Epilepsy and suicide: Pathogenesis, risk factors, and prevention
| Autor: | Carla Cotellessa, Domenico De Berardis, Alessandra Cicconetti, Alberto Verrotti, Barbara Scorrano, Francesco Chiarelli, Filippo Maria Ferro |
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| Předmět: |
education.field_of_study
medicine.medical_specialty Epilepsy business.industry Depression Population Poison control Review Suicide Psychiatry and Mental Health Biological Psychiatry medicine.disease Suicide prevention Personality disorders Substance abuse Injury prevention medicine education business Psychiatry Depression (differential diagnoses) |
| Zdroj: | Scopus-Elsevier Neuropsychiatric Disease and Treatment |
| Popis: | Depression and suicide tendencies are common in chronic diseases, especially in epilepsy and diabetes. Suicide is one of the most important causes of death, and is usually underestimated. We have analyzed several studies that compare mortality as a result of suicide in epileptic patients and in the general population. All the studies show that epileptic patients have a stronger tendency toward suicide than healthy controls. Moreover it seems that some kinds of epilepsy have a higher risk for suicide (temporal-lobe epilepsy). Among the risk factors are surgery therapy (suicide tendency five times higher than patients in pharmacological therapy), absence of seizures for a long time, especially after being very frequent, and psychiatric comorbidity (major depression, anxiety-depression disorders, personality disorders, substance abuse, psychoses). The aim of the review was to analyze the relationship between suicide and epilepsy, to identify the major risk factors, and to analyze effective treatment options. |
| Databáze: | OpenAIRE |
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