Attempted suicide among entrants to three treatment modalities for heroin dependence in the Australian Treatment Outcome Study (ATOS): prevalence and risk factors

被引:99
|
作者
Darke, S [1 ]
Ross, J
Lynskey, M
Teesson, M
机构
[1] Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW 2052, Australia
[2] Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63110 USA
基金
英国医学研究理事会;
关键词
heroin; suicide; psychopathology;
D O I
10.1016/j.drugalcdep.2003.08.008
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Aims: To determine the lifetime and recent histories of attempted suicide among entrants to treatment for heroin dependence in three treatment modalities and a non-treatment comparison group; and to ascertain factors associated with a recent history of attempted suicide. Design: Cross-sectional structured interview. Setting: Sydney, Australia. Participants: Six hundred and fifteen current heroin users: 201 entering methadone/buprenorphine maintenance (MT), 201 entering detoxification (DTX), 133 entering drug free residential rehabilitation (RR) and 80 not in treatment (NT). Findings: A lifetime history of attempted suicide was reported by 34% of subjects, 13% had attempted suicide in the preceding year and 5% had done so in the preceding month. Females were more likely to have lifetime (44% versus 28%) and 12 month (21% versus 9%) suicide attempt histories. The 12 month prevalence of attempted suicide among treatment groups ranged between 11% (MT, NT) and 17% (RR). Factors associated with recent suicide attempts were: being an RR entrant, female gender, younger age, less education, more extensive polydrug use, benzodiazepine use, recent heroin overdose, Major Depression, current suicidal ideation, Borderline Personality Disorder (BPD)and Post-Traumatic Stress Disorder. Conclusions: Recent suicidal behaviour is a major clinical problem for heroin users, and for females and RR entrants in particular. An essential adjunct to treatment for heroin dependence is routine screening for depression and suicidal ideation, with the provision of appropriate treatment where needed. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1 / 10
页数:10
相关论文
共 50 条
  • [11] Short-term Outcomes for the Treatment of Heroin Dependence Findings From the Australian Treatment Outcome Study (ATOS)
    Ross, Joanne
    Teesson, Maree
    Darke, Shane
    Lynskey, Michael
    Ali, Robert
    Ritter, Alison
    Cooke, Richard
    ADDICTIVE DISORDERS & THEIR TREATMENT, 2006, 5 (03): : 133 - 143
  • [12] The characteristics of heroin users entering treatment: findings from the Australian Treatment Outcome Study (ATOS)
    Ross, J
    Teesson, M
    Darke, S
    Lynskey, M
    Ali, R
    Ritter, A
    Cooke, R
    DRUG AND ALCOHOL REVIEW, 2005, 24 (05) : 411 - 418
  • [13] Factors associated with 12 months continuous heroin abstinence: findings from the Australian Treatment Outcome Study (ATOS)
    Darke, S
    Ross, J
    Teesson, M
    Ali, R
    Cooke, R
    Ritter, A
    Lynskey, M
    JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2005, 28 (03) : 255 - 263
  • [14] Depression among heroin users: 12-Month outcomes from the Australian Treatment Outcome Study (ATOS)
    Havard, Alys
    Teesson, Maree
    Darke, Shane
    Ross, Joanne
    JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2006, 30 (04) : 355 - 362
  • [15] The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS)
    Williamson, A
    Darke, S
    Ross, J
    Teesson, M
    DRUG AND ALCOHOL REVIEW, 2006, 25 (02) : 141 - 148
  • [16] Health service utilization and benzodiazepine use among heroin users: findings from the Australian Treatment Outcome Study (ATOS)
    Darke, S
    Ross, J
    Teesson, M
    Lynskey, M
    ADDICTION, 2003, 98 (08) : 1129 - 1135
  • [17] Borderline personality disorder, antisocial personality disorder and risk-taking among heroin users: findings from the Australian Treatment Outcome Study (ATOS)
    Darke, S
    Williamson, A
    Ross, J
    Teesson, M
    Lynskey, M
    DRUG AND ALCOHOL DEPENDENCE, 2004, 74 (01) : 77 - 83
  • [18] Non-fatal heroin overdose, treatment exposure and client characteristics: Findings from the Australian Treatment Outcome Study (ATOS)
    Darke, S
    Williamson, A
    Ross, J
    Teesson, M
    DRUG AND ALCOHOL REVIEW, 2005, 24 (05) : 425 - 432
  • [19] Excessive suicide mortality and risk factors for suicide among patients with heroin dependence
    Pan, Chun-Hung
    Jhong, Jia-Rong
    Tsai, Shang-Ying
    Lin, Shih-Ku
    Chen, Chiao-Chicy
    Kuo, Chian-Jue
    DRUG AND ALCOHOL DEPENDENCE, 2014, 145 : 224 - 230
  • [20] Patterns and correlates of attempted suicide by heroin users over a 3-year period: Findings from the Australian treatment outcome study
    Darke, Shane
    Ross, Joanne
    Williamson, Anna
    Mills, Katherine L.
    Havard, Alys
    Teesson, Maree
    DRUG AND ALCOHOL DEPENDENCE, 2007, 87 (2-3) : 146 - 152