Vitamin D - a key to reducing the risk of suicide?

Jacek Januszewski, Alicja Forma, K. Karakuła, R. Sitarz, J. Baj, Karolina Kłodnicka, Julita Zembala, D. Juchnowicz
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Abstract

Introduction: Vitamin D has a major positive impact on human health. Its daily supplementation regulates calcium metabolism, inflammatory and neuromodulatory processes. More importantly, vitamin D may be an important factor in reducing the risk of suicide among psychiatric patients. This review aims to describe the potential positive effect of vitamin D supplementation in preventing suicide attempts. Method: The literature review was conducted by search of articles in English and Polish languages on PubMed, Medline, and Google Scholar, published from 1974 to the 1st of April 2023, following SANRA requirements. The search utilized the following keywords: vitamin D, vitamin D deficiency, vitamin D supplementation, suicide, depression, bipolar disorder, schizophrenia, ADHD, anxiety, and autism. The analysis encompassed original studies, meta-analyses, randomized controlled trials, and review articles. Results: There is a limited number of studies investigating the impact of vitamin D supplementation on suicide risk in individuals with mental illness. Several studies suggest that vitamin D may have a beneficial effect on symptoms of mental illnesses. However, the exact mechanism through which vitamin D exerts its therapeutic effects on mental health remains unclear. Incorporating vitamin D into the treatment of the mental disorders such as depression, schizophrenia, bipolar disease, ADHS, autism spectrum disorder, and anxiety, as well as supplementing it during pregnancy and throughout life, could potentially be an effective therapeutic adjunct for suicide prevention approach. Conclusions: According to all the research and gathered data, there is a correlation between Vitamin D supplementation and a decrease in suicide risk among patients suffering from mental disorders. Several lines of evidence have shown a positive impact on mental health in patients suffering from mental diseases. However, further research is needed to establish the mechanisms of the therapeutic effect of Vitamin D. Keywords: vitamin D, vitamin D supplementation, suicide, psychiatric disorders
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维生素D——降低自杀风险的关键?
维生素D对人体健康有重大的积极影响。每日补充可调节钙代谢、炎症和神经调节过程。更重要的是,维生素D可能是降低精神病患者自杀风险的一个重要因素。这篇综述旨在描述补充维生素D在预防自杀企图方面的潜在积极作用。方法:按照SANRA的要求,通过检索PubMed、Medline和Google Scholar上从1974年到2023年4月1日发表的英文和波兰文文章进行文献综述。搜索使用了以下关键词:维生素D,维生素D缺乏,维生素D补充,自杀,抑郁,双相情感障碍,精神分裂症,多动症,焦虑和自闭症。分析包括原始研究、荟萃分析、随机对照试验和综述文章。结果:调查维生素D补充剂对精神疾病患者自杀风险影响的研究数量有限。几项研究表明,维生素D可能对精神疾病的症状有有益的影响。然而,维生素D对心理健康发挥治疗作用的确切机制尚不清楚。将维生素D纳入抑郁症、精神分裂症、双相情感障碍、ADHS、自闭症谱系障碍和焦虑症等精神障碍的治疗中,并在怀孕期间和整个生命过程中补充维生素D,可能是预防自杀的有效治疗辅助手段。结论:根据所有的研究和收集到的数据,在患有精神障碍的患者中,补充维生素D与降低自杀风险之间存在相关性。有几条证据表明,它对精神疾病患者的精神健康有积极影响。然而,维生素D的治疗作用机制有待进一步研究。关键词:维生素D,维生素D补充,自杀,精神障碍
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期刊介绍: The quarterly Current Problems of Psychiatry is a continuation of the volume "Research on Schizophrenia" and is addressed to a wide group of psychiatrists and clinical psychologists. The quarterly is a reviewed scientific journal of international scope, publishing original papers, review papers, case studies, conference reports, letters to the editor and book reviews. The aim of the "Current Problems of Psychiatry" is providing a wide audience with scientific works, representing a significant contribution to the development of psychiatry and clinical psychology. The works published in the journal are printed in Polish and English. Terms and Conditions for publishing manuscripts in the quarterly are available on the website www.cppsych.umlub.pl in the tab "Requirements".
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