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Suicide and suicide attempts after subthalamic nucleus stimulation in Parkinson's disease: a systematic review and meta-analysis.

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机构: [1]Medical School (Nursing School), Chengdu University,Chengdu 610106, People’s Republic of China [2]Department of Neurology, Seventh People’s Hospital of Chengdu,Chengdu 690041, Sichuan Province, People’s Republic of China [3]Department of General Surgery, Seventh People’s Hospital ofChengdu, Chengdu 690041, Sichuan Province, People’s Republic ofChina [4]Department of Geriatric Neurology, First Affiliated Hospital ofKunming Medical University, Kunming 650032, Yunnan Province,People’s Republic of China
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关键词: Parkinson’s disease Deep brain stimulation Subthalamic nucleus Suicide Psychiatric disorders

摘要:
Deep-brain stimulation is a well-established, effective treatment for patients with advanced Parkinson's disease. Recent studies examining rates of suicide attempts and suicides after deep-brain stimulation in the bilateral subthalamic nucleus have reported varying results. Using this systematic review and meta-analysis, we aim to obtain a comprehensive understanding of suicidality in Parkinson's patients after subthalamic nucleus deep brain stimulation. We systematically examined Medline, PubMed, Web of Science, and Embase databases to identify studies published before November 2019 that measured rates of suicidality in Parkinson's patients who underwent subthalamic nucleus stimulation. A meta-analysis of the data from the included studies was conducted using Stata 12.0. A total of 18 studies met the eligibility criteria of this study. We found that the pooled rate of suicidal ideation was 4% (95% CI 0.00-7.2%, range 2-17%). The pooled rate of suicide attempts was 1% (95% CI 1.0-2.0%), while the pooled rate of suicide was 1% (95% CI 0.0-1.0%). Our findings indicate a relatively high rate of suicidality among Parkinson's patients after subthalamic nucleus deep-brain stimulation. It is important for clinicians to carefully monitor psychiatric disorders, especially suicidal ideation and suicide attempts, in Parkinson's patients before and after subthalamic nucleus deep-brain stimulation.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 神经科学
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出版当年[2020]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

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第一作者机构: [1]Medical School (Nursing School), Chengdu University,Chengdu 610106, People’s Republic of China
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