The association of suicide attempts and comorbid depression and substance abuse in psychiatric consultation patients
The association of suicide attempts and comorbid depression and substance abuse in psychiatric consultation patients
复制标题
DOI：
10.1016/s0163-8343(00)00085-2
复制
发表时间：
2000-07-01
影响因子：
7
通讯作者：
Chakravorty, S
中科院分区：
文献类型：
--
作者：
Dhossche, DM;Meloukheia, AM;Chakravorty, S
药物滥用与自杀未遂和自杀有关。很少有研究调查自杀者中抑郁和药物滥用的患病率和相关性。1136成人综合医院的病人，1995年和1998年之间的精神科咨询的图表审查研究进行了进一步评估。在371例自残者中，有311例（84%）企图自杀。自杀者比没有自我伤害的患者更年轻，更经常被诊断为患有药物滥用共病。抑郁症占59%，药物滥用占46%。抑郁症和药物滥用共病是自杀者中最常见的类型，即，37%。自我报告的自杀意图与年龄增加、男性、抑郁症和药物滥用共病有关。自杀未遂者的自杀率为每10万患者年322人，咨询患者中每10万人中有131人没有自我伤害。结论：精神科会诊患者中，抑郁症和药物滥用共病与自杀未遂相关。自杀未遂者应彻底评估药物滥用。有自杀企图和无自杀企图的精神科咨询患者的自杀率增加值得进一步研究。(C)2000 Elsevier Science Inc.
Substance abuse has been associated with attempted suicide and suicide. Few studies have examined the prevalence and associations of combined depression and substance abuse in suicide attempters. A chart review study of 1136 adult general hospital patients referred for psychiatric consultation between 1995 and 1998 was conducted to assess this further. Among 371 cases with self-harm, 311 (84%) attempted suicide. Suicide attempters were younger and diagnosed more often with comorbid substance abuse than patients without self-harm. Depressive disorders were found in 59% and substance abuse disorders in 46%. Comorbid depression and substance abuse was the most frequent category in suicide attempters, i.e., in 37%. Self-reported suicide intent was associated with increasing age, male gender, and comorbid depression and substance abuse. The suicide rate in suicide attempters was 322 per 100,000 patient-years, and 131 per 100,000 in consultation patients without self-harm. It is concluded that comorbid depression and substance abuse is associated with attempted suicide in psychiatric consultation patients. Suicide attempters should be thoroughly assessed far substance abuse. The increased suicide rate in psychiatric consultation patients with and without suicide attempts warrants further research. (C) 2000 Elsevier Science Inc.