自杀企图和故意自我伤害的风险在阿尔普拉佐拉姆
Robert D Gibbons1, Kwan Hur1, Jill E Lavigne2
1University of Chicago, United States.
Psychiatry research
|March 17, 2024
概括
阿尔普拉佐拉姆和其他二类药物显著增加了自杀企图的风险. 布斯皮龙是一种非二胺,显示出更安全的特征,特别是在高风险人群中.
科学领域:
- 药学流行病学 药学流行病学
- 临床精神病学 临床精神病学
- 药品安全 药品安全
背景情况:
- 美国自杀死亡人数从2000年到2021年增加了36%.
- 识别与自杀风险相关的药物对于减少危害至关重要.
研究的目的:
- 为了调查阿尔普拉佐拉姆与自杀企图之间的关联.
- 为了比较阿尔普拉佐拉姆与迪亚泽帕姆,洛拉泽帕姆和巴斯皮龙的自杀企图风险.
主要方法:
- 仅暴露,在受试者内发生事件的药物流行病学研究.
- 利用美国私人保险索赔数据 (2010-2019) 对2,495,520名患者.
- 在两年内分析了抗焦虑药物治疗和自杀企图之间的动态关联.
主要成果:
- 阿尔普拉佐兰使自杀企图的风险增加了一倍 (HR=2.21).
- 二甲类药物 (迪亚泽帕姆,洛拉泽帕姆) 也显示风险增加.
- 布斯皮龙的风险显著降低 (HR=1.25) 和没有增加的风险在患者有试图的历史.
结论:
- 证实了阿尔普拉佐拉姆与自杀企图风险增加的联系.
- 二,无论半衰期,都与增加的风险有关.
- 布斯皮龙是一种更安全的替代品,特别是对于容易自杀的患者.
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