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

Abstract

More involvement in SUD treatment reduced the likelihood of a future suicide attempt in high-risk patients. Substance use disorder treatment providers interested in reducing future suicidal behavior may want to concentrate their efforts on identifying at-risk individuals and actively engaging these patients in longer treatment episodes.

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

“…The rates of a suicide attempt in the present sample are also broadly consistent with other samples of patients seen for treatment of drug dependence (Johnsson and Fridell, 1997). Clearly, many patients who present to treatment for alcohol problems have previously engaged in suicidal behaviors and these individuals are at an elevated risk for future suicidal behaviors (Cornelius et al, 2004;Ilgen et al, 2007;Wines et al, 2004).…”

“…Thus, we do not know to what extent the report of prior suicidality (and impulsive suicidality) corresponded to actual suicidal behaviors. However, most prior work on suicidality in treatment-seeking substancedependent patients has also utilized single-item measures to assess for past attempts (e.g., Ilgen et al, 2007). In general, research on suicidality in patients with substance use disorders would benefit from the use of more comprehensive measures of suicidality.…”

Lifetime physical and sexual abuse and substance use treatment outcomes in men

“…However, the number of patients in the sexual abuse group reporting suicidal ideation decreased over the course of the study, and by 12 months, there were no group differences in rates of suicidal ideation. Findings are consistent with research demonstrating that SUD treatment may protect against suicide in at-risk patients (Ilgen, Harris, Moos, & Tiet, 2007). However, previous research has also shown that a history of attempted suicide is a significant predictor of future suicide, even after controlling for other factors (e.g., hopelessness and depression; Joiner et al, 2005), suggesting the importance of assessing for lifetime suicide attempt at intake to SUD treatment, particularly among patients with a sexual abuse history.…”

Addiction à la cocaïne : un facteur de risque de suicide ?

“…La quantité totale de cocaïne absorbée [23], la durée de l'intoxication [23,24], ainsi que l'augmentation récente des doses renforcent le risque de conduites suicidaires [23]. Il convient de remarquer que la consommation abusive de cocaïne est de moins longue durée que pour l'alcool avant le passage à l'acte (19 ans en moyenne après le début de l'alcoolodépendance et 12 ans après le début de la consommation abusive de cocaïne) [25].…”

“…», s'interroge Françoise Facy [55]. La prise en charge de ces patients dépendants diminue le risque de passage à l'acte suicidaire, ainsi que le risque de récidive [24].…”