美国的kratom使用和自杀的想法和行为
Kylie Sharron1, Idiatou B Diallo2, Ashley M Witmer3
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Substance use & addiction journal
|June 17, 2025
概括
Kratom 的使用与美国成年人的自杀思想和行为增加有关. 这种关联在黑人和男性中更明显,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 美国自杀思想和行为 (STB) 的上升率越来越令人担忧.
- 药物使用障碍经常与性传播疾病有关.
- 克拉是一种精神活性物质,是与性传播疾病有关的新兴问题.
研究的目的:
- 在美国进行Kratom使用与性传播疾病之间的联系的首次流行病学评估.
- 调查Kratom消费与自杀思想,计划和企图之间的关系.
主要方法:
- 利用了2021年国家毒品使用和健康调查 (NSDUH) 的数据.
- 分析了47291名18岁及以上的美国成年人代表性样本.
- 检查了终身Kratom使用作为暴露和过去一年的性传播疾病作为结果.
主要成果:
- 与非使用者相比,Kratom用户在过去一年的自杀想法 (OR: 2.14),计划 (OR: 1.95) 和尝试 (OR: 2.50) 的几率显著更高.
- 关联因性别和种族而异,黑人 (OR: 11.00) 和男性 (OR: 2.74) Kratom用户的几率明显更高.
- 小组分析表明,在特定的人口群体中,Kratom使用和自杀想法之间存在明显的关联.
结论:
- 在美国成年人中,使用克拉与性病有显著的关联.
- 这项研究发现了这种关联的变化,基于性别和种族.
- 需要进一步的研究来了解因果关系,并为Kratom相关的心理健康问题提供有针对性的干预措施.
相关概念视频
Stress and Mental Health
221
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
221
Drug Dependence
1.2K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.2K
Stimulants
333
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
333
Substance Use Disorders Affecting Sleep
225
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
225
Drug Abuse and Addiction: Pharmacological Phenomena
676
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
676
Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs
626
Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
626


