods of suicide, based on the study of mass media information on cases of suicide...

If the number of cases of homicides covered in the republican mass media practically coincides with the real prevalence of this type of crime in the region, then suicides occupy a very modest place in the reports. It is possible that this is due to the recommendations of the Federal Service for Supervision of Consumer Rights Protection and Human We...

The purpose – to study the clinical and social patterns of non-suicidal self-cutting in a group of people who committed murder. Material and methods. We examined 507 murderers (409 men and 98 women) aged 15 to 83 years (mean age 41.1±14.0 years) who committed fatal violence in 2011-2020 and undergone a forensic psychiatric examination. The main gro...

The study aim is to identify the presence or absence of differences in the orientation of the gender suicidality coefficient, depending on the choice of the method of committing suicide. Material and methods. From 2006 to 2021, suicides time series were analyzed as a 220 cases hanging, of which 165 were committed by men (average age 36.6±16.3 years...

Mental disorders (MD) are considered a significant factor in the commission of post-homicidal suicides (PHSUs). The aim of the study is to study the structure of MD among aggressors who committed PHSU in the regions of the Russian Federation (RF) and their socio-demographic and criminological indicators. Materials and methods. We examined 83 cases...

The review article examines the clinical structure of mental disorders in medical students in various countries of the world (Argentina, Brazil, India, Iran, Italy, China, Malaysia, Russia). The most common non-psychotic mental disorders, including eating disorders and emotional burnout, depressive states and suicidal behavior, anxiety, sleep disor...

In elderly patients with dementia, chronic pain syndrome is often observed, which can be manifested by behavioral disorders, aggression, agitation and other mental disorders. The presence of pain in them is often ignored, underestimated and poorly diagnosed, especially in severe and severe dementia with speech disorders (aphasia). Therefore, it is...

The aim of the study: to study the structure, dynamics and motives of completed suicides in Chuvashia from 2002 to 2021. Materials and methods. In the electronic media of the Chuvash Republic for 20 years (2002-2021) it was possible to collect information on 409 cases (men – 281, women – 128) of suicides (from 2 to 54 cases per year) committed by p...

Patients with mental disorders are more likely than mentally healthy people to commit murder. However, older adults with dementia with such torts have received little research. Of the 488 murders committed in Chuvashia in 2011-2020, patients with dementia accounted for only six (1.2%) cases (five men and one woman aged 60 to 80 years, average age –...

Mercy killing (MK) is based on the premise that a person's quality of life has reached the point where death by killing becomes an act of compassion, regardless of the sufferer's consent. The small number of publications on the topic of MK with subsequent suicide, especially in the national scientific literature, makes this work relevant and in dem...

The aim of the study: to study the structure, dynamics and motives of completed suicides in Chuvashia from 2002 to 2021. Materials and methods. In the electronic media of the Chuvash Republic for 20 years (2002-2021) it was possible to collect information on 409 cases (men – 281, women – 128) of suicides (from 2 to 54 cases per year) committed by p...

Post-homicidal suicides (PHSU) are found in many areas of world culture. However, we did not find an analysis of feature films with PHSU in the available literature. Collected and studied 15 foreign feature films, in the plot of which PHSU are observed. The homicides were carried out by 10 men and 6 women, resulting in the death of 26 victims (15 m...

The epidemiology of post-homicidal suicides (PHSU) is of scientific and practical significance; for many countries of the world it is not known, which is primarily due to the difficulties in collecting such indicators. The purpose of the study is to study the prevalence and characteristics of PHSU in the regions of the Russian Federation (RF). Mate...

The aim of the work is to compare the dynamics of the gender suicidality coefficient (GSC) of the population of cities and rural areas. The article deals with the issues of regional dynamics (rural/urban) of the GSC (quotient from the division of the relative coefficient of suicide in men by the coefficient of suicide in women) in the Chuvash Repub...

Mass murders (MM) usually include an act of aggression that is committed within a short time in one place and within the framework of one event and includes three or more victims. The readiness to die or commit suicide is a very common characteristic of such a criminal, so there is every reason to consider the features of MM including within the fr...

