Titre : | Suicidal behavior, drug use and depressive symtoms after detoxification : a 2-year prospective study |
Titre traduit : | (Comportement suicidaire, usage de drogue et symptômes dépressifs après sevrage : étude prospective sur deux ans) |
Auteurs : | J. D. Jr WINES ; R. SAITZ ; N. J. HORTON ; C. LLOYD-TRAVAGLINI ; J. H. SAMET |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | S21-S29 / fig. ; tabl. |
Note générale : |
Drug and Alcohol Dependence, 2004, 76, (Suppl.1), S21-S29 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés PSYCHOTROPES ; DEPENDANCE ; DEPRESSION ; TENTATIVE DE SUICIDE ; CONDUITE A RISQUE ; FACTEUR DE RISQUE ; COMORBIDITE ; ETUDE PROSPECTIVEThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH : Introduction: Individuals with substance-related disorders are at increased risk for suicidal behavior. Identifying those at higher risk for suicide among this population is difficult and informed mainly on the basis of cross-sectional data. Methods:We examined factors associated with drug-related suicidal behavior using multivariable regression analyses in a 2-year prospective study of 470 inpatients enrolled from an unlocked, detoxification unit. Suicidal behavior included suicidal ideation (SI) and suicide attempt (SA). Results: Lifetime prevalence for SI was 28.5%, and for SA, 21.9%. During the 2-year follow-up, 19.9% of the sample endorsed suicidal ideation and 6.9% reported a suicide attempt. Correlates of lifetime suicidal behavior included younger age, female, Hispanic, greater depressive symptoms, past sexual abuse, and problem sedative or alcohol use. Factors associated with suicidal behavior at follow-up included past suicidal behavior, more depressive symptoms, and more frequent benzodiazepine and alcohol use. Cocaine and heroin use did not reach statistical significance. Conclusions: Suicidal behavior is common among individuals with substance-related disorders. Differences in suicide potential may exist between drug categories with CNS depressants increasing the risk. These findings highlight the importance of addressing the recurrent suicide risk of patients with substance-related disorders and regular monitoring for changes in depressive symptoms and drug use. Based on the prevalence and severity of this problem, the role of universal suicide screening of individuals with substance-related disorders merits greater attention. (Review's abstract.) |
Note de contenu : | fig. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 40 |
Affiliation : |
McLean Hosp., 115 Mill St., Belmont, MA 02478 Etats-Unis. United States. |
Numéro Toxibase : | 804723 |
Centre Emetteur : | 08 CAS Strasbourg |
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