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近期饮酒与自杀倾向——神经心理学视角

Recent alcohol intake and suicidality--a neuropsychological perspective.

作者信息

O'Connell H, Lawlor B A

机构信息

Mercer's Institute for Research on Ageing, St. James's Hospital, Dublin 8.

出版信息

Ir J Med Sci. 2005 Oct-Dec;174(4):51-4. doi: 10.1007/BF03168983.

DOI:10.1007/BF03168983
PMID:16445162
Abstract

BACKGROUND

Alcohol use disorders and suicidal behaviours are among the most prevalent and damaging of all psychiatric phenomena in Ireland and worldwide. Furthermore, alcohol use both chronic and acute has long been identified as a potent riskfactor for suicidal behaviour.

AIMS

In this paper, the authors review the observational and experimental evidence for the acute neuropsychological effects of alcohol intake on suicidal ideation and behaviour.

METHODS

A selective review of the literature was conducted, using the PubMed database. Search terms employed included 'alcohol', 'suicide', 'binge' and 'acute alcohol intake'.

RESULTS

Cognitive mechanisms implicated include alcohol-induced deficits in attention-allocation, prospective cognition, autobiographical memory and disinhibition. Emotional mechanisms include alcohol-induced dysphoria, depression and aggression.

CONCLUSIONS

This paper serves to highlight the importance of identifying and tackling acute alcohol intake and binge drinking as a risk factor for suicidal behaviour.

摘要

背景

酒精使用障碍和自杀行为是爱尔兰乃至全球最为普遍且危害极大的精神疾病现象。此外,长期和急性饮酒一直被视为自杀行为的一个重要风险因素。

目的

在本文中,作者回顾了关于酒精摄入对自杀意念和行为的急性神经心理学影响的观察性和实验性证据。

方法

使用PubMed数据库对文献进行了选择性回顾。使用的检索词包括“酒精”“自杀”“暴饮”和“急性酒精摄入”。

结果

涉及的认知机制包括酒精导致的注意力分配、前瞻性认知、自传体记忆和去抑制功能缺陷。情绪机制包括酒精引发的烦躁不安、抑郁和攻击性。

结论

本文旨在强调识别和解决急性酒精摄入及暴饮作为自杀行为风险因素的重要性。

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引用本文的文献

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本文引用的文献

1
Low intelligence test scores in 18 year old men and risk of suicide: cohort study.18岁男性的低智力测试分数与自杀风险:队列研究
BMJ. 2005 Jan 22;330(7484):167. doi: 10.1136/bmj.38310.473565.8F. Epub 2004 Dec 22.
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Attention deficit hyperactivity disorder and suicide: a review of possible associations.
Acta Psychiatr Scand. 2004 Dec;110(6):408-15. doi: 10.1111/j.1600-0447.2004.00384.x.
3
Acute alcohol use and suicidal behavior: a review of the literature.急性酒精使用与自杀行为:文献综述
Alcohol Clin Exp Res. 2004 May;28(5 Suppl):18S-28S. doi: 10.1097/01.alc.0000127411.61634.14.
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Understanding the suicidal brain.
Br J Psychiatry. 2003 Oct;183:282-4. doi: 10.1192/bjp.183.4.282.
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Blood alcohol levels following attempted suicide.自杀未遂后的血液酒精含量
Q J Stud Alcohol. 1963 Mar;24:14-22.
6
The risk of intentional injury with acute and chronic alcohol exposures: a case-control and case-crossover study.急性和慢性酒精暴露导致故意伤害的风险:一项病例对照和病例交叉研究。
J Stud Alcohol. 2003 May;64(3):350-7. doi: 10.15288/jsa.2003.64.350.
7
Alcohol consumption and nearly lethal suicide attempts.饮酒与近乎致命的自杀未遂行为。
Suicide Life Threat Behav. 2001;32(1 Suppl):30-41. doi: 10.1521/suli.32.1.5.30.24208.
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Biological markers for suicidal behavior in alcohol dependence.
Eur Psychiatry. 2001 Nov;16(7):410-7. doi: 10.1016/s0924-9338(01)00599-5.
9
Dying for a drink. Global suicide prevention should focus more on alcohol use disorders.为一杯酒而死。全球自杀预防应更多关注酒精使用障碍。
BMJ. 2001 Oct 13;323(7317):817-8. doi: 10.1136/bmj.323.7317.817.
10
Alcohol and suicidal behavior.酒精与自杀行为。
Clin Psychol Rev. 2001 Jul;21(5):797-811. doi: 10.1016/s0272-7358(00)00070-2.