Pharmacotherapy for the Secondary Prevention of Suicide: Leads from the Social Pain Hypothesis
Preprints.org – July 05, 2022
Source: OpenAlex
Summary
A critical public health challenge, suicidal ideation, demands innovative suicide prevention. Existing medicine offers limited efficacy. Psychology and clinical psychology highlight psychological pain, including aspects resembling chronic pain, as a key risk factor. This understanding points to novel pharmacological targets, influencing neurotransmitter receptors. Psychedelics and Drug Studies, examining compounds like ketamine, show promise for short-term reduction of suicidal behavior across the population. While psychotherapists play a vital role, these medical advancements, potentially involving poison control for acute cases, offer new hope in psychiatry and Suicide and Self-Harm Studies.
Abstract
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 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 preventive strategies. In this paper, the available 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 also examined. Such strategies may be effective for the short-term reduction of suicidal ideation and behaviour in individuals who have made a suicide attempt suicide prevention, 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.