Suicide attempts by people with substances use disorders undergoing treatment

Authors

DOI:

https://doi.org/10.35699/2316-9389.2022.38798

Keywords:

Suicide Attempted, Substance-Related Disorders, Mental Disorders, Mental Health, Mental Health Services

Abstract

Objective: to identify the factors associated with suicide attempts by people with substance use disorders undergoing treatment at the Psychosocial Care Centers for Alcohol and Other Drugs. Method: observational and cross-sectional study carried out with 137 people with substance use disorders undergoing treatment at Psychosocial Care Centers for Alcohol and Other Drugs in a capital city in the southern region of Brazil. Data were collected between April and November 2018 by structured interview and subjected to descriptive, univariate, and multiple quantitative analysis. Results: 51.8% of participants had at least one suicide attempt at some point in their lives. Active suicidal thoughts with intent and planning remained independently associated with the history of attempted suicide (PR: 2.87; CI: 1.04-7.91; p: 0.041). In the univariate analysis, there was an association between suicide attempt and days of physical problems, intensity of suicidal ideation, preparatory acts, depressive feelings, family history of mental disorder, hospitalization in a psychiatric hospital, importance of mental health treatment and medication prescription. Conclusion: more severity of suicidal ideation was identified as a factor associated with a history of suicide attempt. It emphasizes the importance of active listening in professional health practice, the therapeutic bond and reception in health care services.

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References

Posner K, Melvin GA, Stanley B, Oquendo MA, Gould M. Factors in the Assessment of Suicidality in Youth. CNS Spectr. 2007[citado em 2020 nov. 10];12(2):156–62. Disponível em: https://doi.org/10.1017/s1092852900020678

Organização Mundial da Saúde. Preventing suicide: a imperative global. Genebra: OMS; 2014[citado em 2021 jun. 15]. 96 p. Disponível em: https://www.who.int/mental_health/suicide-prevention/world_report_2014/en/

Østergaard MLD, Nordentoft M, Hjorthøj C. Associations between substance use disorders and suicide or suicide attempts in people with mental illness: a Danish nation-wide, prospective, register-based study of patients diagnosed with schizophrenia, bipolar disorder, unipolar depression or personality disorder. Addiction. 2017[citado em 2021 fev. 15];112(7):1250-9. Disponível em: http://dx.doi.org/10.1111/add.13788

American Psychiatric Association - APA. Manual Diagnóstico e Estatístico de Transtornos Mentais. 5ª ed. Porto Alegre: Artmed; 2014. 948 p.

Ferreira ACZ, Capistrano FC, Maftum GJ, Kalinke LP, Maftum MA. Comportamentos suicidas em pessoas com transtornos relacionados a substâncias. Rev Enferm UFPE Online. 2019[citado em 2021 jul. 04];13:e241446. Disponível em: https://doi.org/10.5205/1981-8963.2019.241446

Ribeiro DB, Schneider JF, Terra MG, Soccol KLS, Camillo LA, Plein FAS. Motivos da tentativa de suicídio expressos por homens usuários de álcool e outras drogas. Rev Gaúch Enferm. 2016[citado em 2021 mar. 11];37(1):e54896. Disponível em: https://doi.org/10.1590/1983-1447.2016.01.54896

Weiser AV, Oliveira MM, Ramos CI, Weiss CV, Lemos DSC, Silveira KL. Motivos e sentimentos que conectam o uso de crack à tentativa de suicídio. SMAD Rev Eletrônica Saúde Mental Alcool Drog. 2020[citado em 2021 jul. 04];16(4):58-64. Disponível em: https://doi.org/10.11606/issn.1806-6976.smad.2020.163178

Posner K, Brown GK, Stanley B, Brent DA, Yershova K, Oquendo MA, et al. The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011[citado em 2020 ago. 19];168(12):1266-77. Disponível em: http://dx.doi.org/10.1176/appi.ajp.2011.10111704

Kessler F, Cacciola J, Alterman A, Faller S, Souza-Formigoni ML, Cruz MS, et al. Psychometric properties of the sixth version of the Addiction Severity Index (ASI-6) in Brazil. Rev Bras Psiquiatr. 2012[citado em 2020 abr. 15];34:24-33. Disponível em: http://dx.doi.org/10.1590/S1516-44462012000100006

Silva DC, Ávila AC, Yates MB, Cazassa MJ, Dias FB, Souza MH, et al. Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento. J Bras Psiquiatr. 2017[citado em 2021 fev. 13];66(2):89-95. Disponível em: http://dx.doi.org/10.1590/0047-2085000000155

Cantão L, Botti NCL. Comportamentos suicidas entre dependentes químicos. Rev Bras Enferm. 2016[citado em 2021 fev. 14];69(2):389-96. Disponível em: http://dx.doi.org/10.1590/0034-7167.2016690224i

Veloso C, Monteiro CFS, Veloso LUP, Figueiredo MLF, Fonseca RSB, Araújo TME. Violência autoinfligida por intoxicação exógena em um serviço de urgência e emergência. Rev Gaúch Enferm.2017[citado em 2020 dez. 19];38(2):e66187. Disponível em: https://doi.org/10.1590/1983-1447.2017.02.66187

