Suicidal behavior and alcohol abuse.

Suicidal behavior and alcohol abuse.
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DOI:
10.3390/ijerph7041392
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发表时间:
2010-04
影响因子:
--
通讯作者:
Lester D
Lester D
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Pompili M;Serafini G;Innamorati M;Dominici G;Ferracuti S;Kotzalidis GD;Serra G;Girardi P;Janiri L;Tatarelli R;Sher L;Lester D

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自杀是一个不断升级的公共卫生问题,而酒精的使用一直与自杀行为的沉淀有关。酒精滥用可能会导致自杀通过解除抑制,冲动和受损的判断,但它也可以被用来作为一种手段,以减轻与自杀行为相关的痛苦。我们通过检索MedLine和PsychInfo电子数据库,回顾了酒精使用与自杀之间关系的证据。多种遗传相关的中间表型可能会影响酒精和自杀之间的关系。精神疾病,包括精神病、情绪障碍和焦虑症,以及对压力的敏感性,可能会增加自杀行为的风险,但也可能与饮酒模式产生相互影响。自杀风险的增加可能预示着社会退缩,社会纽带的崩溃和社会边缘化,这是未经治疗的酒精滥用和依赖的常见结果。有酒精依赖或抑郁症的人应该筛查其他精神症状和自杀倾向。自杀预防计划必须考虑到饮酒习惯,并应加强健康的行为模式。
Suicide is an escalating public health problem, and alcohol use has consistently been implicated in the precipitation of suicidal behavior. Alcohol abuse may lead to suicidality through disinhibition, impulsiveness and impaired judgment, but it may also be used as a means to ease the distress associated with committing an act of suicide. We reviewed evidence of the relationship between alcohol use and suicide through a search of MedLine and PsychInfo electronic databases. Multiple genetically-related intermediate phenotypes might influence the relationship between alcohol and suicide. Psychiatric disorders, including psychosis, mood disorders and anxiety disorders, as well as susceptibility to stress, might increase the risk of suicidal behavior, but may also have reciprocal influences with alcohol drinking patterns. Increased suicide risk may be heralded by social withdrawal, breakdown of social bonds, and social marginalization, which are common outcomes of untreated alcohol abuse and dependence. People with alcohol dependence or depression should be screened for other psychiatric symptoms and for suicidality. Programs for suicide prevention must take into account drinking habits and should reinforce healthy behavioral patterns.
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