在患有慢性疼痛的患者中识别和减轻自杀风险,处方阿片类药物
1(Corresponding author) Mental Health Clinical Pharmacist Practitioner, Veterans Health Administration, Flower Mound, Texas, Dana.Chiulli@va.gov.
The mental health clinician
|December 20, 2024
概括
在慢性疼痛患者中管理自杀风险是困难的. 像阿片类药物安全性,频繁预约和非阿片类药物治疗等策略可以降低这些人的自杀风险.
科学领域:
- 疼痛管理 疼痛管理
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛显著增加了自杀风险.
- 缺乏管理慢性疼痛自杀倾向的临床指导方针.
- 有效的自杀风险减轻策略对于这一群体至关重要.
研究的目的:
- 探索治疗策略,以管理慢性疼痛患者的自杀倾向.
- 为这群人群提供一个临床决策框架,以减轻自杀风险.
- 突出跨学科方法对慢性疼痛和自杀倾向的重要性.
主要方法:
- 对三个患有慢性疼痛和自杀倾向的患者的案例研究分析.
- 对当前适用于慢性疼痛患者的风险减轻策略的审查.
- 关于药物治疗和非药物干预的讨论.
主要成果:
- 实施阿片类教育,纳洛分发和致命手段安全等策略可以降低自杀风险.
- 个性化阿片类药物缓和和考虑非阿片类药物疗法是很重要的.
- 解决可修改的风险因素和增加任命频率是管理的关键组成部分.
结论:
- 综合性治疗计划,包括各种策略,对于管理慢性疼痛中自杀倾向至关重要.
- 积极的风险缓解对于改善慢性疼痛和自杀念头同时出现的患者的治疗结果至关重要.
- 需要进一步的研究和指导方针的制定,以支持临床医生.
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