The mortality of the population from external causes ranks third after circulatory diseases and oncological pathology. The purpose of the review is to study the prevalence of firearms in the regions of the world and its impact on the frequency of homicides and suicides (intentional external causes of death) in various socio-demographic groups of th...

Post-homicidal suicide (PHSU) is a rare delict that is accompanied by the death of two or more people. In the Russian Federation (RF), PHSUs have not been studied fully enough; they have not been compared with other types of violent death. The aim of the study: to compare PHSU with murders and suicides committed in the regions of the Russian Federa...

The relevance of assessing and taking care of mental health of caregivers of people with dementia is caused not only by their suicidal intentions towards themselves, but also thoughts about harming the persons they should give care to. Suicidal-homicidal intentions develop gradually, do not manifest themselves, and pose a potential danger for murde...

Spousal (partner) post-homicidal suicide (PHSU) are most frequent type such delict which were practically not analyzed in Russian Federation (RF). The aim of the study is to study cases of spousal PHSU in the regions of the Russian Federation, their variety and motives for committing them. Materials and methods. It was possible to collect informati...

Every month there are reported household gas explosions with fatalities in various regions Russian Federation (RF). At the same time, methane explosions as a way of suicide and murder of other people committed by patients with mental disorders (MD) are not fully considered. The aim of the study is to study cases of natural gas explosions in the reg...

Background and purpose – The weekly fluctuation in suicide rates is influenced by several factors including sex, psychiatric illness and alcohol dependence. The purpose of this study is to explore the impact of current alcohol use on suicide rates across the days of the week in urban population. Methods – Data on sex, date of death, results of bloo...

The required minimum number of psychiatric inpatient beds is highly debated and has substantial resource implications. The present study used the Delphi method to try to reach a global consensus on the minimum and optimal psychiatric bed numbers. An international board of scientific advisors nominated the Delphi panel members. In the first round, t...

Suicides committed by characters are found in many literary works, their description is multifaceted and of research interest. The aim of the work is to identify cases of suicide (including post-homicidal suicides) in the tragedies of W. Shakespeare and to conduct their comparative analysis with the data of scientific publications. Materials and me...

Childhood posthomicidal suicide (PHS) is a distinct criminal act with characteristics that distinguish it from both homicide and suicide. The aim of this work is to study cases of suicide after infanticide committed in the Russian Federation. Materials and methods. The study included 86 posthomicidal suicides that took place after murders of childr...

Background The extent to which rates of homicide by people with or without schizophrenia vary over time has theoretical and practical implications in understanding homicide by people with mental illness. Aims The aim was to report on the rates of homicide by people diagnosed with schizophrenia over time in a region in which there were dramatic cha...

Aim. To study the population of the Chuvash Republic awareness of depression and methods of its treatment. Material and methods. Seven hundred sixty-four residents of the Chuvash Republic (472 women, 292 men) aged 18 to 83 years old (average age - 35.5 ± 14,3 years old) were interviewed anonymously. Urban residents were 75.5%, rural - 24.5%, with m...

The aim of this work is to systematize and interpret freely available, scattered, previously established data on the association of frequencies of suicides committed with gender (sex) genetic differences, the final result of which is the for-mation of an understanding of the various patterns of genes that form the suicidal phenotype in men and wome...

Both cases of dementia and suicidal behavior (SB) are more common among elderly and senile people. However, opinions on their combination are contradictory. Aim of the review: to summarize the available literature data on SB in persons with dementia due to neurodegenerative diseases and vascular pathology of the brain (stroke). Results. Suicidal th...

Background Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalisation of people with mental illnesses. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture...

The Internet with many millions of users in some cases is the environment in which the suicidal behavior of modern adolescents is formed. This computer network can lower the threshold of a person's natural fear of death, contain information about substances (tools, methods of suicide) for the implementation of death, encourage young people to commi...

