自杀的催化反应模型
Catalytic Reaction Model of Suicide.
作者信息
McPherson Pamela, Sall Saveen, Santos Aurianna, Thompson Willie, Dwyer Donard S
机构信息
Department of Psychiatry and Behavioral Medicine, Shreveport, LA, United States.
Department of Pharmacology, Toxicology and Neuroscience, LSU Health Shreveport, Shreveport, LA, United States.
出版信息
Front Psychiatry. 2022 Mar 9;13:817224. doi: 10.3389/fpsyt.2022.817224. eCollection 2022.
Suicide is a devastating outcome of unresolved issues that affect mental health, general wellbeing and socioeconomic stress. The biology of suicidal behavior is still poorly understood, although progress has been made. Suicidal behavior runs in families and genetic studies have provided initial glimpses into potential genes that contribute to suicide risk. Here, we attempt to unify the biology and behavioral dimensions into a model that can guide research in this area. The proposed model envisions suicidal behavior as a catalytic reaction that may result in suicide depending on the conditions, analogously to enzyme catalysis of chemical reactions. A wide array of substrates or reactants, such as hopelessness, depression, debilitating illnesses and diminished motivation can mobilize suicidal thoughts and behaviors (STBs), which can then catalyze the final step/act of suicide. Here, we focus on three biological substrates in particular: threat assessment, motivation to engage in life and impulsivity. Genetic risk factors can affect each of these processes and tilt the balance toward suicidal behavior when existential crises (real or perceived) emerge such as loss of a loved one, sudden changes in social status or serious health issues. Although suicide is a uniquely human behavior, many of the fundamental biological processes are evolutionarily conserved. Insights from animal models may help to shape our understanding of suicidal behavior in man. By examining counterparts of the major biological processes in other organisms, new ideas about the role of genetic risk factors may emerge along with possible therapeutic interventions or preventive measures.
自杀是未解决问题的一个毁灭性后果,这些问题会影响心理健康、总体幸福感和社会经济压力。尽管已经取得了进展,但自杀行为的生物学机制仍未得到充分理解。自杀行为在家族中具有遗传性,基因研究已经初步揭示了一些可能导致自杀风险的潜在基因。在此,我们试图将生物学和行为层面统一到一个模型中,以指导该领域的研究。所提出的模型将自杀行为设想为一种催化反应,根据具体情况可能导致自杀,类似于化学反应中的酶催化作用。各种各样的底物或反应物,如绝望、抑郁、使人衰弱的疾病和动力减退,都可以引发自杀念头和行为(STB),进而催化自杀的最后一步/行为。在此,我们特别关注三种生物学底物:威胁评估、生活动力和冲动性。当出现诸如失去亲人、社会地位突然变化或严重健康问题等生存危机(真实的或感知到的)时,遗传风险因素会影响这些过程中的每一个,并使平衡倾向于自杀行为。尽管自杀是一种独特的人类行为,但许多基本的生物学过程在进化上是保守的。动物模型的见解可能有助于塑造我们对人类自杀行为的理解。通过研究其他生物体中主要生物学过程的对应物,可能会出现关于遗传风险因素作用的新观点,以及可能的治疗干预措施或预防措施。