Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Silva, Dhiordan Cardoso da; Ávila, Andressa Celente de; Yates, Marina Balem; Cazassa, Milton José; Dias, Felipe Bello; Souza, Márcia Henrique de; Oliveira, Margareth da Silva

doi:10.1590/0047-2085000000155

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…Moreover, the predictive factors in this vulnerable population were not well explored yet. These individuals present multiple psychosocial vulnerabilities, high rates of clinical and psychiatric comorbidities, and low adherence to treatment [16][17][18][19], which may have a significant impact on suicidal behavior. Furthermore, crack and cocaine are the illicit drugs that most lead to demand for detoxification treatment in psychiatric facilities [20,21], generating considerable cost to the public health system.…”

Section: Introductionmentioning

confidence: 99%

Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil

et al. 2020

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Background Suicide is a severe health problem, with high rates in individuals with addiction. Considering the lack of studies exploring suicide predictors in this population, we aimed to investigate factors associated with attempted suicide in inpatients diagnosed with cocaine use disorder using two analytical approaches. Methods This is a cross-sectional study using a secondary database with 247 men and 442 women hospitalized for cocaine use disorder. Clinical assessment included the Addiction Severity Index, the Childhood Trauma Questionnaire, and the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, totalling 58 variables. Descriptive Poisson regression and predictive Random Forest algorithm were used complementarily to estimate prevalence ratios and to build prediction models, respectively. All analyses were stratified by gender. Results The prevalence of attempted suicide was 34% for men and 50% for women. In both genders, depression (PR M = 1.56, PR W = 1.27) and hallucinations (PR M = 1.80, PR W = 1.39) were factors associated with attempted suicide. Other specific factors were found for men and women, such as childhood trauma, aggression, and drug use severity. The men's predictive model had prediction statistics of AUC = 0.68, Acc. = 0.66, Sens. = 0.82, Spec. = 0.50, PPV = 0.47 and NPV = 0.84. This model identified several variables as important

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Section: Introductionmentioning

confidence: 99%

Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil

et al. 2020

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“…All 20 studies were cross-sectional. 23 - 42 Twelve were conducted in the United States, 23 - 28 , 30 , 31 , 33 , 37 , 38 , 42 four in Brazil, 32 , 35 , 39 , 41 two in Spain, 36 , 40 one in Argentina, 34 and one in Chile. 29 The age of the participants ranged from 14 to 65 years.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of suicide in cocaine users accessing health services: a systematic review and meta-analysis

Moçambique

Hoffmann

Roglio

et al. 2022

Brazilian Journal of Psychiatry

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Objective: This study reviewed and analyzed the prevalence of suicidal behaviors among cocaine users who sought health services. Methods: This is a systematic review and meta-analysis of studies published until January 2021. PubMed/MEDLINE, Scopus, Embase, PsycINFO, and LILACS were searched. The inclusion criteria were observational (retrospective or prospective), case-control, and/or cross-sectional reports that contained samples of cocaine users aged over 14 years who were assessed in health facilities or were in treatment. The random-effects model was used to calculate the overall prevalence of suicidal behavior with a 95% confidence interval. Subgroup analysis was conducted to investigate sources of heterogeneity. Results: Twenty articles were included, yielding a total of 2,252 cocaine users. The estimated prevalence was 43.59% (95%CI 31.10-57.38) for suicidal ideation and 27.71% (95%CI 21.63-34.73) for suicide attempts. High heterogeneity was found between studies for both outcomes (I 2 ≥ 93%), although subgroup analysis considering the quality of the studies showed a significant difference in suicide attempts (p = 0.03). Conclusion: Cocaine use can be considered a risk factor for suicidal behavior, and prevention and early screening measures should be implemented to facilitate adequate treatment.

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“…Estudo realizado no município de Porto Alegre-RS com pessoas internadas para tratamento de uso de derivados de cocaína (n=160) verificou que 30,6% dos entrevistados mencionaram ter empreendido ao menos uma tentativa de suicídio em algum momento de suas vidas. 10 Estudo da análise de prontuário de 123 pessoas em tratamento em CAPS AD III de Minas Gerais apresentou frequência de 32,5% de usuários com histórico de tentativa de suicídio. 11 Deve-se considerar que a maior frequência de histórico de tentativa de suicídio neste estudo pode estar Tabela 3 -Distribuição das variáveis terapêuticas das pessoas com transtornos relacionados ao uso de substâncias associadas à tentativa de suicídio durante a vida, Curitiba, PR, Brasil, 2018 (n=137)…”

Section: Discussionunclassified

Tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento

Ferreira

Capistrano²,

Kaled³

et al. 2022

REME Rev Min Enferm.

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Objetivo: identificar os fatores associados à tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento nos Centros de Atenção Psicossocial de Álcool e outras Drogas. Método: estudo observacional e transversal realizado com 137 pessoas com transtornos relacionados ao uso de substâncias em tratamento em Centros de Atenção Psicossocial de Álcool e outras Drogas de uma capital da região Sul do Brasil. Os dados foram coletados entre abril e novembro de 2018 por entrevista estruturada e submetidos à análise quantitativa descritiva, univariada e múltipla. Resultados: 51,8% dos participantes apresentaram ao menos uma tentativa de suicídio alguma vez na vida. Pensamentos suicidas ativos com intenção e com planejamento permaneceram associadas de modo independente ao histórico de tentativa de suicídio (RP: 2,87; IC: 1,04-7,91; p: 0,041). Na análise univariada houve associação entre tentativa de suicídio e dias de problema físico, intensidade dos pensamentos suicidas, comportamento preparatório, sentimentos depressivos, histórico familiar de transtorno mental, internamento em hospital psiquiátrico, importância de tratamento em saúde mental e prescrição de medicamentos. Conclusão: mais gravidade de pensamentos suicidas foi identificada como fator associado ao histórico de tentativa de suicídio. Enfatiza-se a importância da escuta ativa na prática profissional em saúde, do vínculo terapêutico e do acolhimento nos serviços de atenção à saúde.

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Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Cited by 5 publications

References 24 publications

Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil

Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil

Prevalence of suicide in cocaine users accessing health services: a systematic review and meta-analysis

Tentativa de suicídio por pessoas com transtornos relacionados ao uso de substâncias em tratamento

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