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有自杀未遂病史的个体及其与炎症、抑郁症状严重程度和儿童期虐待的关系。

Individuals Who Had a Lifetime History of Suicide Attempts and Their Relationships With Inflammation, Severity of Depressive Symptoms, and Childhood Maltreatments.

机构信息

Health Sciences Graduate Program, Health Sciences Center, State University of Londrina, Londrina, Brazil.

出版信息

J Nerv Ment Dis. 2024 Nov 1;212(11):549-556. doi: 10.1097/NMD.0000000000001805. Epub 2024 Oct 13.

Abstract

Lifetime history of suicide attempts is associated with inflammatory mechanisms, severity of depressive symptoms, and childhood trauma. This cross-sectional study enrolled 54 suicide attempters and 154 nonsuicide attempters. All individuals were assessed through a questionnaire, a structured clinical interview, scales, anthropometric measures, and laboratory biomarkers. Individuals with a history of lifetime suicide attempts showed significant positive correlations regarding soluble tumor necrosis factor receptor 1 and severity of depressive symptoms (p = 0.013), interleukin-1 receptor antagonist and severity of depressive symptoms (p = 0.04), and absenteeism from work and childhood physical abuse (p = 0.012). Suicide attempters also experienced more childhood trauma (sexual abuse, physical abuse, emotional abuse, emotional neglect, and physical neglect) compared with nonsuicide attempters. IL-4 levels were significantly lower in individuals who attempted suicide than in nonsuicidal individuals. Lifetime suicide attempts in major affective disorders were associated with childhood trauma and proinflammatory and anti-inflammatory cytokines.

摘要

一生中自杀未遂的经历与炎症机制、抑郁症状的严重程度和儿童期创伤有关。这项横断面研究纳入了 54 名自杀未遂者和 154 名非自杀未遂者。所有个体都通过问卷、结构化临床访谈、量表、人体测量学指标和实验室生物标志物进行评估。有一生中自杀未遂经历的个体,可溶性肿瘤坏死因子受体 1 和抑郁症状严重程度(p=0.013)、白细胞介素-1 受体拮抗剂和抑郁症状严重程度(p=0.04)以及旷工和儿童期身体虐待(p=0.012)呈显著正相关。与非自杀未遂者相比,自杀未遂者还经历了更多的儿童期创伤(性虐待、身体虐待、情感虐待、情感忽视和身体忽视)。与非自杀者相比,尝试过自杀的个体的 IL-4 水平明显较低。在主要情感障碍中,一生中自杀未遂与儿童期创伤以及促炎和抗炎细胞因子有关。

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