Serious suicide attempts in outpatients with multiple substance use disorders

Icick, Romain; Karsinti, Emily; Lépine, Jean Pierre; Bloch, Vanessa; Brousse, Georges; Bellivier, Frank; Vorspan, Florence

doi:10.1016/j.drugalcdep.2017.08.037

Cited by 58 publications

(15 citation statements)

References 64 publications

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“…Established suicide risk attempt factors include anxiety disorders 38,39 , bipolar disorders 40 , substance abuse 6,41,42 , pain 43 , disability 44 , bereavement 45 , and more. Prior studies have predominantly examined the clinical and statistical relationship among these risk factors and suicide attempts through univariate analysis or simple logistic regression.…”

Section: Discussionmentioning

confidence: 99%

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

Zheng

Wang²,

Hao

et al. 2020

Transl Psychiatry

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Suicide is the tenth leading cause of death in the United States (US). An early-warning system (EWS) for suicide attempt could prove valuable for identifying those at risk of suicide attempts, and analyzing the contribution of repeated attempts to the risk of eventual death by suicide. In this study we sought to develop an EWS for high-risk suicide attempt patients through the development of a population-based risk stratification surveillance system. Advanced machine-learning algorithms and deep neural networks were utilized to build models with the data from electronic health records (EHRs). A final risk score was calculated for each individual and calibrated to indicate the probability of a suicide attempt in the following 1-year time period. Risk scores were subjected to individual-level analysis in order to aid in the interpretation of the results for health-care providers managing the at-risk cohorts. The 1-year suicide attempt risk model attained an area under the curve (AUC ROC) of 0.792 and 0.769 in the retrospective and prospective cohorts, respectively. The suicide attempt rate in the "very high risk" category was 60 times greater than the population baseline when tested in the prospective cohorts. Mental health disorders including depression, bipolar disorders and anxiety, along with substance abuse, impulse control disorders, clinical utilization indicators, and socioeconomic determinants were recognized as significant features associated with incident suicide attempt.

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Section: Discussionmentioning

confidence: 99%

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

Zheng

Wang²,

Hao

et al. 2020

Transl Psychiatry

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“…This ratio was much lower -about 8%-for Methamphetamine (MA) abuse [4] which reflects increased use of MA among women [5]. Suicide attempt was estimated 17-43% among people with drug use disorders [6][7][8] which is much higher than the general population (less than 3%) [9]. Mood disorders such as depression and anxiety are recognized as critical risk factors for suicide attempt among women with drug use disorders [8].…”

Section: Introductionmentioning

confidence: 99%

“…Suicide attempt was estimated 17-43% among people with drug use disorders [6][7][8] which is much higher than the general population (less than 3%) [9]. Mood disorders such as depression and anxiety are recognized as critical risk factors for suicide attempt among women with drug use disorders [8]. In addition, psychotic symptoms, anxiety, depression and suicide are prevalent among MA dependents [10].…”

Section: Introductionmentioning

confidence: 99%

Increasing Prevalence of Methamphetamine Use Among Women: Implication in Suicide Attempt

et al. 2019

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This study aimed to compare the ratio of suicide attempts between female opium and Methamphetamine (MA) users to determine the relationship between the increased prevalence of MA and suicide risk. Methods: In this cross-sectional study, 136 drug dependent females were randomly selected from Tehran. Data gathering was performed by a demographic questionnaire and Beck Scale for Suicidal Ideation. Data were analyzed by Chi-squared test and Independent Samples t-test. Results: There was no significant different in suicidal ideation between the two groups; however, the suicide attempt was significantly higher in the MA users compared to opium users (P<0.001). Discussion: Suicide attempt is much higher in females who use crystal MA, compared to female opium users. This could be a warning to prevent associated risks.

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“…Specifically, a study by Steingrimsson [ 23 ] marks SUD as having the highest mortality of all the diagnostic groups. Several studies point out that the main factors associated with suicide attempts were: borderline personality disorder, lifetime abuse (whether emotional, physical or sexual), co-occurrent psychotic disorders, polydrug abuse, anxiety disorders and depressive symptoms [ 14 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Going deeper into the topic of gender in SUD patients, different studies indicate the existence of gender-specific risk factors shared by both recurrent and serious suicide attempters [ 27 , 29 ]. However, it seems that women in treatment present with more suicidal ideation and attempts [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Which Psychopathological Syndromes Could Be Associated with the Risk of Suicide among Substance Users?

Masferrer

Escalé-Muntañà²,

Malagón

et al. 2018

IJERPH

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Background: Research has shown that suicide is a highly present phenomenon among the drug dependent population. Moreover, individuals with substance use disorder (SUD) present high psychopathological comorbidity. This study aimed to describe which clinical syndromes are linked to the presence of risk of suicide. Methods: The study was based on a consecutive non-probabilistic convenience sample of 196 patients who attended the Public Addiction Center in Girona (Spain). Sociodemographic data, as well as suicide risk and drug related characteristics, were recorded. The risk of suicide was assessed with the Spanish version of “risk of suicide”. Complicated grief was assessed with the Spanish version of the Inventory of Complicated Grief. Clinical syndromes were measured with the Spanish version of MCMI-III. Results: The syndromes most frequently associated with the presence of risk of suicide were complicated grief, major depression and thought disorder. Conclusions: Different psychopathological syndromes were identified in relation to risk of suicide among patients with SUD. The present results highlight the importance of accurately diagnosing those individuals.

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Serious suicide attempts in outpatients with multiple substance use disorders

Cited by 58 publications

References 64 publications

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

Development of an early-warning system for high-risk patients for suicide attempt using deep learning and electronic health records

Increasing Prevalence of Methamphetamine Use Among Women: Implication in Suicide Attempt

Which Psychopathological Syndromes Could Be Associated with the Risk of Suicide among Substance Users?

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