评估心力衰竭患者的自杀风险:系统性审查和元分析
1Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, China.
Frontiers in psychiatry
|October 3, 2025
概括
心力衰竭 (HF) 患者面临明显增加的自杀风险. 早期的心理健康支持和定期检查对于管理HF护理中的这种风险至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 是一种慢性疾病,通常与心理健康挑战和自杀行为有关.
- 在高血压患者中,确切的自杀风险尚不清楚.
- 这项研究系统地审查和元分析了HF与成人自杀风险之间的联系.
研究的目的:
- 量化心力衰竭与自杀风险之间的关联.
- 确定导致HF种群中自杀风险估计异质性的因素.
主要方法:
- 在PubMed,Scopus和Web of Science进行了系统的文献搜索,截至2025年6月.
- 包括专注于成人患者 (≥18岁) 的研究,具有关于自杀念头,尝试或完成的定量数据.
- 根据诊断标准 (ICD-9与ICD-10) 和研究设计 (病例对照与队列) 进行了子组分析.
主要成果:
- 从1643个记录中,有8项研究符合纳入标准.
- 与一般人群相比,心力衰竭患者的自杀风险 (OR = 1.62) 显著增加.
- 异质性很大 (I2 = 88.23%),在使用ICD-9标准和病例控制设计的研究中观察到更高的风险估计.
结论:
- 心力衰竭与自杀风险增加有显著的关联.
- 这些发现强调了综合心理健康查和HF管理干预措施的必要性.
- 对于处于危险状态的人来说,迅速的心理支持,特别是诊断后的心理支持,至关重要.
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