Characteristics of Substance-Abusing Veterans Attempting Suicide: A National Study

Anderson, B.; Howard, Matthew O.; Walker, Robrina; Suchinsky, Richard T.

doi:10.2466/pr0.1995.77.3f.1231

Cited by 26 publications

(13 citation statements)

References 20 publications

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“…In clinical implications, treatment providers need to be aware of the high prevalence of suicide attempts in patients seeking SUD treatment (Anderson et al, 1995;Johnsson and Fridell, 1997), as well as the likelihood that a sizable minority of patients will attempt suicide in the year following treatment. Given the frequency of suicide attempt, careful screening and treatment planning in high-risk patients is particularly important for reducing the risk for subsequent suicidal behavior.…”

Section: Discussionmentioning

confidence: 99%

“…Consistent with the epidemiological evidence, previous suicidal behavior is common in patients who present for SUD treatment. In patients entering SUD treatment, anywhere from 8 to 45% report a lifetime attempt (Anderson et al, 1995;Johnsson and Fridell, 1997) and approximately 3 to 4% (Ilgen et al, 2005;Moos et al, 1998) report an attempt within 30 days of treatment entry.…”

mentioning

confidence: 94%

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Predictors of a Suicide Attempt One Year After Entry Into Substance Use Disorder Treatment

Ilgen

Harris

Moos

et al. 2007

Alcoholism Clin & Exp Res

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 94%

Predictors of a Suicide Attempt One Year After Entry Into Substance Use Disorder Treatment

Ilgen

Harris

Moos

et al. 2007

Alcoholism Clin & Exp Res

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“…It has been hypothesized that suicidal patients in treatment for their alcohol dependence may not benefit from the alcohol treatment as much as non-suicidal patients because of the excess psychiatric and substancerelated problems (15). A Finish study has shown that the treatment course of patients does not change after reporting of suicidal behaviour (37).…”

Section: Effect Of Treatmentmentioning

confidence: 99%

“…On the other hand, it is unclear how to plan the alcohol treatment so that the patients will obtain the desired benefit of the treatment. It has been hypothesized that suicidal patients have a poor outcome of alcohol treatment because of their comorbidity diagnosis (15), but the evidence supporting this is sparse.…”

mentioning

confidence: 99%

Suicidal behaviour among alcohol-dependent Danes attending outpatient treatment

Petersen¹,

Grønbæk²,

Rask³

et al. 2009

Nordic Journal of Psychiatry

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The association between alcohol dependence and suicidal behaviour is well established and patients with suicidal behaviour in treatment for alcohol dependence present a considerable challenge for clinical services. The aim of this study is to identify risk factors for suicide attempts and to evaluate the outcome of treatment in patients in treatment for alcohol dependence. Semi-structured, detailed interviews were administered at baseline and at three sequential follow-up interviews with a large sample of 1692 patients at an outpatient treatment centre in the county of Funen in Denmark. Characteristics of, predictors for and outcome among suicidal patients were studied. Alcohol-dependent patients with a history of suicide attempts were found to constitute a highly selected group in alcohol abuse treatment as they often had a more severe course of alcohol dependence, were unemployed, younger, were more often lowly educated, and had more physical and psychiatric problems. Traumatic childhood experience related to physical or sexual abuse was found as a major predictor for suicidal behaviour among alcohol-dependent patients. We found no significant difference in the effect of treatment in patients with and without suicidal behaviour. These results support the hypothesis that alcohol-dependent patients with a history of suicide attempts are a selected group in respect to a number of demographical and psychosocial factors, but we found no difference in the outcome of treatment. This may imply that suicidal patients in treatment for alcohol abuse are treated effectively within the present treatment settings.

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“…According to some estimates, more than 40% of all patients seeking treatment for alcohol dependence report a suicide attempt at some point in their lifetime (Anderson et al, 1995;Koller et al, 2002;Roy, 2003). Additionally, impulsive suicide attempts are common in those with an alcohol use disorder (Ikeda et al, 2001) and may be especially important in understanding suicidal behaviors and the process of relapse in individuals with alcohol dependence (Conner, 2004).…”

Section: Introductionmentioning

confidence: 99%

Impulsive suicide attempts predict post-treatment relapse in alcohol-dependent patients

Wojnar

Ilgen

Jakubczyk

et al. 2008

Drug and Alcohol Dependence

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Background-The present study was designed to examine the influence of suicidality on relapse in alcohol-dependent patients. Specifically, a lifetime suicide attempt at baseline was used to predict relapse in the year after treatment. Also, the unique contribution of impulsive suicide attempts was examined.Methods-A total of 154 patients with alcohol dependence, consecutively admitted to four addiction treatment facilities in Warsaw, Poland participated in the study. Of the 154 eligible patients, 118 (76.6%) completed a standardized follow-up assessment at 12 months.Results-Previous suicide attempts were common in adults treated for alcohol dependence with 43% patients in the present sample reporting an attempt at some point during their lifetime. Additionally, more than 62% of those with a lifetime suicide attempt reported making an impulsive attempt. Lifetime suicide attempts were not associated with post-treatment relapse (chisquare=2.37, df=1, p=0.124). However, impulsive suicide attempts strongly predicted relapse (OR=2.81, 95%C.I. = 1.13-6.95, p=0.026) and time to relapse (OR=2.10, 95% C.I. = 1.18-3.74, p=0.012) even after adjusting for other measures of baseline psychopathology, depression, impulsivity, hopelessness and alcohol use severity.Conclusions-This study is the first to document the relationship between pre-treatment impulsive suicide attempts and higher likelihood of post-treatment relapse in alcohol-dependent patents. Clinicians should routinely conduct an assessment for previous suicide attempts in patients with alcohol use disorders, and when impulsive suicidality is reported, they should recognize the increased risk for relapse and formulate their patients' treatment plans accordingly with the goals of reducing both alcoholic relapse and suicide rates.

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Characteristics of Substance-Abusing Veterans Attempting Suicide: A National Study

Cited by 26 publications

References 20 publications

Predictors of a Suicide Attempt One Year After Entry Into Substance Use Disorder Treatment

Predictors of a Suicide Attempt One Year After Entry Into Substance Use Disorder Treatment

Suicidal behaviour among alcohol-dependent Danes attending outpatient treatment

Impulsive suicide attempts predict post-treatment relapse in alcohol-dependent patients

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