Suicide attempts during heavy drinking episodes among individuals entering alcohol treatment in Warsaw, Poland.

Suicide attempts during heavy drinking episodes among individuals entering alcohol treatment in Warsaw, Poland.
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波兰华沙接受酒精治疗的人在酗酒期间企图自杀。

DOI:
10.1093/alcalc/ags069
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发表时间:
2012
期刊:
Alcohol and alcoholism (Oxford, Oxfordshire)
影响因子:
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通讯作者:
Brower,KirkJ
Brower,KirkJ
中科院分区:
--
文献类型:
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作者:
Klimkiewicz,Anna;Ilgen,MarkA;Bohnert,AmySB;Jakubczyk,Andrzej;Wojnar,Marcin;Brower,KirkJ

文献摘要

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目的:急性酒精中毒本身可能会引发自杀念头和自杀企图,并可能影响自杀企图的潜在致命性。这项研究在酒精依赖患者的自杀企图在大量饮酒事件与自杀企图在相对sobriage.Methods:在两个门诊和两个住宅酒精治疗方案在华沙,波兰,113例报告自杀企图在他们的一生中进行了采访。分析集中在患者的最严重的自杀企图,以及这些是否发生在大量饮酒epission.Results:超过三分之二的患者报告说,他们最严重的自杀企图发生在一段时间的大量饮酒。多因素Logistic回归分析表明,男性、年龄小、酒精依赖严重程度高、自杀未遂是无计划性的,这些因素对重度饮酒期间自杀未遂的发生有显著影响。在接受酒精依赖治疗并有自杀企图的患者中,最严重的企图很可能是无计划的,是男子在酗酒期间犯下的。
Aims: Acute alcohol intoxication itself may act as a trigger for suicidal thoughts and attempts among individuals at risk and may influence the potential lethality of the suicide attempt. This study in alcohol-dependent patients compared the correlates of suicide attempts during a heavy drinking episode with those of suicide attempts during relative sobriety.Methods: In two outpatient and two residential alcohol treatment programs in Warsaw, Poland, 113 patients who reported a suicide attempt during their lifetime were interviewed. The analyses focused on the patients’ most serious suicide attempts and on whether these occurred during a heavy drinking episode.Results: Over two-thirds of the patients reported that their most serious suicide attempt occurred during a period of heavy drinking. A multivariable logistic model indicated that the following factors significantly distinguished those patients whose most serious suicide attempt occurred during a heavy drinking episode: male gender, younger current age, greater severity of alcohol dependence and the attempt being unplanned.Conclusion: Among the patients in treatment for alcohol dependence who made a suicide attempt, the most serious attempt was likely to have been unplanned and committed by men when it occurred during a heavy drinking episode.