A prospective cohort study of non-fatal accidental overdose among street youth: The link with suicidal ideation
A prospective cohort study of non-fatal accidental overdose among street youth: The link with suicidal ideation
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DOI：
10.1111/dar.12003
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发表时间：
2013-07-01
影响因子：
3.8
通讯作者：
Roy, Elise
中科院分区：
文献类型：
--
作者：
Richer, Isabelle;Bertrand, Karine;Roy, Elise
简介和目标。吸毒过量和自杀是街头青少年死亡的两个主要原因。文献讨论了药物过量的两个方面：意外行为和自杀企图。一些作者指出，意外服药过量可能是自杀意念的隐藏表现。这项研究纵向研究了街头青少年近期的自杀意念与非致命性意外药物过量之间的关系。设计和方法。 2001年7月至2005年12月期间，招募了858名街头青少年（14-23岁）进行前瞻性队列研究。如果青少年在过去一年中多次没有地方睡觉或定期使用街头青少年机构的服务（>= 3），则符合资格。参与者完成基线调查问卷，每 6 个月进行一次后续访谈。进行了混合效应逻辑回归模型。除了自杀意念和意外药物过量外，模型中考虑的变量还包括年龄、性别、酗酒问题、无家可归、注射毒品使用和多种药物使用（>= 3 种药物）。结果。意外药物过量与自杀意念显着相关（调整优势比 1.88；95% 置信区间 1.23-2.54）。无家可归、注射毒品使用和多种药物使用在最终模型中也很重要。讨论和结论。结果表明，在随访期间，自杀意念独立增加了意外服药过量的风险。他们还强调除了教育预防之外还需要采取干预措施。初级保健从业者应调查街头青少年在治疗意外用药过量时的自杀意念和行为。
Introduction and Aims. Drug overdose and suicide are the two leading causes of death among street youth. The literature discusses the two faces of drug overdose: accidental act and suicide attempt. Some authors have stated that accidental overdoses may be a hidden expression of suicidal ideation. This study longitudinally examined the relationship between recent suicidal ideations and non-fatal accidental drug overdoses among street youth. Design and Methods. Between July 2001 and December 2005, 858 street youth (14-23 years old) were recruited for a prospective cohort study. Youth were eligible if, in the previous year, they had been without a place to sleep more than once or had used the services of street youth agencies on a regular basis (>= 3). Participants completed baseline questionnaires and follow-up interviews were carried out every 6 months. Mixed-effect logistic regression models were conducted. Apart from suicidal ideation and accidental drug overdose, variables considered in the model were age, sex, problematic alcohol use, homelessness, injection drug use and polydrug use (>= 3 drugs). Results. Accidental drug overdose was significantly associated with suicidal ideation (adjusted odds ratio 1.88; 95% confidence interval 1.23-2.54). Homelessness, injection drug use and polydrug use were also significant in the final model. Discussion and Conclusions. Results show that, during follow up, suicidal ideation independently increased risks of accidental overdose. They also underscore the need for interventions beyond educational prevention. Primary care practitioners should investigate suicidal ideations and behaviours of street youth in treatment for accidental overdose.