Department of Psychiatry and Addictive Medicine, Bichat-Claude Bernard Hospital, AP-HP, Paris, France.
Eur Addict Res. 2012;18(1):26-33. doi: 10.1159/000332233. Epub 2011 Dec 6.
To assess the prevalence of alcohol use disorders (AUD) in a population of patients examined following attempted suicide and compare suicide attempts with and without AUD.
180 patients examined in an emergency department after a suicide attempt were compared with 180 controls paired for sex and age. All patients answered the CAGE and the Fagerström questionnaire. The DSM-IV-R criteria for alcohol, nicotine and cannabis abuse and dependence, as well as for borderline and antisocial personality, were checked.
The prevalence of AUD was 43% among suicide attempters. Suicide attempters with AUD were more often men (52 vs. 30%), living alone (64 vs. 31%) and older (35.9 vs. 32.3 years). They were more often dependent on nicotine (87 vs. 43%) and smoked more cannabis joints (1.4 vs. 0.5). They had taken alcohol before committing suicide more often (61 vs. 23%) and had more previous suicide attempts (2.5 vs. 0.9). Additionally, suicide attempters had higher scores of sensation seeking and presented more often with an antisocial or borderline personality.
43% of the patients examined after a suicide attempt presented with AUD. Emergency units may provide an opportunity to identify their dependence disorder and offer information and treatment.
评估在因自杀未遂而接受检查的患者人群中，酒精使用障碍（AUD）的患病率，并比较有和无 AUD 的自杀未遂。
对在急诊科接受自杀未遂检查的 180 名患者与按性别和年龄配对的 180 名对照进行比较。所有患者均回答了 CAGE 和 Fagerström 问卷。检查了 DSM-IV-R 酒精、尼古丁和大麻滥用和依赖的标准，以及边缘和反社会人格的标准。
自杀未遂者 AUD 的患病率为 43%。有 AUD 的自杀未遂者更多为男性（52%比 30%）、独居（64%比 31%）和年龄更大（35.9 岁比 32.3 岁）。他们更依赖尼古丁（87%比 43%），吸食更多的大麻烟（1.4 比 0.5）。他们更常在自杀前饮酒（61%比 23%），且有更多的自杀未遂史（2.5 比 0.9）。此外，自杀未遂者的感觉寻求评分更高，且更常表现出反社会或边缘人格。
在因自杀未遂而接受检查的患者中，有 43%的患者患有 AUD。急诊室可为识别其依赖障碍提供机会，并提供信息和治疗。
