Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Faculty of Medicine, Division of Psychiatry, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2024 Oct 1;87(10):904-911. doi: 10.1097/JCMA.0000000000001150. Epub 2024 Aug 13.
The concurrent rise in the prevalence of autism and youth suicide has drawn public health and professional attention. The renaissance of psychedelics in psychiatry occurred in the early 21st century and may suggest a hope for the therapeutic effect of psychedelics in autism and suicide. The psychedelics' molecular entities are the compounds that modulate the serotoninergic and glutamatergic systems, which play a crucial role in the pathomechanisms underlying autism and suicide. This systematic review comprehensively discussed the prevalence trends of autism and youth suicide globally and in Taiwan and discussed an association between autism and suicidality based on the 21st century clinical and preclinical literature. Furthermore, this review proposed a possible neurobiological connection between autism, suicide, and psychedelics. Finally, this review discussed the potential therapeutic applications of psychedelics in autism and youth suicide.
自闭症和青少年自杀率的同时上升引起了公共卫生和专业人士的关注。精神病学中迷幻剂的复兴发生在 21 世纪初,这可能表明迷幻剂在自闭症和自杀中的治疗效果有希望。迷幻剂的分子实体是调节血清素能和谷氨酸能系统的化合物,这些系统在自闭症和自杀的发病机制中起着至关重要的作用。本系统综述全面讨论了自闭症和青少年自杀在全球和中国台湾地区的流行趋势,并根据 21 世纪的临床和临床前文献讨论了自闭症与自杀之间的关联。此外,本综述提出了自闭症、自杀和迷幻剂之间可能存在的神经生物学联系。最后,本综述讨论了迷幻剂在自闭症和青少年自杀中的潜在治疗应用。