De Berardis Domenico, Fornaro Michele, Orsolini Laura, Valchera Alessandro, Carano Alessandro, Vellante Federica, Perna Giampaolo, Serafini Gianluca, Gonda Xenia, Pompili Maurizio, Martinotti Giovanni, Di Giannantonio Massimo
NHS, Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini", ASL 4, Teramo, Italy.
Department of Neurosciences and Imaging, Chair of Psychiatry, Università degli Studi 'G. d'Annunzio' Chieti - Pescara, Chieti, Italy.
Front Psychiatry. 2017 Aug 14;8:148. doi: 10.3389/fpsyt.2017.00148. eCollection 2017.
It is well known that alexithymic individuals may show significantly higher levels of anxiety, depression, and psychological suffering than non-alexithymics. There is an increasing evidence that alexithymia may be considered a risk factor for suicide, even simply increasing the risk of development of depressive symptoms or . Therefore, the purpose of this narrative mini-review was to elucidate a possible relationship between alexithymia and suicide risk. The majority of reviewed studies pointed out a relationship between alexithymia and an increased suicide risk. In several studies, this relationship was mediated by depressive symptoms. In conclusion, the importance of alexithymia screening in everyday clinical practice and the evaluation of clinical correlates of alexithymic traits should be integral parts of all disease management programs and, especially, of suicide prevention plans and interventions. However, limitations of studies are discussed and must be considered.
众所周知，与非述情障碍者相比，述情障碍个体可能表现出显著更高水平的焦虑、抑郁和心理痛苦。越来越多的证据表明，述情障碍可能被视为自杀的一个风险因素，甚至只是增加了抑郁症状发展的风险。因此，本叙述性小型综述的目的是阐明述情障碍与自杀风险之间可能存在的关系。大多数综述研究指出述情障碍与自杀风险增加之间存在关联。在几项研究中，这种关联是由抑郁症状介导的。总之，在日常临床实践中进行述情障碍筛查以及评估述情障碍特征的临床相关因素的重要性，应该成为所有疾病管理项目，尤其是自杀预防计划和干预措施的组成部分。然而，研究的局限性也进行了讨论，必须加以考虑。
