在吸毒者中与自杀相关的因素:一个范围审查
Joan Devin1,2, Suzi Lyons1, Lisa Murphy1
1Health Research Board, Grattan House, 67-72 Lower Mount Street, Dublin 2, Ireland.
BMC psychiatry
|September 5, 2023
概括
使用毒品的人 (PWUD) 面临更高的自杀风险. 这次审查确定了11个因素,包括心理健康问题和无家可归,与PWUD的自杀死亡有关. 需要进一步的研究来了解这些风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 自杀是全球主要的健康问题.
- 与普通人群相比,使用毒品的人 (PWUD) 具有较高的自杀风险.
- 关于PWUD人口中的特定自杀风险因素的信息有限.
研究的目的:
- 对现有证据进行全面的审查,以了解与PWUD中自杀死亡相关的潜在因素.
- 识别和综合这些弱势群体中导致自杀的候选因素.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 在多个数据库 (Medline,CINAHL,PsycINFO等) 中进行了广泛的文献搜索. 并补充了灰色文学.
- 包括2000年1月至2021年12月的出版物,对研究设计没有限制.
主要成果:
- 53个出版物符合纳入标准,主要是追溯的,不受控制的初级研究.
- 确定了11个潜在因素:性别,心理健康状况,脆弱期,年龄,吸毒 (兴奋剂,大麻,NPS),医疗状况,缺乏双重诊断服务,无家可归,监禁,静脉吸毒以及种族/种族.
- 在PWUD中,阿片类药物,大麻和兴奋剂是与自杀死亡相关的最常见药物.
结论:
- 大多数研究提供了描述性的流行病学数据,缺乏对明确的自杀风险因素的深入分析.
- 在PWUD中预防自杀需要考虑已识别的风险因素和药物使用模式.
- 政策和实践必须量身定制,以应对PWUD的特定需求和风险.
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