DSM-5自杀性行为障碍:对临床实用性,诊断界限,措施,病理生理学和干预措施的研究进行系统审查
Etinosa Oliogu1, Anthony C Ruocco1,2
1Department of Psychological Clinical Science, University of Toronto, Toronto, ON, Canada.
Frontiers in psychiatry
|February 7, 2024
概括
自杀行为障碍 (SBD) 研究表明,对预测自杀风险的临床实用性有限. 需要对SBD测量及其与相关疾病和自我伤害行为的区别进行更多研究.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 自杀性行为障碍 (SBD) 十年前在DSM-5第三节中被引入.
- 在过去的24个月内,SBD被定义为旨在导致死亡的自发行为.
研究的目的:
- 系统地审查关于SBD的经验研究.
- 确定SBD的主要研究主题和未来研究方向.
主要方法:
- 对SBD的经验性文章进行了系统的文献搜索 (2013年5月至2023年3月).
- 遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 选了73个记录,分析了14个符合条件的文章.
主要成果:
- 确定了关键的研究主题:对预测自杀风险的临床实用性,与其他疾病的关联,心理特征,病理生理学和干预有效性.
- 发现SBD在预测未来自杀风险方面的临床效用较低.
- 强调需要研究SBD测量及其与相关疾病和自我伤害的区别.
结论:
- 自引入以来,对SBD的理解进展缓慢.
- 进一步的研究对于澄清SBD的诊断测量及其与相关疾病的区别至关重要.
- SBD的主要应用是在研究中,用于定义具有自杀行为的研究小组.
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