Systematic Review of Suicidal Behaviour in Individuals Who Have Attended Substance Abuse Treatment

Rontziokos, Helena; Deane, Frank P.

doi:10.1007/s11469-018-9994-5

Cited by 12 publications

(3 citation statements)

References 47 publications

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“…Given the paucity of recent research on drug-related suicide rates at the national level, we examined Canada’s mortality data to assess whether, along with changes in death rates attributed to opioid and/or stimulant overdose, there have been corresponding changes in rates of drug-related suicides and EUI deaths. A positive association between rates of accidental opioid overdose deaths and drug suicides over the last two decades could be expected for the following reasons: (1) substance misuse is a known risk factor for suicide (Bohnert et al, 2017 ; Rontziokos & Deane, 2019 ); (2) Canadian doctors in the early 2000s were being persuaded to increase their prescribing and dosage of opioids, for chronic pain, thus making lethal drugs more available to people who already had an increased tendency to suicide. Prescription opioids are known to increase the risk of depression (Scherrer et al, 2014 ); and (3) availability and ease of access to a lethal means of suicide (opioids, prescribed or illicit) increased.…”

Section: Drug Suicides and Eui Deathsmentioning

confidence: 99%

Unanticipated Changes in Drug Overdose Death Rates in Canada During the Opioid Crisis

Snowdon

Choi

2022

Int J Ment Health Addiction

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Escalating drug overdose death rates in Canada are of ever-increasing concern. To better understand the extent of this health threat, we obtained mortality statistics and population figures for the years 2000 to 2020, and examined rates of overdose deaths, coded (using ICD-10) as accidental, suicide or “undetermined intent.” The drug deemed as primarily responsible for the death was categorized as opioid, non-opioid, or unspecified. Age patterns of drug deaths were graphed. Joinpoint analysis was used to test the significance of changes in death rates. Accidental opioid and stimulant overdose death rates in Canada have climbed faster since 2011, though not as high as corresponding US rates. Unknown cause death rates have increased. However, opioid and non-opioid suicide rates have decreased significantly since 2011, and there have been fewer drug deaths of undetermined intent. Increased attention to the possibility that some suicides are being misclassified is warranted.

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Section: Drug Suicides and Eui Deathsmentioning

confidence: 99%

Unanticipated Changes in Drug Overdose Death Rates in Canada During the Opioid Crisis

Snowdon

Choi

2022

Int J Ment Health Addiction

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“…Among people with AUD, estimates of suicidal behaviour are particularly elevated in treatment-seeking samples; a meta-analysis of 31 global studies of patients treated for AUD reported a crude suicide mortality rate of 2.36/1000 person-years, accounting for 7.34% of all deaths (4). Another compared eleven studies that reported rates of suicide attempt among adults who had used drug or alcohol treatment services and estimated a sample size weighted mean of 24.9% reporting a lifetime suicide attempt (5). This is approximately ten times higher than the 2.7% estimate of lifetime suicide attempt in the general population from WHO surveys (6), and approximately 3 times higher than the wider population with AUD (7).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for suicide attempts in community alcohol treatment

Robins,

Morley,

Hayes

et al. 2024

Preprint

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Background Alcohol Use Disorder is associated with suicide and suicide attempts, and addiction treatment services have a role in suicide prevention. We aimed to identify risk factors for suicide attempt among a cohort of community-based alcohol treatment service users. Methods Linked data from 4415 adults accessing secondary addiction services for alcohol treatment between 2006 and 2019 in London, UK, were used to identify risk factors for suicide attempt. Cox proportional hazards regression estimated the relative increase or decrease in hazard associated with each risk factor on a composite outcome event; death by suicide or contact with emergency psychiatric care within one year of starting treatment. Findings There were 468 (10.5%) crisis care contact events, and <10 suicide deaths. After adjustment, factors associated with increased hazard of crisis care contact or death by suicide were history of suicide attempt (HR 1.83[1.43-2.33]), poor mental health (HR 1.81[1.41-2.32]), current suicidal ideation (HR 1.65[1.18-2.31]), use of drugs other than cocaine, cannabis and opiates (HR 1.41[1.02-1.95]), female sex (HR 1.34[1.10-1.65]) and social isolation (HR 1.24[1.02 - 1.51]). Factors associated with reduced hazard of crisis care contact or death by suicide were alcohol abstinence (HR 0.51[0.31-0.83], ref>30 units), drinking 1-15 units (HR 0.64[0.49-0.85], ref>30 units), Black ethnicity (HR 0.61[0.45-0.83]) and living with children (HR 0.74[0.56-0.99]). Interpretation The identified risk factors for suicide attempt can help risk formulation and safety planning among patients accessing alcohol treatment services. Funding National Institute for Health Research Biomedical Research Centre at South London and Maudsley NHS Foundation Trust, King's College London.

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“…In addition, research indicates that the lifetime risk of suicide death in patients with a substance use disorder (SUD) is at least five to 10 times higher than that in the general population (Espinet et al., 2019). SUDs are strongly associated with a high risk of suicidal ideation, attempts, and death by suicide, such that the pathological use of psychoactive substances of any kind is considered an important predictor of these phenomena (Breet, Goldstone, & Bantjes, 2018; Rontziokos & Deane, 2019).…”

Section: Introductionmentioning

confidence: 99%

The mediating role of tolerance for psychological pain in the relationship of childhood trauma to suicidal ideation in individuals with a substance use disorder

Martins

Campos

Morujão

2021

British J Clinic Psychol

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Objectives The association between childhood trauma and suicidal ideation has been well documented in several populations, including individuals with a substance use disorder (SUD). However, a gap still exists in the literature regarding the mechanisms by which childhood trauma later impacts suicide risk. This cross‐sectional study tested the effect of childhood trauma on suicidal ideation, as well as the mediating effect of tolerance for psychological pain (managing the pain and enduring the pain) in that relationship, controlling for the effect of depressive symptoms, in individuals with a SUD. Methods A sample of 102 adults with a SUD participated in the study. Path analysis by structural equation modelling tested a mediation model. Results Depressive symptoms and lower levels of managing the pain were found to fully mediate the association between childhood trauma and suicidal ideation. Conclusions Our results suggest that depressive symptoms and a lack of ability to manage psychological pain contribute towards explaining why traumatic childhood experiences may result in suicidal cognitions in individuals with SUDs. Moreover, they have relevant implications for prevention and clinical interventions regarding suicidal ideation in this population. Practitioner points Childhood trauma relates to suicidal ideation in individuals with a substance use disorder. Depressive symptoms contribute towards explaining why traumatic childhood experiences may result in suicidal cognitions. A lack of ability to manage psychological pain also contributes towards explaining this relationship. The obtained results have relevant implications for the prevention of and clinical intervention for suicidal ideation in SUD individuals.

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Systematic Review of Suicidal Behaviour in Individuals Who Have Attended Substance Abuse Treatment

Cited by 12 publications

References 47 publications

Unanticipated Changes in Drug Overdose Death Rates in Canada During the Opioid Crisis

Unanticipated Changes in Drug Overdose Death Rates in Canada During the Opioid Crisis

Risk factors for suicide attempts in community alcohol treatment

The mediating role of tolerance for psychological pain in the relationship of childhood trauma to suicidal ideation in individuals with a substance use disorder

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