Suicide risk in skin disorders
Suicide risk in skin disorders
复制标题
DOI：
10.1016/j.clindermatol.2011.11.006
复制
发表时间：
2013-01-01
影响因子：
2.7
通讯作者：
Tarolla, Emanuele
中科院分区：
文献类型：
--
作者：
Picardi, Angelo;Lega, Ilaria;Tarolla, Emanuele
自杀每年在全球造成约100万人死亡，是导致年轻人死亡的主要原因之一。关于几种皮肤病中自杀意念的高度流行和自杀风险增加的报道引发了人们对皮肤病患者故意自残的担忧。文献一直指出，牛皮癣、特应性皮炎和痤疮患者的自杀风险增加，皮肤状况与临床上显著的情绪困扰、身体形象改变、亲密关系困难和日常活动受损的患者的自杀风险更高。自杀的其他危险因素包括自杀未遂、严重的精神或身体障碍、酗酒、失业、丧亲或离婚、以及获得枪支或其他致命手段。皮肤科医生可能在识别患者的自杀意念和防止致命的自我伤害方面发挥重要作用。提高皮肤科医生对自杀问题的认识，并在皮肤科环境中发展精神健康咨询-联络服务，将有助于在这一人群中预防自杀。(C)2013 Elsevier Inc.保留所有权利。
Suicide accounts for about 1,000,000 deaths worldwide every year and is among the leading causes of death in young adults. Reports of high prevalence of suicidal ideation and increased suicide risk in several skin diseases raised concerns about deliberate self-harm in dermatological patients. The literature consistently points to an increased suicide risk in patients with psoriasis, atopic dermatitis, and acne, with higher risk in patients in whom the skin condition is associated with clinically significant emotional distress, changes in body image, difficulties in close relationships, and impaired daily activities. Other risk factors for suicide include a history of suicide attempts, severe mental or physical disorders, alcoholism, unemployment, bereavement or divorce, and access to firearms or other lethal means. Dermatologists may play an important role in recognizing suicidal ideation and preventing fatal self-harm in their patients. Increasing dermatologists' awareness of the issue of suicide and developing mental health consultation-liaison services within dermatology settings would be instrumental in contributing to suicide prevention in this population. (c) 2013 Elsevier Inc. All rights reserved.