Park EH, Hong N, Jon DI, Hong HJ, Jung MH. Past suicidal ideation as an independent risk factor for suicide behaviours in patients with depression. Int J Psychiatr Clin Pract. 2016[citado em 2020 dez. 28];21(1):24-8. Disponível em: http://dx.doi.org/10.1080/13651501.2016.1249489

Conway PM, Erlangsen A, Teasdale TW, Jakobsen IS, Larsen KJ. Predictive validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: a Danish Study of Adolescents at a High Risk of Suicide. Arch Suicide Res. 2017[citado em 2021 jan.11];21(3):455-69. Disponível em: http://dx.doi.org/10.1080/13811118.2016.1222318

Borba LO, Ferreira ACZ, Capistrano FC, Kalinke LP, Maftum MA, Maftum GJ. Fatores associados à tentativa de suicídio por pessoas com transtorno mental. REME - Rev Min Enferm. 2020[citado em 2021 maio 13];24:e-1284. Disponível em: http://dx.doi.org/10.5935/1415-2762.20200013

Rodríguez-Cintas L, Daigre C, Braquehais MD, Palma-Alvarez RF, Grau-López L, Ros-Cucurull E, et al. Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders. Psychiatry Res. 2018[citado em 2020 out. 26];262:440-5. Disponível em: http://dx.doi.org/10.1016/j.psychres.2017.09.021

Lindh AU, Waern M, Beckman K, Renberg ES, Dahlin M, Runeson B. Short-term risk of non-fatal and fatal suicidal behaviours: the predictive validity of the Columbia-Suicide Severity Rating Scale in a Swedish adult psychiatric population with a recent episode self-harm. BMC Psychiatry. 2018[citado em 2021 mar. 18];18:319. Disponível em: http://dx.doi.org/10.1186/s12888-018-1883-8

Bagge CL, Littlefield AK, Conner KR, Schumacher JA, Lee HJ. Near-term predictors of the intensity of suicidal ideation: an examination of the 24h prior to a recent suicide attempt. J Affect Disord. 2014[citado em 2020 dez. 03];165:53-8. Disponível em: http://dx.doi.org/10.1016/j.jad.2014.04.010

Interian A, Chesin M, Kline A, Miller R, Hill LS, Latorre M, et al. Use of the Columbia-Suicide Severity Rating Scale (C-SSRS) to classify suicidal behaviors. Arch Suicide Res. 2018[citado em 2021 fev. 15];22(2):278-94. Disponível em: http://dx.doi.org/10.1080/13811118.2017.1334610

Hill RM, Hatkevich CE, Kazimi I, Sharp C. The Columbia-Suicide Severity Rating Scale: associations between interrupted, aborted and actual suicide attempts among adolescent inpatients. Psychiatry Res. 2017[citado em 2020 set. 29];255:338-40. Disponível em: http://dx.doi.org/10.1016/j.psychres.2017.06.014

Cremasco GS, Baptista MN. Depressão, motivos para viver e o significado do suicídio em graduandos do curso de psicologia. Estud Interdiscip Psicol. 2017[citado em 2020 dez. 13];8(1):22-37. Disponível em: http://dx.doi.org/10.5433/2236-6407.2017v8n1p22

Nascimento KC, Kohls M, Mella S, Berra E, Olschowsky A, Guimarães AN. O desafio familiar no cuidado às pessoas acometidas por transtorno mental. Rev Enferm UFPE Online. 2016[citado em 2021 jan. 16];10(3):940-8. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11044/12449

Del-Ben CM, Sponholz-Junior A, Mantovani C, Faleiros MCM, Oliveira GEC, Guapo VG, et al. Emergências psiquiátricas: manejo de agitação psicomotora e avaliação de risco suicida. Medicina (Ribeirão Preto). 2017[citado em 2020 set. 15];50(Suppl 1):98-112. Disponível em: https://doi.org/10.11606/issn.2176-7262.v50isupl1.p98-112

Olfson M, Wall M, Wang S, Crystal S, Liu SML, Gerhard T, et al. Short-term suicide risk after psychiatric hospital discharge. JAMA Psychiatry. 2016[citado em 2020 set. 15];73(11):1119-26. Disponível em: http://dx.doi.org/10.1001/jamapsychiatry.2016.2035

Pinedo M, Villatoro AP. The role of perceived treatment need in explaining racial/ethnic disparities in the use of substance abuse treatment services. J Subst Abuse Treat. 2020[citado em 2020 dez. 10];118:e108105. Disponível em: http://dx.doi.org/10.1016/j.jsat.2020.108105

Published

2021-12-15

Issue

Section

Research

How to Cite

1.
Suicide attempts by people with substances use disorders undergoing treatment. REME Rev Min Enferm. [Internet]. 2021 Dec. 15 [cited 2026 Feb. 5];26. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/38798

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