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[吸毒者自杀未遂情况研究——自杀未遂的患病率及相关危险因素调查]

[Study on suicide attempts among drug addicts--prevalence of suicide attempts and investigation of related risk factors].

作者信息

Okasaka Yoshiko, Morita Nobuaki, Nakatani Yoji

机构信息

Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8577, Japan.

出版信息

Nihon Arukoru Yakubutsu Igakkai Zasshi. 2006 Feb;41(1):39-58.

Abstract

While the relationship between substance use disorder and suicidal behavior is well known, few studies have been conducted on this issue in Japan to date. The present study aimed to investigate the profiles of drug-dependent individuals with a history of suicide attempts not including completed suicides. A survey was conducted on 101 drug-dependent patients in 8 drug rehabilitation institutions. The survey included a questionnaire that assessed various items regarding personal profiles, such as history of suicide attempts and drug abuse, physical and mental problems. In addition, the survey included the Parental Bonding Instrument (PBI) and the Center for Epidemiological Studies Depression Scale (CES-D). The results indicated that 50 patients (49.5%) had attempted suicide, and that subjects with a history of suicide attempts were significantly younger than those without suicide attempts. It was also revealed that subjects with a history of suicide attempts had started abusing drugs at an earlier age, had more psychiatric problems, and scored higher on the CES-D and lower on both the parental and maternal care scores of the PBI. These findings suggest that early-age drug abuse, psychiatric problems, depressive symptoms, and parental rearing behaviors perceived as cold and rejecting may predispose drug-dependent individuals to suicidal behavior.

摘要

虽然物质使用障碍与自杀行为之间的关系已为人熟知,但迄今为止在日本针对此问题开展的研究甚少。本研究旨在调查有自杀未遂史(不包括自杀身亡)的药物依赖个体的特征。对8家戒毒机构的101名药物依赖患者进行了一项调查。该调查包括一份问卷,评估了有关个人特征的各种项目,如自杀未遂史和药物滥用情况、身心问题。此外,调查还包括父母教养方式问卷(PBI)和流调中心抑郁量表(CES-D)。结果表明,50名患者(49.5%)有过自杀未遂经历,有自杀未遂史的受试者明显比没有自杀未遂史的受试者更年轻。研究还发现,有自杀未遂史的受试者开始滥用药物的年龄更早,有更多精神问题,在CES-D上得分更高,在PBI的父母关爱得分和母亲关爱得分上更低。这些发现表明,早年药物滥用、精神问题、抑郁症状以及被视为冷漠和拒绝的父母养育行为可能使药物依赖个体易发生自杀行为。

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