Adams D M, Overholser J C
Department of Psychology, Case Western Reserve University, Cleveland, Ohio 44106-3922.
Am J Drug Alcohol Abuse. 1992;18(3):343-54. doi: 10.3109/00952999209026071.
Substance abuse is frequently associated with suicidal behavior. However, it is unclear to what degree substance abuse in a family member is related to suicide. In the present study, personal and family histories of substance abuse were examined in 716 psychiatric emergency room patients. Suicide attempters, suicide ideators, and nonsuicidal controls were compared across demographic, clinical, and substance abuse variables. Results showed that suicidal patients differed from nonsuicidal controls on many of the dependent variables. Suicidal patients were more likely to be depressed and report a history of previous suicidal tendencies. Also, alcohol and drug abuse occurred more frequently in suicidal patients. Furthermore, a family history of alcohol abuse was reported more often by suicidal than nonsuicidal patients. These patterns of substance abuse in suicidal patients were especially prominent among older subjects. Results are discussed in terms of the implications for identifying psychiatric emergency room patients at risk for suicide.
药物滥用常常与自杀行为相关。然而，家庭成员中的药物滥用与自杀之间的关联程度尚不清楚。在本研究中，对716名精神科急诊患者的个人和家族药物滥用史进行了调查。比较了自杀未遂者、有自杀意念者和无自杀倾向的对照组在人口统计学、临床和药物滥用变量方面的情况。结果显示，自杀患者在许多因变量上与无自杀倾向的对照组存在差异。自杀患者更有可能患有抑郁症并报告有过自杀倾向史。此外，自杀患者中酒精和药物滥用的情况更为常见。此外，有自杀倾向的患者比无自杀倾向的患者更常报告有酒精滥用家族史。自杀患者的这些药物滥用模式在老年受试者中尤为突出。根据识别有自杀风险的精神科急诊患者的意义对结果进行了讨论。
