Kirchner J T
Department of Family and Community Medicine, Lancaster General Hospital, Pennsylvania, USA.
J Fam Pract. 1995 Nov;41(5):493-6.
An association between suicide and the acquired immune deficiency syndrome (AIDS) has been noted in several epidemiologic studies. Numerous case reports also support the trend of an increased suicide risk in persons infected with human immunodeficiency virus (HIV) and persons with AIDS. A variety of medical, neurologic, and psychiatric factors may contribute to the death of an HIV patient. I present the case of a 27-year-old man who committed suicide approximately 2 years after he received a diagnosis of AIDS. He had no previous psychiatric history. It is imperative that physicians caring for such patients be aware of the various neurologic and psychiatric manifestations of HIV infection. If appropriate, an assessment of suicide risk should be included in the regular office visit.
多项流行病学研究已指出自杀与获得性免疫缺陷综合征(艾滋病)之间存在关联。大量病例报告也支持感染人类免疫缺陷病毒(HIV)者及艾滋病患者自杀风险增加的趋势。多种医学、神经学和精神因素可能导致HIV患者死亡。我报告一例27岁男性病例,其在被诊断为艾滋病约2年后自杀。他既往无精神病史。照顾此类患者的医生必须了解HIV感染的各种神经学和精神学表现。如有必要,应在常规门诊就诊时对自杀风险进行评估。