Historique
Article de Périodique
Alcohol use disorders among patients examined in emergency departments after a suicide attempt (2012)
Auteur(s) :
LEJOYEUX, M. ;
GASTAL, D. ;
BERGERET, A. ;
CASALINO, E. ;
LEQUEN, V. ;
GUILLERMET, S.
Année
2012
Page(s) :
26-33
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Alcool / Alcohol
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
FRANCE
Thésaurus 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.
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.
Affiliation :
Department of Psychiatry and Addictive Medicine, Bichat-Claude Bernard Hospital, AP-HP, and Maison Blanche Hospital, Paris, France