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双相情感障碍中的自杀风险:简要综述

Suicide Risk in Bipolar Disorder: A Brief Review.

作者信息

Dome Peter, Rihmer Zoltan, Gonda Xenia

机构信息

Department of Psychiatry and Psychotherapy, Semmelweis University, Faculty of Medicine, 1125 Budapest, Hungary.

National Institute of Psychiatry and Addictions, Laboratory for Suicide Research and Prevention, 1135 Budapest, Hungary.

出版信息

Medicina (Kaunas). 2019 Jul 24;55(8):403. doi: 10.3390/medicina55080403.

Abstract

Bipolar disorders (BDs) are prevalent mental health illnesses that affect about 1-5% of the total population, have a chronic course and are associated with a markedly elevated premature mortality. One of the contributors for the decreased life expectancy in BD is suicide. Accordingly, the rate of suicide among BD patients is approximately 10-30 times higher than the corresponding rate in the general population. Extant research found that up to 20% of (mostly untreated) BD subjects end their life by suicide, and 20-60% of them attempt suicide at least one in their lifetime. In our paper we briefly recapitulate the current knowledge on the epidemiological aspects of suicide in BD as well as factors associated with suicidal risk in BD. Furthermore, we also discuss concisely the possible means of suicide prevention in BD.

摘要

双相情感障碍(BDs)是常见的精神健康疾病,影响着约1%至5%的总人口,病程呈慢性,且与过早死亡率显著升高相关。BD患者预期寿命降低的一个原因是自杀。因此,BD患者的自杀率比普通人群的相应自杀率高出约10至30倍。现有研究发现,高达20%的(大多未接受治疗的)BD患者自杀身亡,其中20%至60%的人一生中至少尝试过一次自杀。在本文中,我们简要概述了目前关于BD自杀流行病学方面的知识以及与BD自杀风险相关的因素。此外,我们还简要讨论了BD自杀预防的可能方法。

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