Suicidal Behavior and Club Drugs in Young Adults

Brain Sciences

Luigia Trabace¹  Stefania Schiavone¹  Mauro Pettorruso²  Giovanni Martinotti²  Chiara Vannini²  MassimoDi Giannantonio²  StefanoL. Sensi²  DomenicoDe Berardis³  Attilio Negri⁴ 

[1] Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy;Department of Neuroscience, Imaging and Clinical Sciences, University G. d’Annunzio of Chieti-Pescara, Chieti-Pescara, 66100 Chieti-Pescara, Italy;NHS, Department of Mental Health, Psychiatric Service for Diagnosis and Treatment, Hospital “G. Mazzini,” 64100 Teramo, Italy;S.C Area Ser.D Mantova—U.O. Ser.T Alto Mantovano, 46100 Mantova, Italy;

关键词: suicide;    suicide attempts;    club drugs;    polydrug abuse;    novel psychoactive substances;   

DOI  :  10.3390/brainsci11040490

来源: DOAJ

【 摘 要 】

Psychoactive drugs play a significant role in suicidality when used for intentional overdose or, more frequently, when the intoxication leads to disinhibition and alterations in judgment, thereby making suicide more likely. In this study, we investigated suicidality prevalence among drug users and evaluated the differences in suicide ideation, taking into account the substance categories and the association of suicide ideation intensity with other psychiatric symptoms. Subjects admitted to the Can Misses Hospital’s psychiatry ward in Ibiza were recruited during summer openings of local nightclubs for four consecutive years starting in 2015. The main inclusion criterium was an intake of psychoactive substances during the previous 24 h. The Columbia Suicide Severity Rating Scale (C-SSRS) was used to assess the suicide risk. Suicidality was present in 39% of the study cohort. Suicide Ideation Intensity overall and in the previous month was higher in users of opioids and in general of psychodepressors compared to psychostimulants or psychodysleptics. Suicidality was not correlated with alterations in any of the major psychopathological scales employed to assess the psychiatric background of the study subjects. The presence of high levels of suicidality did not specifically correlate with any major symptom indicative of previous or ongoing psychopathological alterations. These findings suggest that impulsivity and loss of self-control may be determinants of the increased suicidality irrespectively of any major ongoing psychiatric background.

【 授权许可】

Unknown