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治疗物质使用障碍患者的终生与自杀相关行为:一项横断面研究。

Lifetime suicidal-related behaviour among patients in treatment for substance use disorder: A cross-sectional study.

机构信息

Universidad del País Vasco (UPV/EHU). San Sebastián. Guipúzcoa Spain.

Departamento de Ciencias de la Salud. Universidad Pública de Navarra. Campus de Arrosadía, 31006 Pamplona. Spain.

出版信息

Psychiatry Res. 2022 Nov;317:114921. doi: 10.1016/j.psychres.2022.114921. Epub 2022 Oct 22.

Abstract

Suicidal-related behaviours are an important concern in individuals who present with substance use disorders (SUDs). The distinction among the specific characteristics of the different patients might help to improve prevention strategies. We describe and compare the sociodemographic characteristics, severity of addiction, and psychopathology of the participants depending on the severity of their lifetime suicidal behaviour. In addition, we examine whether the number of suicide attempts can be estimated based on the variables that differentiate the groups. A sample of 318 men and 86 women who sought treatment for addiction were assessed. The sample was divided into: no ideation or attempts, suicidal ideation, one suicide attempt, and two or more suicide attempts. The group with two or more suicide attempts exhibited a greater severity in the addiction profile. The group with one suicide attempt presented a higher psychopathological symptomatology at the time of the assessment. The severity of the Psychiatric area was related to the group with two or more attempts and to the number of suicide attempts. The presence of any number of attempts is associated with greater severity of addiction. Providing specific intervention strategies for SUD patients depending on their suicidal behaviours is promising for clinical application.

摘要

自杀相关行为是患有物质使用障碍(SUD)的个体的一个重要关注点。区分不同患者的具体特征可能有助于改善预防策略。我们根据患者一生中自杀行为的严重程度来描述和比较参与者的社会人口统计学特征、成瘾严重程度和精神病理学特征。此外,我们还研究了是否可以根据区分这些组的变量来估计自杀未遂的次数。评估了 318 名男性和 86 名女性的物质成瘾治疗样本。该样本分为:无自杀意念或尝试、自杀意念、一次自杀尝试和两次或更多次自杀尝试。有两次或更多次自杀尝试的组在成瘾特征方面表现出更大的严重程度。在评估时,有一次自杀尝试的组表现出更高的精神病理学症状。精神科严重程度与有两次或更多次尝试的组和自杀尝试的次数有关。任何次数的尝试都与成瘾的严重程度有关。根据自杀行为为 SUD 患者提供特定的干预策略对于临床应用是有前景的。

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