Psychiatry Service 116A, Department of Veterans Affairs, New Jersey Healthcare System, East Orange, NJ 07018, USA.
Suicide Life Threat Behav. 2010 Aug;40(4):416-20. doi: 10.1521/suli.2010.40.4.416.
In order to examine risk factors for attempting suicide in heroin dependent patients, a group of 527 abstinent opiate dependent patients had a psychiatric interview and completed the Childhood Trauma Questionnaire. Patients who had or had never attempted suicide were compared on putative suicide risk factors. It was found that 207 of the 527 heroin abusers (39.3%) had attempted suicide. Attempters were younger; more were female, reported childhood trauma, a family history of suicidal behavior, a history of aggression, treatment with antidepressant medication, and alcohol and cocaine dependence. Logistic regression revealed that a family history of suicidal behavior, alcohol dependence, cocaine dependence, and treatment with antidepressant medication were significant predictors of attempting suicide. These results suggest that attempting suicide is common among opiate dependent patients and that both distal and proximal risk factors may play a role.
为了研究海洛因依赖患者自杀未遂的危险因素，一组 527 名戒断的阿片类药物依赖患者接受了精神病学访谈，并完成了儿童期创伤问卷。将有或从未尝试过自杀的患者进行比较，以确定可能的自杀风险因素。结果发现，527 名海洛因滥用者中有 207 人（39.3%）曾试图自杀。尝试自杀者年龄较小；更多的是女性，报告有童年创伤、自杀行为家族史、攻击性病史、抗抑郁药物治疗以及酒精和可卡因依赖。Logistic 回归显示，自杀行为家族史、酒精依赖、可卡因依赖和抗抑郁药物治疗是自杀未遂的显著预测因素。这些结果表明，自杀在阿片类药物依赖患者中很常见，并且可能既有远端风险因素也有近端风险因素在起作用。
