Institute of Clinical Medical Science, China Medical University, Taichung 40402, Taiwan.
Department of Psychiatry, Changhua Christian Hospital, Changhua 50006, Taiwan.
Behav Neurol. 2022 Feb 12;2022:4138629. doi: 10.1155/2022/4138629. eCollection 2022.
Individuals with substance use disorders, particularly those with alcohol use disorder (AUD), have a high risk of suicide. Therefore, identifying risk factors for suicide in these individuals is crucial.
This retrospective study reviewed the medical records of individuals with AUD who participated in an alcohol treatment program in central Taiwan during 2019-2020. We collected data using the Cut down, Annoyed, Guilty, and Eye-opener questionnaire, Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and a suicidal ideation question. Furthermore, we collected information on several related variables, namely, sex, age, marital status, years in school, employment status, family history of alcohol problems, age at first exposure to alcohol, duration of alcohol use, history of alcohol cessation, history of domestic violence, and history of drunk driving. In total, 136 individuals were recruited to participate in this study.
The suicidal ideation group had significantly younger participants, a higher proportion of women, a higher proportion of participants with a history of domestic violence, a greater severity of alcohol addiction (based on both AUDIT and MAST scores), higher depression scores, higher anxiety scores, less social support, a lower quality of life (World Health Organization Quality of Life (WHOQOL)), and poorer sleep quality (Pittsburgh Sleep Quality Index, PSQI) compared with the nonsuicidal ideation group. The suicidal ideation score was correlated with the AUDIT score after age, and BDI, BAI, WHOQOL, and PSQI scores were controlled for ( = 0.034).
Individuals with higher AUDIT scores visiting a clinic for alcohol treatment might have a higher risk of suicidal ideation. Therefore, clinicians should pay close attention to the suicidal ideation problem in this population. Furthermore, appropriate medication or management programs for suicide prevention should be considered.
患有物质使用障碍的个体，特别是患有酒精使用障碍（AUD）的个体，自杀风险较高。因此，识别这些个体的自杀风险因素至关重要。
本回顾性研究分析了 2019 年至 2020 年期间参加台湾中部酒精治疗计划的 AUD 患者的医疗记录。我们使用 Cut down，Annoyed，Guilty，and Eye-opener 问卷、酒精使用障碍识别测试（AUDIT）、简短密歇根酒精筛查测试（MAST）、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和自杀意念问题收集数据。此外，我们收集了与多个相关变量相关的信息，包括性别、年龄、婚姻状况、受教育年限、就业状况、家族酗酒史、首次饮酒年龄、饮酒持续时间、戒酒史、家庭暴力史和酒驾史。共有 136 名患者参与了本研究。
自杀意念组患者的年龄明显更小，女性比例更高，有家庭暴力史的比例更高，酒精成瘾程度更严重（根据 AUDIT 和 MAST 评分），抑郁评分更高，焦虑评分更高，社会支持度更低，生活质量（世界卫生组织生活质量（WHOQOL））更低，睡眠质量更差（匹兹堡睡眠质量指数，PSQI），与无自杀意念组相比，差异均有统计学意义。在控制年龄、BDI、BAI、WHOQOL 和 PSQI 评分后，自杀意念评分与 AUDIT 评分呈正相关（ = 0.034）。
到诊所接受酒精治疗的 AUD 评分较高的个体可能有更高的自杀意念风险。因此，临床医生应密切关注该人群的自杀意念问题。此外，应考虑针对自杀预防的适当药物治疗或管理方案。
