Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review

Suicidal behaviour is a public health problem whose magnitude is both substantial and increasing. Since many individuals seek medical treatment following a suicide attempt, strategies aimed at reducing further attempts in this population are a valid and feasible secondary prevention approach. An eva...

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Main Author: Ravi Philip Rajkumar
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Psych
Subjects:
Online Access:https://www.mdpi.com/2624-8611/4/3/38
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author Ravi Philip Rajkumar
author_facet Ravi Philip Rajkumar
author_sort Ravi Philip Rajkumar
collection DOAJ
description Suicidal behaviour is a public health problem whose magnitude is both substantial and increasing. Since many individuals seek medical treatment following a suicide attempt, strategies aimed at reducing further attempts in this population are a valid and feasible secondary prevention approach. An evaluation of the available evidence suggests that existing treatment approaches have a limited efficacy in this setting, highlighting the need for innovative approaches to suicide prevention. Existing research on the neurobiology of social pain has highlighted the importance of this phenomenon as a risk factor for suicide, and has also yielded several attractive targets for pharmacological strategies that could reduce suicidality in patients with suicidal ideation or a recent attempt. In this paper, the evidence related to these targets is synthesized and critically evaluated. The way in which social pain is related to the “anti-suicidal” properties of recently approved treatments, such as ketamine and psilocybin, is examined. Such strategies may be effective for the short-term reduction in suicidal ideation and behaviour, particularly in cases where social pain is identified as a contributory factor. These pharmacological approaches may be effective regardless of the presence or absence of a specific psychiatric diagnosis, but they require careful evaluation.
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spelling doaj.art-5c090f3f14cd41b9b1d91e4701ddc7832023-11-23T18:39:28ZengMDPI AGPsych2624-86112022-08-014349451510.3390/psych4030038Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping ReviewRavi Philip Rajkumar0Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605 006, IndiaSuicidal behaviour is a public health problem whose magnitude is both substantial and increasing. Since many individuals seek medical treatment following a suicide attempt, strategies aimed at reducing further attempts in this population are a valid and feasible secondary prevention approach. An evaluation of the available evidence suggests that existing treatment approaches have a limited efficacy in this setting, highlighting the need for innovative approaches to suicide prevention. Existing research on the neurobiology of social pain has highlighted the importance of this phenomenon as a risk factor for suicide, and has also yielded several attractive targets for pharmacological strategies that could reduce suicidality in patients with suicidal ideation or a recent attempt. In this paper, the evidence related to these targets is synthesized and critically evaluated. The way in which social pain is related to the “anti-suicidal” properties of recently approved treatments, such as ketamine and psilocybin, is examined. Such strategies may be effective for the short-term reduction in suicidal ideation and behaviour, particularly in cases where social pain is identified as a contributory factor. These pharmacological approaches may be effective regardless of the presence or absence of a specific psychiatric diagnosis, but they require careful evaluation.https://www.mdpi.com/2624-8611/4/3/38suicidesocial painpsychacheendogenous opioid systemoxytocinserotonin
spellingShingle Ravi Philip Rajkumar
Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
Psych
suicide
social pain
psychache
endogenous opioid system
oxytocin
serotonin
title Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
title_full Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
title_fullStr Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
title_full_unstemmed Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
title_short Pharmacological Strategies for Suicide Prevention Based on the Social Pain Model: A Scoping Review
title_sort pharmacological strategies for suicide prevention based on the social pain model a scoping review
topic suicide
social pain
psychache
endogenous opioid system
oxytocin
serotonin
url https://www.mdpi.com/2624-8611/4/3/38
work_keys_str_mv AT raviphiliprajkumar pharmacologicalstrategiesforsuicidepreventionbasedonthesocialpainmodelascopingreview