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抗抑郁药物与自杀未遂的相对风险。

Antidepressants medications and the relative risk of suicide attempt.

作者信息

Mandour R A

机构信息

Toxicology Unit, Emergency Hospital, Mansoura University, Egypt.

出版信息

Toxicol Int. 2012 Jan;19(1):42-6. doi: 10.4103/0971-6580.94517.

Abstract

This study was conducted on patients (n=1283) of different ages, 924 males and 359 female. These patients were attended to poison unit at emergency hospital, Mansoura University during the period from January 2002 to December 2009. The aim of this study was to characterize patients on antidepressants after self-poisoning with suicidal intent regarding age, sex, type of current antidepressant therapy, and type of substances ingested in order to commit suicide. During the study period, 175 Para suicide patients were found with current antidepressants therapy and presented with self-poisoning using their antidepressant therapy or other medications. A substantial difference between different types of antidepressants was found. Para suicide risks for selective serotonin reuptake inhibitor were significantly low than those of tricyclic antidepressants, so in suicide prevention, risks and benefits of an antidepressant should be taken into account when choosing treatment for depressive patients. At the same time, depressed patients should be under close psychiatric assessment in order to prevent such possible suicidal attempts.

摘要

本研究对不同年龄的患者(n = 1283)进行,其中男性924例,女性359例。这些患者于2002年1月至2009年12月期间在曼苏拉大学急诊医院中毒科就诊。本研究的目的是对有自杀意图的自服中毒后使用抗抑郁药的患者进行年龄、性别、当前抗抑郁治疗类型以及自杀时所摄入物质类型等方面的特征描述。在研究期间,发现175例准自杀患者正在接受抗抑郁治疗,且存在使用其抗抑郁治疗药物或其他药物进行自服中毒的情况。研究发现不同类型的抗抑郁药之间存在显著差异。选择性5-羟色胺再摄取抑制剂的准自杀风险显著低于三环类抗抑郁药,因此在自杀预防中,为抑郁症患者选择治疗方法时应考虑抗抑郁药的风险和益处。同时,抑郁症患者应接受密切的精神科评估,以防止此类可能的自杀企图。

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