Al-Imam Ahmed, Motyka Marek A, Hoffmann Beata, Al-Ka'aby Hussein, Younus Manal, Al-Hemiary Nesif, Michalak Michal
Department of Computer Science and Statistics, Doctoral School, Poznan University of Medical Sciences, 61-806 Poznan, Poland.
Department of Anatomy and Cellular Biology, College of Medicine, University of Baghdad, Baghdad 10047, Iraq.
Brain Sci. 2023 Sep 2;13(9):1279. doi: 10.3390/brainsci13091279.
Crystal methamphetamine, a potent psychostimulant, presents a complex clinical landscape. However, insights into the predisposing factors for suicidal tendencies among Iraqi users remain limited. Our study delves into these risks among 165 patients. Rigorous multivariable analysis was conducted, employing binary logistic regression, drawing from patients from Baghdad Medical City and Ibn-Rushd Teaching Hospital. Most participants were in their third decade (26.62 ± 0.53 years). Regarding suicidal ideation, our model demonstrated robust accuracy, supported by the Hosmer-Lemeshow goodness-of-fit test (NagelKerke's R = 0.49, accuracy = 79.4%, = 0.885). Notably, chronic methamphetamine use exceeding a year (OR = 6.15, = 0.001), absence of psychological trauma (OR = 4.58, = 0.006), and incidence of visual hallucinations (OR = 4.52, = 0.001) rendered users more susceptible to suicidal ideation. Furthermore, our investigation unveiled risk factors tied to psychotic features and withdrawal manifestations. The study underscores pivotal predictors of suicidal ideation, warranting interdisciplinary vigilance from psychiatrists, clinical psychologists, and social workers. By monitoring at-risk individuals, progression toward the intricate spectrum of suicide can be potentially averted. These findings illuminate the urgency of tailored interventions for crystal methamphetamine users, contributing to enhanced holistic care.
冰毒，一种强效精神兴奋剂，呈现出复杂的临床情况。然而，对于伊拉克冰毒使用者自杀倾向的诱发因素的见解仍然有限。我们的研究深入探讨了165名患者中的这些风险。采用二元逻辑回归进行了严格的多变量分析，研究对象来自巴格达医疗城和伊本·鲁世德教学医院的患者。大多数参与者处于第三个十年（26.62±0.53岁）。关于自杀意念，我们的模型显示出强大的准确性，得到了Hosmer-Lemeshow拟合优度检验的支持（NagelKerke's R = 0.49，准确率 = 79.4%， = 0.885）。值得注意的是，长期使用冰毒超过一年（优势比 = 6.15， = 0.001）、没有心理创伤（优势比 = 4.58， = 0.006）以及出现视幻觉（优势比 = 4.52， = 0.001）使使用者更容易产生自杀意念。此外，我们的调查揭示了与精神病特征和戒断表现相关的风险因素。该研究强调了自杀意念的关键预测因素，需要精神科医生、临床心理学家和社会工作者进行跨学科的警惕。通过监测高危个体，有可能避免向复杂的自杀谱系发展。这些发现凸显了针对冰毒使用者进行量身定制干预措施的紧迫性，有助于加强整体护理。
