Somatic Comorbidity and Other Factors Related to Suicide Attempt Among Polish Methadone Maintenance Patients.
Somatic Comorbidity and Other Factors Related to Suicide Attempt Among Polish Methadone Maintenance Patients.
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DOI：
10.1097/adm.0000000000000153
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发表时间：
2015-11
影响因子：
5.5
通讯作者：
Bohnert A
中科院分区：
文献类型：
--
作者：
Fudalej S;Ilgen M;Kołodziejczyk I;Podgórska A;Serafin P;Barry K;Wojnar M;Blow FC;Bohnert A
致命和非致命自杀企图在阿片类药物依赖个体中比在一般人群中更为常见。需要更多的研究来了解这一患者群体中自杀行为的具体风险因素，特别是在美国和西欧以外的地区。本研究调查了接受美沙酮维持治疗的波兰患者自杀企图的相关性，并结合其他国家的研究结果对结果进行了解释。这项研究是基于从波兰美沙酮维持诊所招募的240个人的样本。使用标准化的方法对参与者进行访谈。与其他国家的研究一致，性虐待、抑郁、酒精依赖和冲动与自杀企图有关。此外，那些有躯体合并症的患者自杀企图的几率增加（OR=2.6）。我们的研究结果表明，解决美沙酮维持患者的躯体问题的治疗方法有潜在的益处。需要更多的研究来确定、评估和了解阿片类药物依赖人群之间可能存在的文化和区域差异，以更好地制定预防战略。
Fatal and non-fatal suicide attempts are far more common in opioid dependent individuals than in the general population. More research is needed to understand the specific risk factors for suicidal behaviors in this patient population, particularly outside of the U.S. and Western Europe. This study investigated the correlates of suicide attempts among Polish patients in methadone maintenance treatment and interpreted results in the context of findings from other countries. The study was based on a sample of 240 individuals recruited from a methadone maintenance clinic in Poland. Participants were interviewed using standardized measures. Consistent with studies in other countries, sexual abuse, depression, alcohol dependence and impulsivity were associated with suicide attempt. Additionally, those patients with somatic comorbidity had an increase in odds (OR=2.6) of suicide attempt. The results of our study suggest a potential benefit to treatment approaches that address somatic concerns of methadone maintenance patients. More research is needed to identify, assess and understand possible cultural and regional differences between opioid dependent populations to better tailor prevention strategies.