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墨西哥阿瓜斯卡连特斯州接受物质使用住院治疗患者的抑郁和自杀行为共病情况。

Depression and Suicidal Behavior Comorbidity in Patients Admitted to Substance-Use Residential Treatment in Aguascalientes, Mexico.

机构信息

Department of Psychology, Autonomous University of Aguascalientes, Aguascalientes, México.

School of Public Health and Social Work, Community-Based Research Institute, Florida International University, Miami, Florida, USA.

出版信息

J Evid Based Soc Work (2019). 2023 Jul 4;20(4):508-519. doi: 10.1080/26408066.2023.2172368. Epub 2023 Jan 31.

Abstract

PURPOSE

Epidemiological studies show that depressive and substance use disorders are salient risk factors for suicidal behavior. In residential centers in Mexico City, 75.72% of the patients are diagnosed with comorbidity of substance use and psychiatric disorders; however, the specific prevalence of depression and suicidal behavior in this population has not been reported. This study aims to inform the comorbidity of depression and suicidal behavior in crystal users in residential centers in the state of Aguascalientes, Mexico.

METHOD

A brief survey was applied to measure substance use patterns, suicidal behavior, and depression symptoms using the Depression Scale of the Center of Epidemiological Studies (CES-D-R). The sample included 343 participants.

RESULTS

The results show that of the 23.3% of participants who reported depressive symptoms, 65% showed suicidal ideation, 46% suicide planning, and 43% suicidal attempt.

DISCUSSIONS

These results show the importance of implementing components that address depression and suicidal behavior in interventions for substance use.

CONCLUSIONS

Currently, no specialized interventions are developed to treat substance use disorders with crystal methamphetamine and, at the same time, treat others mental problems like depression and suicidal behavior. We conclude that the development of this intervention is necessary and urgent.

摘要

目的

流行病学研究表明,抑郁和物质使用障碍是自杀行为的显著风险因素。在墨西哥城的住宿中心,75.72%的患者被诊断出同时患有物质使用和精神障碍共病;然而,该人群中抑郁和自杀行为的具体患病率尚未报道。本研究旨在了解墨西哥阿瓜斯卡连特斯州住宿中心的晶体使用者中抑郁和自杀行为的共病情况。

方法

采用简短的问卷调查,使用流行病学研究中心抑郁量表(CES-D-R)测量物质使用模式、自杀行为和抑郁症状。样本包括 343 名参与者。

结果

结果显示,在报告有抑郁症状的 23.3%的参与者中,有 65%出现自杀意念,46%有自杀计划,43%有自杀企图。

讨论

这些结果表明,在物质使用干预中实施针对抑郁和自杀行为的措施非常重要。

结论

目前,没有专门针对使用冰毒治疗物质使用障碍的干预措施,同时也没有针对其他精神问题(如抑郁和自杀行为)的干预措施。我们得出结论,开发这种干预措施是必要和紧迫的。

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