Based on observations from forensic psychiatric practice and the review of the literature, we describe for the first time the delirium of the "coronavirus (self)contempt". An elderly patient after coming through COVID-19 infection began to consider himself and his wife a distributor of the coronavirus infection, constituting himself a danger to the...

The COVID-19 pandemic has led to a deterioration in mental health and an increase in suicidal activity among the population. The most vulnerable groups were the elderly and lonely people, patients with mental and somatoneurological diseases, who lost their jobs, relatives and friends, who found themselves in a difficult life situation. The article...

The literature review is devoted to the analysis of the relationship of suicidal behavior with both gene loci and established gene polymorphisms. The relationship with suicides of both individual genes and their groups is considered. Information about single nucleotide polymorphisms of genes regulating the concentration of cortisol (genes FKBP5, SL...

In the chapter sleep disturbances (SD) in the most widespread mental disorders (MD) (dementias, schizophrenia, depressive and anxiety disorders, posttraumatic stress disorder, neuroses) are discussed. Polysomnography correlates of SD which in most cases aren't specific, except for depressions, are described. Recommendations about SD treatment are p...

The article examines three cases of suicide in our country (USSR, Russia), performed by pilots via deliberate аirplane crash. These suicides were caused by conflicts in family and presence of non-psychotic mental disorders with suicidal tendencies in pilots. In two cases, the suicidals spoke of their intentions and the chosen method of suicide with...

The purpose of the publication is to form professional observation of future specialists in the field of medical (clinical) psychology and psychiatry. The characteristics of psychopathological syndromes are given. The states of dementia, classified by reason of occurrence, severity, ICD-10, are considered. It covers psychoses, mood disorders, perso...

The features of the formation of overvalued ideas and competencies that negatively affect mental health are described. The article provides information on incorrect thinking stereotypes that are formed from childhood and the mechanisms of learning adaptive forms of thinking and behavior.

The purpose of the work is to study the features of the body mass index (BMI) in schizophrenia patients (SP) who live in Chuvashia. Material and methods. 607 SP were examined (307 men and 300 women) aged 18 to 82 (average - 44.51 ± 12.3 years). The diagnosis of schizophrenia met the criteria for ICD-10 (F20-29); disease duration ranged from 0 to 52...

Priapism is a serious complication of psychopharmacotherapy, which can result in erectile dysfunction if there is no timely diagnosis and treatment. Purpose: to study cases of priapism in patients taking psychotropic drugs which were described in the literature. Articles were searched in the Medline database (1969-2020) in English by keywords – pri...

Posthomicidal suicide (PHSU) is a rare occurrence in life. Despite this, it is presented in cultural works, in particular, there are works describing the PHSU in sculpture and opera performances. The purpose of the study is to find cases of PHSU in Russian-language fiction and to conduct a comparative analysis with scientific publications. Material...

The purpose of the research is to study smoking behavior in Chuvashia (one of the regions of Russia) in dynamics from 2014 to 2019. Material and methods. 2513 residents of the Chuvash Republic (1165 men and 1348 women) aged 15 to 92 years (average age — 43.0 ± 16.9 years) were interviewed anonymously. The questionnaire was used for the Global Adult...

Objective: To study risk factors (RF) of obstructive sleep apnea syndrome (OSAS) in the socio-demographic groups of the population of Chuvashia. Materials and methods: An anonymous survey included 2161 residents of Chuvashia (1007 men, 1154 women), aged from 18 to 70 years, average 36.5±13.8 years). Of all included people, 1547 (71.6%) lived in...

The aim of the study was to study excessive daytime sleepiness (EDS) among the residents of Chuvashia. 2161 residents of the republic were interviewed (men — 1007, women — 1154) aged 18 to 70 (average — 36.5 ± 13.8 years old). The Ep-worth Sleepiness Scale and NoSAS test were used to assess the risk of obstructive sleep apnea syndrome (OSAS). Mathe...

