精神活性药物的使用和晚年 (75岁以上) 自杀风险:总人口研究
Khedidja Hedna1,2,3, Margda Waern4,5,6
1AgeCap Center, Department of Psychiatry and Neurochemistry, Gothenburg University, 41345, Gothenburg, Sweden. Khedidja.hedna@neuro.gu.se.
Drugs - real world outcomes
|July 8, 2023
概括
精神活性药物的使用,特别是催眠药和抗抑郁药的抗焦虑药,与75岁及以上个体的自杀风险增加有关. 仔细评估这些药物对于预防晚年自杀至关重要.
科学领域:
- 老年精神病学是一门精神病学专业.
- 公共卫生 公共卫生
- 药物监督 药物监督 药物监督
背景情况:
- 精神活性药物对于老年人 (75岁以上) 的心理健康管理至关重要.
- 了解药物使用是防止这种脆弱人群自杀的关键.
研究的目的:
- 调查75岁及以上个体中精神药物使用与自杀风险之间的关联.
- 检查与抗抑郁药使用相关的风险.
主要方法:
- 瑞典国家人口登记研究 (2006-2014) 包括1,413,806名75岁以上的居民.
- 一个嵌套的病例控制设计分析了精神活性药物的使用和自杀风险.
- 用调整的条件后勤回归模型来计算风险估计.
主要成果:
- 催眠使用与总队列中自杀风险增加2.05倍有关,无论抗抑郁药的使用或性别.
- 与抗抑郁药同时使用抗焦虑药物增加了自杀风险 (aIRR 1.51).
- 抗痴呆药物显示自杀风险降低 (aIRR为0.33),而抗精神病药物和情绪稳定剂没有显著影响.
结论:
- 催眠药和抗抑郁药与抗焦虑药的组合增加了晚年自杀风险.
- 建议对精神药物进行仔细的益处风险评估,考虑到它们作为自杀手段的潜力.
- 未来的研究应该探索药物指示和患者疾病的严重程度.
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