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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MDPI AG
2022-08-01
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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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format | Article |
id | doaj.art-5c090f3f14cd41b9b1d91e4701ddc783 |
institution | Directory Open Access Journal |
issn | 2624-8611 |
language | English |
last_indexed | 2024-03-09T22:40:33Z |
publishDate | 2022-08-01 |
publisher | MDPI AG |
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series | Psych |
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 |