Titre : | Alcohol use disorders among patients examined in emergency departments after a suicide attempt (2012) |
Auteurs : | M. LEJOYEUX ; D. GASTAL ; A. BERGERET ; E. CASALINO ; V. LEQUEN ; S. GUILLERMET |
Type de document : | Article : Périodique |
Dans : | European Addiction Research (Vol.18, n°1, January 2012) |
Article en page(s) : | 26-33 |
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus géographique FRANCEThésaurus mots-clés URGENCE ; ALCOOL ; TENTATIVE DE SUICIDE ; ABUS ; DEPENDANCE ; PREVALENCE ; TABAC ; DEPISTAGE ; CANNABIS ; TROUBLES DE LA PERSONNALITE |
Résumé : |
Aim of the Study: To assess the prevalence of alcohol use disorders (AUD) in a population of patients examined following attempted suicide and compare suicide attempts with and without AUD.
Methods: 180 patients examined in an emergency department after a suicide attempt were compared with 180 controls paired for sex and age. All patients answered the CAGE and the Fagerström questionnaire. The DSM-IV-R criteria for alcohol, nicotine and cannabis abuse and dependence, as well as for borderline and antisocial personality, were checked. Results: The prevalence of AUD was 43% among suicide attempters. Suicide attempters with AUD were more often men (52 vs. 30%), living alone (64 vs. 31%) and older (35.9 vs. 32.3 years). They were more often dependent on nicotine (87 vs. 43%) and smoked more cannabis joints (1.4 vs. 0.5). They had taken alcohol before committing suicide more often (61 vs. 23%) and had more previous suicide attempts (2.5 vs. 0.9). Additionally, suicide attempters had higher scores of sensation seeking and presented more often with an antisocial or borderline personality. Conclusion: 43% of the patients examined after a suicide attempt presented with AUD. Emergency units may provide an opportunity to identify their dependence disorder and offer information and treatment. |
Domaine : | Alcool / Alcohol |
Refs biblio. : | 24 |
Affiliation : | Department of Psychiatry and Addictive Medicine, Bichat-Claude Bernard Hospital, AP-HP, and Maison Blanche Hospital, Paris, France |
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