Impulsive and non-impulsive suicide attempts in patients treated for alcohol dependence

JOURNAL OF AFFECTIVE DISORDERS

卷:115

Article

Wojnar, Marcin^1,2  Ilgen, Mark A.³  Klimkiewicz, Anna²  Jakubczyk, Andrzej²  Glass, Jennifer⁴ 

[1] Univ Michigan, Addict Res Ctr, Dept Psychiat, Ann Arbor, MI 48109 USA

[2] Med Univ Warsaw, Dept Psychiat, Warsaw, Poland

[3] US Dept Vet Affairs, Hlth Serv Res & Dev, Ann Arbor, MI USA

[4] Univ Michigan, Inst Social Res, Ann Arbor, MI 48109 USA

关键词: Suicide;    Attempt;    Alcohol dependence;    Impulsive behavior;    Poland;   

DOI  :  10.1016/j.jad.2008.09.001

来源: Elsevier

【 摘 要 】

Background: Suicidal behavior has been recognized as an increasing problem among alcohol-dependent subjects. The aim of the study was to identify correlates of impulsive and non-impulsive suicide attempts among a treated population of alcohol-dependent patients. Methods: A total of 154 patients with alcohol dependence consecutively admitted for addiction treatment participated in the study. Suicidal behavior was assessed together with severity of alcohol dependence, childhood abuse, impulsivity, and family history. A stop-signal procedure was used as a behavioral measure of impulsivity. Results and conclusions: Lifetime suicide attempts were reported by 43% of patients in alcohol treatment; of which 62% were impulsive. Compared to patients without a suicide attempt, those with a non-impulsive attempt were more likely to have a history of sexual abuse (OR=7.17), a family history of suicide (OR=4.09), and higher scores on a personality measure of impulsiveness (OR=2.27). The only significant factor that distinguished patients with impulsive suicide attempts from patients without a suicide attempt and from patients with a non-impulsive suicide attempt was a higher level of behavioral impulsivity (OR=1.84-2.42). Limitations: Retrospective self-report of suicide attempts and family history. Lack of diagnostic measure. (C) 2008 Elsevier B.V. All rights reserved.

【 授权许可】

Free