RESUMO
We determined suicide attempt characteristics in 160 opioid-dependent subjects. Three aspects of suicide vulnerability were also examined: familial aggregation of suicidal behaviors, degree of aggression/impulsivity, and smoking. Forty-eight percent of subjects had a personal history of suicide attempt. A personal history of suicide attempt was associated with an early onset of heroin use, but not with gender differences. A family history of suicide was a progressive risk factor for suicide attempt. Subjects with a personal history of suicide attempt had a higher degree of aggression/impulsivity and smoked more cigarettes. In conclusion, opioid-dependent subjects who attempt suicide show familial aggregation and clinical expressions of suicidal liability similar to those described in other psychiatric groups.
Assuntos
Dependência de Heroína/epidemiologia , Dependência de Heroína/psicologia , Abuso de Substâncias por Via Intravenosa/epidemiologia , Tentativa de Suicídio/psicologia , Tentativa de Suicídio/estatística & dados numéricos , Adulto , Agressão/psicologia , Buprenorfina/uso terapêutico , Comorbidade , Estudos Transversais , Transtornos Disruptivos, de Controle do Impulso e da Conduta/epidemiologia , Transtornos Disruptivos, de Controle do Impulso e da Conduta/psicologia , Overdose de Drogas/epidemiologia , Overdose de Drogas/psicologia , Feminino , França , Predisposição Genética para Doença/psicologia , Heroína/intoxicação , Dependência de Heroína/genética , Dependência de Heroína/reabilitação , Humanos , Masculino , Metadona/uso terapêutico , Entorpecentes/uso terapêutico , Inventário de Personalidade/estatística & dados numéricos , Psicometria , Fatores de Risco , Fatores Sexuais , Fumar/epidemiologia , Fumar/psicologia , Abuso de Substâncias por Via Intravenosa/genética , Abuso de Substâncias por Via Intravenosa/psicologia , Abuso de Substâncias por Via Intravenosa/reabilitação , Tentativa de Suicídio/prevenção & controleRESUMO
The influence of a family history of suicide on suicide attempt rate and characteristics in depression, schizophrenia, and opioid dependence was examined. One hundred sixty inpatients with unipolar depression, 160 inpatients with schizophrenia, and 160 opioid-dependent patients were interviewed. Overall, a family history of suicide was associated with a higher risk for suicide attempt, with high-lethality method, with repeated attempts, and with number of attempts, while the interaction between family history and diagnostic group was not significant. Thus, a positive family history of suicide was a risk factor for several suicide attempt characteristics independent of psychiatric diagnosis.