Corelaţia dintre tulburările induse de consumul de alcool şicomportamentul suicidar

Adela M. Ciobanu, Carmen P. Niculae, Luana Geza, Larisa M. Catrinescu
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Abstract

Both suicide and excessive ethanol use are major public health problems that society faces. Individuals who develop ethanol abuse or dependence are more likely to develop suicidal ideation throughout their lives, compared to people who are not associated with this addiction. The synchronous presence of a mood disorder can interfere with the relationship between alcohol abuse/dependence and suicide. The risk factors that further contribute to the association of the two entities must be considered as well. For example, maladaptive coping strategies and the way the individual face everyday problems or stressors contribute to a greater exposure to both excessive ethanol consumption and suicidal behavior. These two elements potentiate each other, and the patient can enter into a vicious circle which in many situations can lead to suicide. In order to resort to the act of taking their own lives or expressing suicidal behavior, patients often present disinhibition, decreased judgment and increased impulsivity, which are also the greatest risk factors for ethanol consumers to deviate to a suicidal attempt. The purpose of this review is to better understand the mechanisms underlying suicidal behavior and ethanol dependence, and the link between ethanol consumption and suicidal thoughts. We reviewed articles that reported both alcohol abuse and suicidal behavior, associated or not with mood disorders. We analyzed studies found on Google Scholar and PubMed databases. The searching keywords were “suicide attempt” and “alcohol abuse”. We also looked for evidence that pointed to a link between alcoholism and suicide.
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酒精使用障碍与自杀行为之间的相关性
自杀和过度使用乙醇都是社会面临的主要公共卫生问题。与没有酒精成瘾的人相比,滥用或依赖酒精的人一生中更有可能产生自杀念头。同时出现的情绪障碍会干扰酒精滥用/依赖与自杀之间的关系。还必须考虑进一步促成这两个实体联系的风险因素。例如,适应不良的应对策略和个人面对日常问题或压力源的方式,会导致过量饮酒和自杀行为的增加。这两个因素相互促进,病人会进入一个恶性循环,在很多情况下会导致自杀。为了诉诸自杀或表达自杀行为,患者往往表现出抑制解除、判断力下降和冲动增加,这也是乙醇消费者偏离自杀企图的最大危险因素。本综述的目的是为了更好地了解自杀行为和乙醇依赖的潜在机制,以及乙醇消费与自杀念头之间的联系。我们回顾了报告酒精滥用和自杀行为的文章,无论是否与情绪障碍有关。我们分析了在Google Scholar和PubMed数据库中找到的研究。搜索关键词是“自杀未遂”和“酗酒”。我们也在寻找酒精中毒和自杀之间联系的证据。
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发文量
15
审稿时长
8 weeks
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