皮肤疾病患者完成自杀:系统性审查和元分析
B Hrvatin Stancic1,2, M A S Henning3,4, N Eriksen3,4
1Dermatovenerology Department, University Medical Centre Ljubljana, Ljubljana, Slovenia.
概括
这项研究发现了黑色素瘤和上腺炎 (HS) 和完成自杀之间的联系. 医生应该考虑这些皮肤疾病患者的自杀风险,因为其他关联仍然不清楚.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 以前的研究表明皮肤疾病和自杀倾向之间存在联系,但通常使用更弱的终点,如想法.
- 特定的皮肤状况和完成的自杀之间的关系仍然模两可.
研究的目的:
- 为了调查成年患者被诊断患有各种皮肤疾病的完成自杀的风险.
主要方法:
- 通过Pubmed,Embase和PsycINFO的数据进行了一项全面的元分析,数据截至2023年6月.
- 包括37项原始英语研究,包括至少10名成年患者,将皮肤病患者与对照进行比较.
- 分析了13种不同的皮肤疾病,包括超过380万皮肤病患者和3370万对照.
主要成果:
- 黑色素瘤与完成的自杀有显著的关联 (SMR: 2.89).
- 补腺炎 (HS) 显示出与完成自杀的积极关联 (OR: 2.86).
- 非黑色素瘤性皮肤癌与女性患者自杀风险增加有关 (SMR: 1.30).
- 在此元分析中,牛皮和皮肤炎没有显示出与完成自杀的统计学意义上的关联.
结论:
- 医生应警黑色素瘤和上腺炎患者的自杀风险 (HS).
- 大多数其他皮肤疾病与完成自杀之间的联系需要进一步调查.
- 需要更多的研究来澄清皮肤病和自杀之间的复杂关系.
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