bensodiazepine使用者的自杀想法和自杀完成:对当前证据的系统审查
Safiyyah M Khan1, Alousious Kasagga2, Anushka Verma3
1Medicine, Basaveshwara Medical College and Hospital, Chitradurga, IND.
Cureus
|June 18, 2025
概括
由于与增加自杀风险的潜在联系,特别是与阿片类药物或易受伤害的个体的使用需要谨慎. 与心理治疗或抗抑郁药物结合使用可能会降低风险. 密切监测是非常重要的.
科学领域:
- 精神病学和药理学 精神病学和药理学
- 公共卫生和流行病学
背景情况:
- 二zepines (BZDs) 是常见的抗焦虑药物,具有治疗用途,但具有矛盾效应的风险,包括自杀念头.
- 有关使用二和自杀完成率之间的关联存在担忧.
研究的目的:
- 系统地审查有关类药物对自杀念头和自杀完成的贡献的文献.
- 确定与使用二二类药物和自杀结果相关的风险因素和保护因素.
主要方法:
- 按照PRISMA 2020指南进行系统的文献审查.
- 在PubMed,PubMed Central (PMC) 和PubPsych搜索了关于类药物和自杀的文章.
- 包括经过严格选和对7961篇初始文章的质量评估后的6项研究.
主要成果:
- 与心理治疗或抗抑郁药物相对应的中度二胺使用与自杀风险降低有关.
- 同时使用阿片类药物和二类药物显著增加了自杀企图和自伤风险.
- bensodiazepine 使用在脆弱人群中增加了自杀风险,包括那些有心理健康状况的人.
结论:
- bensodiazepines应谨慎处方,最好是短期使用,并密切监测副作用和自杀念头.
- 同时使用阿片类药物或患者的脆弱性需要提高对自杀风险的认识.
- 有效的患者监测,风险评估和断奶协议对于安全的二二管理至关重要.
相关概念视频
CNS Depressants: Barbiturates and Benzodiazepines
484
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
484
Anxiolytic Drugs: Benzodiazepines and Buspirone
1.3K
Benzodiazepines are a class of anxiolytic drugs known for their rapid efficacy and high therapeutic-to-lethal dose ratio, but with a potential risk of drug dependence. These drugs are lipophilic, allowing for rapid absorption after oral administration, eventually reaching the central nervous system (CNS). Once in the CNS, benzodiazepines bind to the allosteric site of the GABAA receptor. This binding enhances the inhibitory effects of the neurotransmitter GABA. By doing so, they prevent...
1.3K
Sedatives and Hypnotics Drugs: Benzodiazepines
403
Benzodiazepines have both sedative and hypnotic properties. They include compounds such as diazepam (Valium) and alprazolam (Xanax). Structurally, their cores are similar, consisting of the fusion of a benzene ring and a diazepine ring, but they share a common mechanism of action in the central nervous system (CNS).
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
Benzodiazepines work by enhancing the effects of the inhibitory neurotransmitter GABA. They bind to the GABAA receptor, increasing its affinity for GABA, which opens chloride...
403
Sedatives and Hypnotics Drugs: Barbiturates
511
Sedatives and hypnotics encompass a drug class that acts on the central nervous system (CNS) to alleviate anxiety, promote relaxation and induce sleep.These drugs function by amplifying the actions of the neurotransmitter γ-aminobutyric acid (GABA), resulting in reduced neuronal activity. Barbiturates, a subset of sedatives and hypnotics first synthesized in the late 1800s, are categorized into ultra-short, short, intermediate, and long-acting groups based on their duration of effect. A...
511
Sedatives and Hypnotics: Overview
697
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
697
Anxiolytic Drugs: Overview
518
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
518


