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Suicidal ideation and alexithymia in patients with alcoholism : a pilot study
(Idées suicidaires et alexithymie chez des patients alcooliques : une étude pilote)
Auteur(s) :
SAKURABA S. ;
KUBO M. ;
KOMODA T. ;
YAMANA J. I.
Année
2005
Page(s) :
823-830
Langue(s) :
Anglais
Refs biblio. :
11
Domaine :
Alcool
Thésaurus mots-clés
SUICIDE
;
COGNITION
;
ALEXITHYMIE
;
ALCOOL
;
DEPENDANCE
;
FACTEUR DE RISQUE
Thésaurus géographique
JAPON
Note générale :
Substance Use and Misuse, 2005, 40, (6), 823-830
Note de contenu :
graph. ; tabl.
Résumé :
ENGLISH :
Objective: Suicidal incidences are known to be high in patients manifesting alcoholism. We attempted to characterize suicidal ideation in Japanese patients with alcoholism in relation to alexithymia. Methods: Eighty-five male alcoholic patients, hospitalized in the alcoholics ward of a mental hospital and aged between 40 to 69 (52.9 + 8.3 years), and 79 nonalcoholic males in the same age range (54.9 + 7.1 years) recruited from a municipal garbage disposal plant were included in the study. The patients were evaluated using the Scale of Suicidal Ideation (SSI) and the Toronto Alexithymia Scale (TAS) during 2002. Results: Of the alcoholic patients,76.6% belonged to the high-risk group of suicidal ideation (SSI > 2), and 66.6% of the high-risk patients were alexithymic. In contrast, 86.1% of the nonalcoholic controls showed no suicidal ideation and only 17.7% of those without suicidal ideation were alexithymic. When the alcoholic patients with intensive suicidal ideation were compared with nonalcoholic patients without suicidal ideation, the scores of factor 1 and factor 2 were significantly higher in the former group (p < 0.001). Conclusions: Alcoholic patients with intensive suicidal ideation accompanied with alexithymia are characterized by the inability to communicate feelings. Therefore, the possibility of a suicidal attempt in those patients should always be kept in mind even though no suicide message is expressed. (Editor's abstract.)
Affiliation :
Graduate School of Health Sciences, Okayama University, Shikada 2-5-1, Okayama. E-mail : makotake99yahoo.co.jp
Japon. Japan.
Japon. Japan.