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能否根据青少年的炎症参数预测自杀行为及自杀的季节性?

Can suicide behavior and seasonality of suicide be predicted from inflammatory parameters in adolescents?

作者信息

Ucuz İlknur, Kayhan Tetik Burcu

机构信息

Inonu University Medical Faculty, Department of Child and Adolescent Psychiatry, Malatya, Turkey.

Inonu University Medical Faculty, Department of Family Medicine, Malatya, Turkey.

出版信息

Med Hypotheses. 2020 Oct;143:110061. doi: 10.1016/j.mehy.2020.110061. Epub 2020 Jul 4.

Abstract

According to the 2017 data of World Health organization approximately 800 million individuals commit suicide annually. After understanding that psychiatric disorders start the inflammation process by suppressing the brain, a number of studies using neutrophil/lymphocyte ratio, platelet/lymphocyte ratio and monocyte/lymphocyte ratio have been conducted. Platelet/lymphocyte ratio, neutrophil/lymphocyte ratio, monocyte/lymphocyte ratio and other hemogram parameters may be a marker in predicting suicide. In addition, the determination of the relationship between these inflammatory markers and the cyclicity/seasonality of suicide can provide a basis for preventive mental health measures. This hypothesis was performed on 193 patients who attempted suicide and the control group consisted of 109 healthy children and adolescents between 2014 and 2019. Data were evaluated by SPSS software version 22 and a value of p < 0.05 was accepted to be significant in all tests. In our study, we found that hemogram parameters showing inflammation were significantly higher in the patients who committed suicide. Another finding of this study is that inflammation is directly related to suicide attempt rather than seasonality in adolescents who commit suicide. Rigorous testing of this medical hypothesis with other research will have major clinical and policy implications for preventive mental health.

摘要

根据世界卫生组织2017年的数据,每年约有8亿人自杀。在了解到精神疾病通过抑制大脑引发炎症过程后,已经开展了一些使用中性粒细胞/淋巴细胞比率、血小板/淋巴细胞比率和单核细胞/淋巴细胞比率的研究。血小板/淋巴细胞比率、中性粒细胞/淋巴细胞比率、单核细胞/淋巴细胞比率及其他血常规参数可能是预测自杀的一个指标。此外,确定这些炎症标志物与自杀的周期性/季节性之间的关系可为预防性心理健康措施提供依据。该假设在193例自杀未遂患者身上进行,对照组由2014年至2019年间109名健康儿童和青少年组成。数据采用SPSS 22版软件进行评估,所有检验中p < 0.05的值被认为具有显著性。在我们的研究中,我们发现自杀患者中显示炎症的血常规参数显著更高。这项研究的另一个发现是,炎症与自杀未遂直接相关,而非与自杀青少年的季节性相关。用其他研究对这一医学假设进行严格检验将对预防性心理健康产生重大临床和政策影响。

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