患者自杀风险增加:系统性审查和元分析
Ali Rafati1, Yeganeh Pasebani2, Churl-Su Kwon3,4
1Department of Neurology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Journal of neurology
|February 25, 2025
概括
与没有的人相比,患有 (PwE) 的人面临自杀思想,自杀企图和完成自杀的风险明显更高. 增强的支持系统对于管理和相关精神疾病在PwE至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自杀是全球主要的死亡原因.
- 经常与精神病的并发症有关.
- 大约5%的患者 (PwE) 的死亡归因于自杀.
研究的目的:
- 为了比较PwE中自杀念头,自杀企图和完成自杀的发生率与没有的人.
- 量化与有关的与自杀行为有关的风险.
主要方法:
- 进行了系统性审查和元分析.
- 在Ovid® MEDLINE,Embase®和PsycINFO数据库中搜索到2024年2月.
- 包括比较PWE和对照组中自杀率的研究,遵守PRISMA指南.
主要成果:
- 分析显示,PwE中自杀念头的发生率比例显著更高 (RR:2.06).
- 普华永道实验表明,自杀企图的发生比例,率和风险显著更高 (RR: 3.62,IRR: 4.94,aHR: 2.32).
- 在PwE中,完成自杀的发生率比例,率和风险也显著增加 (RR: 2.39,IRR: 2.26,aHR: 2.50).
结论:
- 自杀想法,自杀企图和完成自杀的发生率在普华永道显著更高.
- 普华永道建议在和同时出现的精神疾病的教育,诊断和管理方面提供全面的支持系统.
相关概念视频
Arteries of the Lower Limbs
176
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
176
Electroconvulsive Therapy
22
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...
22
Seizures: Classification
297
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
297
Antiepileptic Drugs: Glutamate Antagonists
268
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
268
Bipolar Disorder
42
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
42
Mania and Antimanic Drugs: Overview
113
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
113


