自残:一个系统的审查
Matheus Medeiros Nunes1, Caio Rodrigues Maia2, Paulo Roberto de Andrade Santos3
1Postgraduate Program in Structural and Functional Biology, Department of Morphology, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
Forensic science, medicine, and pathology
|April 13, 2024
概括
自残伤造成的诊断挑战是由于患者不披露和症状重叠. 这一综述强调了男性患病率更高,通常与未被诊断的心理健康状况有关.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 精神病学是一个精神病学.
- 皮肤病学 皮肤病学
背景情况:
- 自残伤病对医疗保健专业人员来说存在诊断困难.
- 患者往往不承认自我伤害,导致误诊.
- 这种情况的表现可以模仿其他皮肤或创伤性损伤.
研究的目的:
- 审查当前关于自残伤害的文献.
- 识别流行病学模式,临床表现和相关因素.
- 强调自残与精神障碍之间的联系.
主要方法:
- 在PubMed,Periódicos Capes,Scopus,Science Direct和WoS数据库中的系统文献搜索.
- 收录标准:2018年至2023年6月的英语,葡萄牙语或西班牙语文章.
- 研究类型包括案例报告,案例系列和文献评论.
主要成果:
- 男人稍微受影响,表现出更严重的病变,特别是在手臂和外部生殖器官上,经常使用刀具.
- 在全球范围内报告了自残伤害,亚洲和美洲的发病率更高.
- 自残伤与精神障碍之间存在明显的联系,这些精神障碍往往未被诊断出来,女性更容易诊断出精神健康问题.
结论:
- 自残伤需要高度的临床怀疑,因为诊断的挑战.
- 男性报告不足的原因可能是对专门治疗的需求较低.
- 早期识别和管理相关的心理健康状况对于有效治疗至关重要.
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