da Silveira Dartiu Xavier, Jorge Miguel Roberto
Department of Psychiatry, Federal University of São Paulo, Brazil.
Psychol Rep. 2004 Aug;95(1):71-4. doi: 10.2466/pr0.95.1.71-74.
Both substance dependence and depressive mood seem to be associated with increased suicide risk. Clinical information on suicide attempts and depressive symptoms were obtained from a sample of 211 psychoactive substance dependents attending a university clinic program for addicts in Brazil. 49 subjects (23.4%) had attempted suicide at least once, and the frequency of reporting attempts was 4.32 times greater among women than among men. Male addicts also tended to engage in potentially more dangerous attempt methods than women. Depressive male addicts were 2.17 times more likely to have attempted suicide than nondepressive addicted men. Among women, no association could be established between having attempted suicide and the presence of depression. Substance addicts have a relatively high risk of attempting suicide and the co-occurrence of depression seems to increase prevalence of suicidal behavior among men.
物质依赖和抑郁情绪似乎都与自杀风险增加有关。关于自杀未遂和抑郁症状的临床信息来自巴西一所大学针对成瘾者的临床项目中的211名精神活性物质依赖者样本。49名受试者(23.4%)至少有过一次自杀未遂经历,报告自杀未遂的频率女性比男性高4.32倍。男性成瘾者尝试的自杀方法往往比女性更危险。抑郁的男性成瘾者自杀未遂的可能性是非抑郁成瘾男性的2.17倍。在女性中,自杀未遂与抑郁之间未发现关联。物质成瘾者有相对较高的自杀未遂风险,抑郁的同时出现似乎会增加男性自杀行为的发生率。