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What characterizes substance abusers who commit suicide attempts? Factors related to axis I disorders and patterns of substance use disorders
(Quelles sont les caractéristiques des toxicomanes qui font des tentatives de suicide ? Facteurs liés aux troubles de l'axe 1 et types de problèmes liés à une toxicomanie)
Auteur(s) :
LANDHEIM, A. S. ;
BAKKEN, K. ;
VAGLUM, P.
Année
2006
Page(s) :
102-108
Langue(s) :
Anglais
Refs biblio. :
38
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
TENTATIVE DE SUICIDE
;
DEPENDANCE
;
ALCOOL
;
PRODUIT ILLICITE
;
SEXE
;
POLYCONSOMMATION
;
PSYCHIATRIE
;
COMORBIDITE
Thésaurus géographique
NORVEGE
Note générale :
European Addiction Research, 2006, 12, (2), 102-108
Note de contenu :
tabl.
Résumé :
ENGLISH :
Objective: The frequency of suicide attempts and clinical characteristics of attempters among poly-substance abusers and alcoholics were examined. Methods: A consecutive sample (n = 260) of in- and outpatients from two Norwegian counties were assessed by Composite International Diagnostic Interview (Axis I disorders), Millon's Clinical Multiaxial Inventory (Axis II disorders) and the Norwegian National Client Assessment Form. When analysing the association between suicide attempters and the range of predictor variables, logistic regression analysis was conducted. Results: Almost half (47%) of the sample reported lifetime suicide attempts; significantly more frequently in poly-substance abusers (58%) than alcoholics (38%). A substance use disorder with duration of 15 years and an early onset (<18 years of age) were independently associated with being a suicide attempter after controlling for Axis I disorders. In addition, eating disorders, agoraphobia and major depression were strongly and independently associated with being a suicide attempter. Conclusion: Attempts at preventing suicidal behaviour should not ignore the suicide risk among poly-substance abusers. In addition, prevention of suicidal behaviour demands a treatment programme focusing concomitantly on both addictive behaviour and comorbid psychiatric disorders. (From the editor' s abstract)
Affiliation :
Dept Substance Abuse, Sanderud Hosp., PO Box 68, 2312 Ottesstad ; anne.landheimskyehuset-innlandet.no
Norvège. Norway.
Norvège. Norway.