Characteristics of Cocaine-Dependent Patients Who Attempt Suicide

Alec Roy

109 citations0/0 files storedAmerican Journal of Psychiatry

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Suicide and Self-Harm Studies Substance Abuse Treatment and Outcomes Opioid Use Disorder Treatment

Abstract

OBJECTIVE: Although suicidal behavior is frequent among cocaine-dependent patients, it has been little studied. Therefore, the author examined the characteristics of cocaine-dependent patients who had attempted suicide. METHOD: Cocaine-dependent patients who had attempted suicide (N=84) were compared with cocaine-dependent patients who had never attempted suicide (N=130) on clinical, personality, psychiatric, and physical variables. RESULTS: Significantly more of the patients who had attempted suicide were female and had a family history of suicidal behavior; they reported significantly more childhood trauma and were significantly more introverted, neurotic, and hostile. They had also had significantly more comorbidity with alcohol and/or opiate dependence, major depression, and physical disorders. CONCLUSIONS: The clinical implications are that family, childhood, personality, psychiatric, and physical risk factors contribute to suicidal behavior in cocaine-dependent patients. Comorbidity appears to be an important determinant of suicidal behavior.

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References

1994Initial reliability and validity of a new retrospective measure of child abuse and neglect 1999Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey 1997Validity of the Childhood Trauma Questionnaire in an Adolescent Psychiatric Population 2000Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood 1996Relationships of age and axis I diagnoses in victims of completed suicide: a psychological autopsy study 1993Childhood Sexual Abuse and Mental Health in Adult Life 1996Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: a case-control study 1993A Longitudinal Twin Study of Personality and Major Depression in Women

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2003Distal risk factors for suicidal behavior in alcoholics: replications and new findings 2003Characteristics of drug addicts who attempt suicide 2009Characteristics of Cocaine Dependent Patients Who Attempt Suicide 2003Cocaine use disorders and suicidal ideation 2004Relationship of childhood trauma to age of first suicide attempt and number of attempts in substance dependent patients

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