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新冠后综合征与自杀风险。

Post-COVID syndrome and suicide risk.

机构信息

From the Inpatient Psychiatry, James J. Peters Veterans' Administration Medical Center, 130 W. Kingsbridge Road, Bronx, NY 10468, USA.

Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA.

出版信息

QJM. 2021 Apr 27;114(2):95-98. doi: 10.1093/qjmed/hcab007.

Abstract

A significant number of coronavirus disease SARS-CoV-2 (COVID-19) patients continue to have symptoms related to COVID-19 after the acute phase of illness. This post-COVID condition is sometimes called 'post-COVID syndrome', 'long COVID' or 'post-acute COVID-19'. Persistent psychiatric symptoms among COVID-19 survivors such as depression, anxiety, post-traumatic symptoms and cognitive impairment may be related to psychological factors and neurobiological injury. COVID-19 related neurological symptoms including anosmia, ageusia, dizziness, headache and seizures may persist for a long time after the acute COVID-19 illness. Many COVID-19 survivors experience persistent physical symptoms such as cough, fatigue, dyspnea and pain after recovering from their initial illness. There is a high probability that symptoms of psychiatric, neurological and physical illnesses, as well as inflammatory damage to the brain in individuals with post-COVID syndrome increase suicidal ideation and behavior in this patient population. COVID-19 survivors without post-COVID syndrome may also be at elevated suicide risk. Studies of suicidality in COVID-19 survivors are urgently needed and will be a new area of suicide research. An appropriate management of psychiatric, neurological and medical conditions may reduce suicide risk among COVID-19 survivors with or without post-COVID syndrome.

摘要

相当数量的新型冠状病毒疾病 SARS-CoV-2(COVID-19)患者在疾病的急性期后仍有与 COVID-19 相关的症状。这种新冠后状况有时被称为“新冠后综合征”、“长期 COVID”或“急性 COVID-19 后”。COVID-19 幸存者中持续存在的精神症状,如抑郁、焦虑、创伤后症状和认知障碍,可能与心理因素和神经生物学损伤有关。COVID-19 相关的神经系统症状,包括嗅觉丧失、味觉丧失、头晕、头痛和癫痫发作,在急性 COVID-19 疾病后可能会持续很长时间。许多 COVID-19 幸存者在从最初的疾病中康复后,会持续出现咳嗽、疲劳、呼吸困难和疼痛等身体症状。患有新冠后综合征的个体,其精神、神经和身体疾病的症状以及大脑的炎症损伤,很可能会增加自杀意念和行为。没有新冠后综合征的 COVID-19 幸存者也可能有更高的自杀风险。迫切需要对 COVID-19 幸存者的自杀意念进行研究,这将是自杀研究的一个新领域。适当管理精神、神经和医疗状况可能会降低有或没有新冠后综合征的 COVID-19 幸存者的自杀风险。

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