战争的无数伤亡:战斗退伍军人的自杀
Leo Sher1,2,3
1Inpatient Psychiatry, James J. Peters VA Medical Center, Bronx, NY, USA.
QJM : monthly journal of the Association of Physicians
|October 17, 2023
概括
战斗退伍军人面临着严重的自杀风险,原因是部署的压力因素和重新整合的挑战. 有效的预防需要全面的查,支持和解决神经生物学因素.
科学领域:
- 军事医学 军事医学
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
背景情况:
- 军事冲突普遍存在,导致全球有大量的战斗退伍军人.
- 战斗退伍军人的自杀倾向是一个关键的公共卫生问题,需要集中注意力.
- 战斗环境呈现出独特的压力因素,包括暴力,身体困难和分离.
研究的目的:
- 讨论战斗退伍军人的自杀倾向的关键方面.
- 突出导致这一群体自杀风险增加的因素.
- 概述全面的自杀预防策略.
主要方法:
- 关于与战斗有关的压力因素和退伍军人自杀倾向的文献和现有研究的综述.
- 讨论部署前,部署和部署后的不利情况.
- 探索潜在的神经生物学基础的自杀行为.
主要成果:
- 战斗部署可能导致情绪,认知和精神症状,增加自杀风险.
- 杀戮行为,战斗伤害和部署后重返社会困难是重要的风险因素.
- 战斗退伍军人的自杀行为可能有神经生物学基础.
结论:
- 预防自杀需要在部署前进行查,在现场提供支持,并在部署后提供心理社会护理.
- 诊断和治疗精神病,医学和神经系统疾病至关重要.
- 针对性干预需要对战斗退伍军人的特定心理生物学进行进一步研究.
相关概念视频
Post-traumatic Stress Disorder
39
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
39
Long-term Depression
30.9K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
30.9K
Depression: Overview
256
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
256
Stress and Mental Health
163
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
163
Traumatic Memory
95
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
95
Depressive Disorders: Etiology
104
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
104