The aim is to study the attitude of medical college students to the issues of tobacco smoking. 100 students (11 boys, 89 girls) of senior courses of Cheboksary Medical College were anonymously surveyed using the questionnaire developed by Tamaki et al., consisting of 20 questions on various aspects of tobacco smoking. Mathematical and statistical p...

Adolescent post-homicide suicides (PHSU) are extremely rare. However, in the last two decades their number has significantly increased. The purpose of the research was to study adolescent PHSU in the Russian Federation. Materials and methods. The analysis included 12 adolescents who completed PHSU, aged 16 to 19 (mean age – 18.2±1.1). Information a...

Suicidal behavior (SB) that includes thoughts, expressions, preparation for suicide and attempts to take one's own life, in patients with mental retardation (MR) is not sufficiently studied and described in the scientific literature. Most experts beheve that the prevalence of suicidal activity among patients with MR is lower (38.7 per 100 000) than...

The purpose of the review is to draw attention to the causes of suicidal behavior of medical nurses. Suicide risk is associated with factors such as depression, low self-esteem, and burnout syndrome. Nurses who work in a team with conflicting interpersonal relationships and in the family, out of wedlock, with a high level of stress, in the absence...

Background: Numbers of psychiatric beds (general, forensic, and residential) and prison populations have been considered to be indicators of institutionalization. The present study aimed to assess changes of those indicators across Central Eastern Europe and Central Asia (CEECA) over the last three decades to capture how care has developed during t...

In the paper, based on the analysis of self-description material of patient’s illness, a study of psychological factors of schizophrenia development is given. During the discussion of the clinical case, the authors emphasize the functional nature of schizophrenia and the pathogenetic nature of the recommended psychotherapy. Key words: schizophrenia...

The aim of this study was to study the relationship between the alcohol sales pattern and epidemiological parameters of alcoholism in Russia at the population level. In the comparative aspect, the alcohol sales pattern and the level of primary incidence of alcoholism/alcohol psychoses in Russia in the period from 1970 to 2015 were studied. Statisti...

The issue of where psychoautonomic disorders should be assigned to neurological or mental illness still remains open when diagnosing autonomic nervous system (ANS) disorders. The authors have studied the clinical features of the autonomic syndrome and the spectrum of somatic and mental manifestations in inpatients with the neurological profile of A...

According to the World Health Organization, suicide (SU) accounts for almost 1.5% of all deaths in the world, and it is one of the 20 main causes of death. Suicidal behavior varies markedly between genders, age groups and occupational groups, which underlines its likely etiological heterogeneity. The aim of the study was to summarize information ab...

At the moment there have been few studies of post-homicide suicides (PHSU) in the indigenous literature, and those are mainly based on studying them in the Chuvash Republic (a region of Russia). The aim is to analyze the characteristics of the PHSU performed in the regions of the Russian Federation over the past 10 years. Materials and methods. The...

At the moment there have been few studies of post-homicide suicides (PHSU) in the indigenous literature, and those are mainly based on studying them in the Chuvash Republic (a region of Russia). The aim is to analyze the characteristics of the PHSU performed in the regions of the Russian Federation over the past 10 years. Materials and methods. The...

The literature data on the quantitative content of furfural (F) and hydroxymethylfurfural (HMF) in some widely consumed food and beverages are analyzed. As it turned out, daily unaccounted alimentary consumption of F and HMF is observed. The known chemical reactions of F and HMF, which interact with the natural metabolites of the organism under mil...

Aim. The purpose of the study is to investigate the prevalence of sleep apnea in a representative sample of security forces (from police officers and rescuers). Material and methods. On the basis of the “Medical and Sanitary Part of the Ministry of Internal Affairs of the Russian Federation in the Chuvash Republic” in the city of Cheboksary, 670 em...

Приведены сведения о симулятивном расстройстве с указанием на трудности диагностики и клинического ведения таких больных. Показана роль и тактика медицинской сестрой в ходе наблюдения и ухода, регуляции поведения при синдроме Мюнхгаузена. Ключевые слова: симулятивное расстройство, синдром Мюнхгаузена