Mohammadkhani Parvaneh, Khanipour Hamid, Azadmehr Hedieh, Mobramm Ardeshir, Naseri Esmaeil
Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Allameh Tabataba'i_ University. Substance Abuse and Dependence Research Center Tehran, Iran.
Iran J Psychiatry. 2015;10(1):56-63.
The aim of this study was to evaluate suicide probability in Iranian males with substance abuse or dependence disorder and to investigate the predictors of suicide probability based on trait mindfulness, reasons for living and severity of general psychiatric symptoms.
Participants were 324 individuals with substance abuse or dependence in an outpatient setting and prison. Reasons for living questionnaire, Mindfulness Attention Awareness Scale and Suicide probability Scale were used as instruments. Sample was selected based on convenience sampling method. Data were analyzed using SPSS and AMOS.
The life-time prevalence of suicide attempt in the outpatient setting was35% and it was 42% in the prison setting. Suicide probability in the prison setting was significantly higher than in the outpatient setting (p<0.001). The severity of general symptom strongly correlated with suicide probability. Trait mindfulness, not reasons for living beliefs, had a mediating effect in the relationship between the severity of general symptoms and suicide probability. Fear of social disapproval, survival and coping beliefs and child-related concerns significantly predicted suicide probability (p<0.001).
It could be suggested that trait mindfulness was more effective in preventing suicide probability than beliefs about reasons for living in individuals with substance abuse or dependence disorders. The severity of general symptom should be regarded as an important risk factor of suicide probability.
本研究旨在评估患有物质滥用或依赖障碍的伊朗男性的自杀可能性，并基于特质正念、生存理由和一般精神症状的严重程度调查自杀可能性的预测因素。
参与者为324名在门诊和监狱中患有物质滥用或依赖的个体。使用生存理由问卷、正念注意觉知量表和自杀可能性量表作为工具。样本基于便利抽样法选取。数据使用SPSS和AMOS进行分析。
门诊环境中自杀未遂的终生患病率为35%，监狱环境中为42%。监狱环境中的自杀可能性显著高于门诊环境（p<0.001）。一般症状的严重程度与自杀可能性密切相关。特质正念而非生存理由信念在一般症状严重程度与自杀可能性之间的关系中起中介作用。对社会不认可的恐惧、生存和应对信念以及与孩子相关的担忧显著预测了自杀可能性（p<0.001）。
可以认为，在患有物质滥用或依赖障碍的个体中，特质正念在预防自杀可能性方面比生存理由信念更有效。一般症状的严重程度应被视为自杀可能性的一个重要风险因素。
