过量自杀企图复发的危险因素:一项前性观察性研究
Akira Suekane1, Wataru Takayama2, Rio Hashimoto1
1Trauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital, 1-5-45, Yushima, Bunkyo-ku, Tokyo, Japan.
The American journal of emergency medicine
|October 27, 2023
概括
经常性药物过量服用与精神分裂症史有关,但通过与他人生活而减少. 这项研究确定了通过过量服用重复自杀企图的关键风险因素.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 临床毒理学 临床毒理学
背景情况:
- 全球药物过量使用率正在上升.
- 通过过量服用药物反复尝试自杀的危险因素尚未得到充分了解.
- 这项研究调查了影响过量服用复发的因素.
研究的目的:
- 通过过量服用药物来确定反复出现的自杀企图的临床风险因素.
- 评估同居对过量药物复发的影响.
- 分析药物过量服用的复发间隔.
主要方法:
- 对94名试图通过药物过量自杀的患者进行前性观察性研究.
- 一年内复发是主要结果.
- 使用了多变量逻辑回归和日志等级测试.
主要成果:
- 29.8%的患者在一年内经历过量药物的复发.
- 精神分裂症史增加了复发风险 (58.3%对25.6%).
- 同居者与较低的复发率 (22.6%与43.8%) 和较长的复发间隔有关.
结论:
- 精神分裂症病史是过量药物复发的独立风险因素.
- 与他人一起生活显著降低了反复过量服用的风险.
- 需要进一步的大规模,长期的研究来验证这些发现.
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