在患有阿片类药物使用障碍的人群中,自杀风险率较高
Max Spaderna1, Elana Rosenthal2,3, Sun Jung Kang4
1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
The American journal on addictions
|March 11, 2025
概括
在阿片类药物使用障碍 (OUD) 中,自杀风险在一年内保持一致,尽管查工具的有效性有所不同. 有故意过量药物的病史独立地预测了更高的自杀风险.
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
- 公共卫生 公共卫生
背景情况:
- 对阿片类药物使用障碍 (OUD) 中自杀风险 (SR) 的长度研究有限.
- 这项研究解决了对OUD患者SR查工具进行比较分析的需求.
研究的目的:
- 纵向调查阿片类药物使用障碍 (OUD) 患者的自杀风险 (SR).
- 用三个不同的查工具在12个月内比较SR的速率和相关变量.
主要方法:
- 121名OUD患者在基线,6个月和12个月被查SR.
- 查工具包括患者健康问卷-9 (PHQ-Item-9),DSM-5-TR交叉测量 (CCSM-Item-12),并提出自杀查问题 (ASQ).
- 一种通用方法的时刻模型被用来识别与SR相关的变量.
主要成果:
- 在基线时,SR的查阳性率为30% (ASQ),12.4% (PHQ-Item-9) 和4.1% (CCSM-Item-12),在12个月内保持稳定.
- 蓄意过量史,精神病和躁狂与PHQ-Item-9.9检测到的SR显著相关.
- 蓄意过量史,女性性别,精神病和PHQ-9总得分与ASQ检测到的SR有显著的关联.
结论:
- 在OUD人群中,自杀风险查阳性度在一年内保持不变.
- 根据使用的查工具,SR的检测率有很大差异.
- 有故意的阿片类药物过量史是一个独立的预测器,可预测SR的查结果为阳性.
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