Ford Jason A, Perna Danielle
Department of Sociology, University of Central Florida, Orlando, FL 32816, USA.
Drug Alcohol Depend. 2015 Dec 1;157:192-6. doi: 10.1016/j.drugalcdep.2015.10.010. Epub 2015 Oct 22.
Suicide is one of the leading causes of injury-related mortality in the United States and prior research has identified alcohol and other drug use as a major risk factor. In recent years, prescription drug misuse has become a serious public health issue; however, very little research examines the relationship between prescription drug misuse and suicide or suicidal ideation.
Using data from the National Survey on Drug Use and Health, the current research examines the relationship between prescription drug misuse and suicidal ideation among adults. Suicidal ideation was measured by asking respondents if they seriously thought about killing themselves in the past 12 months. Prescription drug misuse was defined as use without a prescription or solely for the feeling or experience caused by the drug in the past 12 months. Several multivariable logistic regression models were estimated.
Findings show that respondents who report prescription drug misuse in the past year, specifically pain relievers, are more likely to report that they had seriously though about killing themselves.
The current research fills an important gap in the literature by examining the relationship between prescription drug misuse and suicidal ideation. Consistent with the extant literature, prescription drug misuse is significantly associated with suicidal ideation among adults.
自杀是美国与伤害相关的主要死亡原因之一，先前的研究已将酒精和其他药物使用确定为主要风险因素。近年来，处方药滥用已成为一个严重的公共卫生问题；然而，很少有研究探讨处方药滥用与自杀或自杀意念之间的关系。
利用全国药物使用和健康调查的数据，当前研究考察了成年人中处方药滥用与自杀意念之间的关系。通过询问受访者在过去12个月内是否认真考虑过自杀来衡量自杀意念。处方药滥用被定义为在过去12个月内无处方使用或仅为了药物引起的感觉或体验而使用。估计了几个多变量逻辑回归模型。
研究结果表明，在过去一年中报告有处方药滥用情况的受访者，特别是滥用止痛药的受访者，更有可能报告他们曾认真考虑过自杀。
当前研究通过考察处方药滥用与自杀意念之间的关系填补了文献中的一个重要空白。与现有文献一致，处方药滥用与成年人的自杀意念显著相关。
