Mellentin Angelina, Stenager Elsebeth Nylev, Stenager Egon
a Unit for Psychiatric Research, Department of Clinical Research , University of Southern Denmark , Odense , Denmark.
b Unit for Psychiatric Research, Institute of Regional Health Services Research , University of Southern Denmark , Aabenraa , Denmark.
Expert Rev Neurother. 2018 Dec;18(12):945-952. doi: 10.1080/14737175.2018.1549990. Epub 2018 Nov 23.
Suicidal behavior is a relatively rare occurrence among patients with multiple sclerosis (MS). Nonetheless, it is important to identify and be aware of the constituting risk factors to prevent suicidal behavior among vulnerable patients. Areas covered: This scoped review will shortly outline well-known biological and psychosocial risk factors for suicidal behavior among MS patients and suggest preventive initiatives. The preventive strategies should include a close monitoring of MS pharmacotherapy to prevent progression, and awareness and early identification of psychosocial risk factors across a variety of heathcare and social instances the patient may encounter during their life with the disease. The staff in these instances should be educated in detecting the MS patients at increased risk and refer them to relevant healthcare instances, including the general practitioner, neurologists, psychiatrist, etc. In addition, referral to social instances to support educational, vocational, and home environment to the state of the disease is of utmost importance. Expert commentary: Enhancing quality of life for as long as possible by these means may be held to reduce the risk for psychosocial problems and hence suicidal behavior.
自杀行为在多发性硬化症（MS）患者中相对罕见。尽管如此，识别并了解构成自杀行为的风险因素对于预防脆弱患者的自杀行为非常重要。涵盖领域：本范围综述将简要概述MS患者自杀行为的知名生物学和心理社会风险因素，并提出预防措施。预防策略应包括密切监测MS药物治疗以防止病情进展，以及在患者患病期间可能遇到的各种医疗保健和社会情况下，认识并早期识别心理社会风险因素。这些情况下的工作人员应接受培训，以检测出自杀风险增加的MS患者，并将他们转介到相关的医疗保健机构，包括全科医生、神经科医生、精神科医生等。此外，转介到社会机构以支持教育、职业和家庭环境适应疾病状况至关重要。专家评论：通过这些方式尽可能长时间地提高生活质量，可能会降低心理社会问题的风险，从而降低自杀行为的风险。
