Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada; Department of Pharmacology, Masaryk University, Brno, Czech Republic.
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
Psychiatry Res. 2019 Oct;280:112493. doi: 10.1016/j.psychres.2019.112493. Epub 2019 Jul 22.
Despite high rates of suicide in people who inject drugs, little is known about the risk factors for suicide related to childhood and family history in this population. We aimed to explore the relationship between the history of out-of-home care (OHC) and lifetime suicide attempts among people who inject opioids. Participants (N = 202) were current injection opioid users with at least one previous episode of opioid maintenance treatment. They were recruited into a double-blind randomized controlled trial for opioid substitution treatment. Secondary analysis of baseline data was conducted from the European Addiction Severity Index and basic demographics questionnaires. A total of 81 (40%) participants reported a history of living in OHC and 27% reported attempting suicide. Participants who reported living in OHC were more likely to report lifetime suicide attempts compared to those who did not live in OHC. History of OHC and suicidal ideation were significant risk factors for suicide attempts adjusting for depression and anxiety. Highest rates of lifetime attempts were among participants who lived in a group home, foster care, and/or psychiatric facility. Living in OHC during childhood was significantly associated with higher rates of suicide attempts in our sample. Greater efforts should be made to provide children from vulnerable families with environments where stable one-to-one relationships can be cultivated.
尽管注射毒品者的自杀率很高，但对于这一人群中与童年和家族史有关的自杀风险因素知之甚少。我们旨在探讨离开家庭照顾（OHC）的历史与注射阿片类药物者一生中自杀企图之间的关系。参与者（N=202）为目前正在使用注射类阿片的药物使用者，且至少有一次接受过阿片类药物维持治疗的经历。他们被招募到一项阿片类药物替代治疗的双盲随机对照试验中。对基线数据进行了来自欧洲成瘾严重程度指数和基本人口统计问卷的二次分析。共有 81 名（40%）参与者报告有过 OHC 的经历，27%的参与者报告有过自杀企图。与没有在 OHC 生活过的参与者相比，报告有 OHC 经历的参与者更有可能报告一生中曾试图自杀。调整抑郁和焦虑因素后，OHC 史和自杀意念是自杀企图的显著风险因素。在一生中曾有过自杀企图的参与者中，生活在集体之家、寄养和/或精神病院的比例最高。在我们的样本中，童年时期生活在 OHC 与更高的自杀企图率显著相关。应该做出更大的努力，为来自弱势家庭的儿童提供可以培养稳定一对一关系的环境。
