Pompili Maurizio, Sher Leo, Serafini Gianluca, Forte Alberto, Innamorati Marco, Dominici Giovanni, Lester David, Amore Mario, Girardi Paolo
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy.
J Nerv Ment Dis. 2013 Sep;201(9):802-12. doi: 10.1097/NMD.0b013e3182a21458.
Posttraumatic stress disorder (PTSD) is frequently associated with suicidal ideation and suicide attempts. Suicide is an important cause of death in veterans, and the risk for intentional death continues to be high many years after service. The aim of the present study was to investigate whether there is a relationship between PTSD and suicidal behavior among veterans. We also discussed the risk factors of suicide among war veterans with PTSD. A systematic review was conducted focusing on war-related PTSD and suicidal behavior. A total of 80 articles from peer-reviewed journals were identified, 34 were assessed for eligibility, and 16 were included. Having a history of PTSD is associated with higher rates of morbidity and mortality and increased the risk for suicidal behavior. The association between PTSD and suicidal behavior was confirmed by the presence of other risk factors and high rates of comorbidity. Current suicidal behavior should be adequately assessed in war veterans.
创伤后应激障碍（PTSD）常与自杀意念和自杀未遂相关。自杀是退伍军人死亡的重要原因，并且在退伍多年后，故意死亡的风险仍然很高。本研究的目的是调查退伍军人中PTSD与自杀行为之间是否存在关联。我们还讨论了患有PTSD的退伍军人自杀的风险因素。进行了一项系统综述，重点关注与战争相关的PTSD和自杀行为。共识别出80篇来自同行评审期刊的文章，评估了34篇文章的 eligibility（此处原文可能有误，推测为“合格性”之类意思），纳入了16篇。有PTSD病史与更高的发病率和死亡率相关，并增加了自杀行为的风险。PTSD与自杀行为之间的关联通过其他风险因素的存在和高共病率得到证实。应对退伍军人当前的自杀行为进行充分评估。
