Suicide Attempts in Substance Abusers: Effects of Major Depression in Relation to Substance Use Disorders

Efrat Aharonovich · Xinhua Liu · Edward V. Nunes · Deborah S. Hasin

141 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: The authors' goal was to investigate whether subtypes of DSM-IV depression predict suicidal behavior among patients with substance dependence. METHOD: Major depression among 602 patients with substance dependence was classified as occurring before dependence, during abstinence, or exclusively during periods of substance use. Analyses of patients with the three types of depression included logistic and linear regression. RESULTS: All three types of depression increased the risk for making a suicide attempt. Major depression that occurred before the patient became substance dependent predicted severity of suicidal intent. Major depression that occurred during abstinence predicted number of attempts. CONCLUSIONS: These results suggest the importance of establishing DSM-IV subtypes of depression based on the timing of the occurrence of depression in relation to substance dependence in evaluating suicidal risk among substance-dependent patients.

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References

1994Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States 1971Measuring nominal scale agreement among many raters.1999Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey 2000Associations of Substance Use, Abuse, and Dependence with Subsequent Suicidal Behavior

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