使用大麻和大麻素后的自杀风险:一个总体审查
Ahmad Shamabadi1,2, Ali Ahmadzade2, Kasra Pirahesh2
1Psychiatric Research Center, Roozbeh Psychiatric Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Dialogues in clinical neuroscience
|July 10, 2023
概括
娱乐性大麻使用与增加自杀想法和企图有关. 然而,治疗大麻,特别是大麻二醇,似乎是安全的,因此需要进一步研究这种关联.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 自杀是一个重要的公共卫生问题,有许多已确定的风险因素.
- 在自杀死者的毒理学报告中经常检测到大麻.
研究的目的:
- 系统地识别和评估有关大麻使用和自杀倾向之间的关联的现有系统审查.
- 区分与娱乐性与治疗性大麻使用相关的风险.
主要方法:
- 在七个数据库和两个注册表中进行了全面的搜索,以进行无限制的系统审查.
- 包含的研究的质量评估使用AMSTAR-2进行.
- 用引用矩阵和更正的覆盖面积分析来评估研究重叠.
主要成果:
- 包括25项系统性审查,其中24项专注于娱乐大麻使用,一个专注于治疗用途.
- 娱乐性大麻使用在不同人群 (一般人,退伍军人,精神病患者) 中与自杀念头和自杀企图存在普遍的积极关联.
- 早期开始,长期使用和大量消费等因素与较差的自杀结果相关;治疗大麻,特别是大麻,对自杀性没有不良影响.
结论:
- 娱乐性大麻使用与自杀之间存在显著的关联.
- 治疗大麻,特别是大麻二醇,在自杀性方面被认为是安全的.
- 建议进行进一步的定量和干预研究,以阐明大麻与自杀的联系.
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