发病率和自杀倾向的预测因素在开始办公室布普伦诺啡的成年人中
Michelle R Lent1, Karen L Dugosh2, Emily Hurstak3
1School of Professional and Applied Psychology, Philadelphia College of Osteopathic Medicine, 4190 City Avenue, Rowland Hall, Philadelphia, PA, 19131, USA. michellele@pcom.edu.
Addiction science & clinical practice
|June 1, 2023
概括
近40%的阿片类药物使用障碍 (OUD) 的成年人开始接受布普伦诺芬治疗,报告了终身自杀想法,超过25%报告了自杀企图. 虐待史,慢性疼痛,抑郁,焦虑和种族与增加自杀风险有关.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍,特别是阿片类药物使用障碍 (OUD),与增加自杀风险有关.
- 布普伦诺芬是OUD治疗的关键药物.
- 了解OUD患者的自杀性预测因素对于有效的护理至关重要.
研究的目的:
- 为了确定OUD开始布普伦诺芬治疗的成年人中自杀想法和自杀企图的患病率.
- 确定与该人口中自杀倾向风险增加相关的因素.
主要方法:
- 招募了244名OUD成人开始办公室布普伦诺芬治疗的队列.
- 参与者在基线完成了成严重程度指数-Lite半结构面试.
- 后勤回归分析确定了终身自杀思想和企图的预测因素.
主要成果:
- 37.70%的人报告有过一生自杀的想法; 27.46%的人报告有过一生自杀的尝试.
- 自杀想法的预测因素包括身体虐待,慢性疼痛,抑郁,焦虑和拉丁裔/a/x族裔的历史.
- 自杀企图的预测因素包括性虐待史,拉丁裔/a/x族裔,抑郁症,焦虑和慢性疼痛.
结论:
- 在开始服用布普伦诺芬的OUD患者中,存在很高的自杀率.
- 识别虐待史,慢性疼痛,精神健康状况和种族等风险因素可以改善患者查.
- 研究结果支持对高风险OUD患者进行加强查和心理健康干预.
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