Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan.
Drug Alcohol Depend. 2010 Jun 1;109(1-3):139-43. doi: 10.1016/j.drugalcdep.2009.12.023. Epub 2010 Jan 22.
This study investigates recent (one-month) and lifetime prevalence of suicide attempts, and factors associated with one-month suicide attempts among heroin users (n=488) seeking treatment at a methadone maintenance programme in Taiwan. Data were collected by structured interview on demographics, use of heroin and other substances, criminal convictions, depression, social networks, and history of suicide attempt (lifetime suicide attempt, and suicide attempt and suicide ideation in the previous month). Prevalence of recent (one-month) suicide attempt was 10.9% and lifetime prevalence was 17.8%. The finding that so many heroin users had made a suicide attempt in the very recent past is both disturbing and little researched. Recent suicidal attempts were associated with severity of heroin dependence, needle sharing, higher educational level, increased levels of depression, and number of stressful life events. It is suggested that methadone maintenance programmes should routinely screen at intake for previous suicidal behaviour and especially for recent suicidal attempts.
本研究调查了在台湾美沙酮维持治疗计划中寻求治疗的海洛因使用者（n=488）最近一个月（一个月内）和终生的自杀企图发生率，以及与一个月内自杀企图相关的因素。数据通过结构化访谈收集，内容包括人口统计学、海洛因和其他物质的使用、刑事定罪、抑郁、社交网络以及自杀企图史（终生自杀企图和前一个月的自杀企图和自杀意念）。最近（一个月内）自杀企图的发生率为 10.9%，终生发生率为 17.8%。发现如此多的海洛因使用者在最近的过去有过自杀企图，这既令人不安，也很少有研究。最近的自杀企图与海洛因依赖的严重程度、共用针头、较高的教育水平、抑郁程度的增加以及生活压力事件的数量有关。建议美沙酮维持治疗计划在摄入时应常规筛查以前的自杀行为，特别是最近的自杀企图。
