Historique
Article de Périodique
Suicide attempts among people who use drugs: a comparative gender-based analysis using the ANRS-Coquelicot survey in France (2022)
Auteur(s) :
JANGAL, C. ;
MELCHIOR, M. ;
DE DINECHIN, S. ;
PANNETIER, J. ;
JAUFFRET-ROUSTIDE, M. ;
ANRS-Coquelicot group
Année
2022
Page(s) :
604-613
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
FRANCE
Thésaurus mots-clés
TENTATIVE DE SUICIDE
;
DIFFERENCE DE GENRE
;
USAGER
;
PRODUIT ILLICITE
;
ENQUETE
;
CONDUITE A RISQUE
;
PERCEPTION
;
SANTE
;
SANTE MENTALE
;
PSYCHOPATHOLOGIE
Résumé :
Objective: There exists no national French study on suicide attempts among people who use drugs (PWUD). Our objectives are to analyze lifetime suicide attempts in that population and to compare associated risks based on gender.
Method: The ANRS-Coquelicot study (2011-2013) conducted 1718 interviews with people over 18 who have injected or snorted a drug or medication (whether or not it was prescribed) at least once in their lifetime, who speak French or Russian, and who attend harm reduction facilities and drug treatment centers in France. Through stratified multivariate analyses based on gender using a Poisson regression, we determined risk factors.
Results: Among PWUD, 39.9% had attempted suicide (n = 655), with a distribution of 58.8% (n = 188) for women and 35.0% (n = 467) for men. Experiences of overdose, depression, receiving psychiatric care, setting during adolescence, daily alcohol use, and number of substances consumed during the last month were risk factors for men. Among women, experiences of overdose, self-reported HIV positive, and daily use of benzodiazepines and cocaine were risk factors.
Conclusion: we should develop psychiatric care into health services catering specifically to PWUD. As risk factors differed based on gender, we should strive to create distinct preventive health measures adapted to different populations.
Method: The ANRS-Coquelicot study (2011-2013) conducted 1718 interviews with people over 18 who have injected or snorted a drug or medication (whether or not it was prescribed) at least once in their lifetime, who speak French or Russian, and who attend harm reduction facilities and drug treatment centers in France. Through stratified multivariate analyses based on gender using a Poisson regression, we determined risk factors.
Results: Among PWUD, 39.9% had attempted suicide (n = 655), with a distribution of 58.8% (n = 188) for women and 35.0% (n = 467) for men. Experiences of overdose, depression, receiving psychiatric care, setting during adolescence, daily alcohol use, and number of substances consumed during the last month were risk factors for men. Among women, experiences of overdose, self-reported HIV positive, and daily use of benzodiazepines and cocaine were risk factors.
Conclusion: we should develop psychiatric care into health services catering specifically to PWUD. As risk factors differed based on gender, we should strive to create distinct preventive health measures adapted to different populations.
Affiliation :
The French National Institute of Health and Medical Research (Inserm), Cermes 3 (Inserm U988, CNRS UMR8211, Université de Paris, EHESS), Paris, France
Sorbonne Université, The French National Institute of Health and Medical Research (Inserm), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France
Centre de recherches sociologiques et politiques de Paris (Cresppa)-Genre Travail mobilité (GTM), CNRS, Paris, France
Baldy Center for Law and Social Policy, Buffalo University, Buffalo, NY, USA
British Columbia Center on Substance Use, Vancouver, Canada
Sorbonne Université, The French National Institute of Health and Medical Research (Inserm), Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France
Centre de recherches sociologiques et politiques de Paris (Cresppa)-Genre Travail mobilité (GTM), CNRS, Paris, France
Baldy Center for Law and Social Policy, Buffalo University, Buffalo, NY, USA
British Columbia Center on Substance Use, Vancouver, Canada
Cote :
Abonnement