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针对老年美沙酮治疗患者的研究:监测自杀意念的重要性。

Research with Older Adult Methadone Clients: The Importance of Monitoring Suicide Ideation.

作者信息

McCall Janice, Brusoski Melissa, Rosen Daniel

机构信息

a Veterans Affairs Healthcare System, Pittsburgh, Center for Health Equity Promotion and Research , Pittsburgh , Pennsylvania , USA.

b University of Pittsburgh , School of Social Work , Pittsburgh , Pennsylvania , USA.

出版信息

J Gerontol Soc Work. 2017 Aug-Oct;60(6-7):458-470. doi: 10.1080/01634372.2017.1328479. Epub 2017 May 10.

DOI:10.1080/01634372.2017.1328479
PMID:28489495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6117196/
Abstract

This study reports on the importance of monitoring suicide ideation among older adult research participants. A recently completed randomized controlled trial of older adults who are current clients in methadone maintenance treatment (MMT) served as a case study to elucidate a suicide protocol that was designed to account for the potential instances of suicide ideation within the research project structure. As the numbers of older adult heroin users increases, this study's findings seek to influence research protocols that involve older adults with addictions who may be particularly vulnerable to suicide risk due to comorbid psychiatric conditions and psychosocial adversities.

摘要

本研究报告了监测老年研究参与者自杀意念的重要性。最近完成的一项针对正在接受美沙酮维持治疗(MMT)的老年客户的随机对照试验,作为一个案例研究,以阐明一项自杀预防方案,该方案旨在应对研究项目结构中可能出现的自杀意念情况。随着老年海洛因使用者数量的增加,本研究的结果旨在影响涉及成瘾老年人群的研究方案,这些老年人由于合并精神疾病和社会心理逆境,可能特别容易面临自杀风险。

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Am J Geriatr Psychiatry. 1996;4(3):197-207. doi: 10.1097/00019442-199622430-00003. Epub 2012 Aug 14.
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Acting with the future in mind is impaired in long-term opiate users.长期使用阿片类药物的人考虑未来的能力会受损。
Psychopharmacology (Berl). 2017 Jan;234(1):99-108. doi: 10.1007/s00213-016-4442-3. Epub 2016 Oct 6.
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Decision-making ability in current and past users of opiates: A meta-analysis.当前和过去阿片类药物使用者的决策能力:一项荟萃分析。
Neurosci Biobehav Rev. 2016 Dec;71:342-351. doi: 10.1016/j.neubiorev.2016.09.011. Epub 2016 Sep 17.
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Demographic Trends of Adults in New York City Opioid Treatment Programs--An Aging Population.纽约市阿片类药物治疗项目中成年人的人口趋势——人口老龄化
Subst Use Misuse. 2015;50(13):1660-7. doi: 10.3109/10826084.2015.1027929. Epub 2015 Nov 19.
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Relationship between marijuana and other illicit drug use and depression/suicidal thoughts among late middle-aged and older adults.中年晚期及老年成年人中大麻与其他非法药物使用和抑郁/自杀念头之间的关系。
Int Psychogeriatr. 2016 Apr;28(4):577-89. doi: 10.1017/S1041610215001738. Epub 2015 Nov 6.
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Substance use disorders and psychiatric comorbidity in mid and later life: a review.中老年期物质使用障碍与精神疾病共病:综述
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Does response on the PHQ-9 Depression Questionnaire predict subsequent suicide attempt or suicide death?患者健康问卷-9抑郁量表的得分能否预测后续的自杀未遂或自杀死亡?
Psychiatr Serv. 2013 Dec 1;64(12):1195-202. doi: 10.1176/appi.ps.201200587.
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Research to reduce the suicide rate among older adults: methodology roadblocks and promising paradigms.研究降低老年人自杀率:方法学障碍和有前途的范例。
Psychiatr Serv. 2013 Jun;64(6):586-9. doi: 10.1176/appi.ps.003582012.
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Screening for poststroke major depression: a meta-analysis of diagnostic validity studies.筛查脑卒中后重度抑郁症:诊断有效性研究的荟萃分析。
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