自杀危机的临床指标和对胺的反应
Elizabeth D Ballard1, Lucinda Neely1, Laura Waldman1
1Section on the Neurobiology and Treatment of Mood Disorders, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Journal of affective disorders
|December 1, 2024
概括
自杀念头,抑郁和绝望是自杀危机期间的关键指标,可能会对胺等快速干预做出反应. 对于全面的治疗策略,需要进一步的研究.
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
- 神经科学是一个神经科学.
背景情况:
- 确定自杀危机的临床目标至关重要.
- 在危机期间,应该提高有用的目标,并响应快速干预.
- 自杀念头 (SI),抑郁和绝望被假设为潜在的目标.
研究的目的:
- 为了确定自杀危机的临床目标.
- 在危机期间评估SI升高,抑郁和绝望.
- 评估这些症状对快速干预的反应能力.
主要方法:
- 研究了118名自杀风险范围内的成年人.
- 包括14名近期有自杀倾向的高风险个人.
- 在高风险参与者的小组中,对胺输注前后的症状进行了评估.
主要成果:
- 危机后,SI,抑郁和绝望程度升高,对胺有反应.
- 心理疼痛和创伤性压力症状也与危机有关,并对胺反应.
- 在自杀未遂之前报告了高水平的SI,抑郁和焦虑.
结论:
- 在自杀危机期间,SI,抑郁,绝望,心理疼痛和创伤性压力是很重要的,并且对胺有反应.
- 限制包括小样本规模和有限的干预范围.
- 建议在自杀风险评估和治疗中采用多因素的纵向方法.
更多相关视频
08:28Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus
Published on: April 5, 2011
17.7K
11:05SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
14.5K
相关概念视频
Depolarizing Blockers: Pharmocokinetics
308
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
308
Sedatives and Hypnotics: Overview
279
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
279
Electroconvulsive Therapy
25
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
25
Stages of General Anesthesia
373
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
373
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
