An Examination of Suicide Probability in Alcoholic in-Patients

Demi̇rbaş, Hati̇ce; Çeli̇k, Seda; İlhan, İnci̇ Özgür; Dogan, Yildirim

doi:10.1093/alcalc/agg019

Cited by 15 publications

(15 citation statements)

References 19 publications

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“…Of all depressive symptoms, hopelessness has been identified as a particularly strong predictor of suicidal behavior; it is discussed later in this article. Low self-esteem is another symptom that is frequently comorbid with substance dependence and has been shown to be a significant predictor of suicide probability (Demirbas, Celik, Ilhan, & Dogan, 2003). Risk is especially high early in the course of bipolar disorders.…”

Section: Iii: Symptomatic Presentationmentioning

confidence: 99%

“…Patients who report anhedonia and insomnia combined with severe anxiety symptoms, alcohol abuse, or emotional turmoil associated with continuously cycling moods are at greatest short-term risk for suicide (Kleespies & Dettmer, 2000). The nature and duration of anxiety symptoms are important variables for consideration, as trait anxiety has a stronger relationship with suicide probability than state anxiety (Demirbas, Celik, Ilhan, & Dogan, 2003;Goldston et al, 1999).…”

Section: Iii: Symptomatic Presentationmentioning

confidence: 99%

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Advances in the assessment of suicide risk

2005

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This article reviews and integrates empirically grounded advances in the assessment of suicidality. The practices discussed are consistent with existing standards of care, practice guidelines, and applicable research. The authors differentiate between risk assessment and prediction and then emphasize the important role of time in risk assessment. We present and illustrate a continuum of suicidality for risk assessment and offer practical recommendations for clinical decision making and treatment.

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Section: Iii: Symptomatic Presentationmentioning

confidence: 99%

Section: Iii: Symptomatic Presentationmentioning

confidence: 99%

Advances in the assessment of suicide risk

2005

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“…Alcoholdependent individuals with a history of suicide attempts were found to have a significantly more severe course of alcohol dependence and a higher prevalence of both independent and substance-induced psychiatric disorders and other substance dependence (1). It was found that selfesteem, depression and trait anxiety predict suicide probability in Turkish alcoholics (6). Significantly more of the drug-dependent patients who had attempted suicide had a lifetime history of major depression (2).…”

mentioning

confidence: 99%

“…Since suicide probability is higher in the subgroup of substance dependents with SAH (6), this group needs special attention. In a cohort of suicide attempters, male gender and substance use disorders were found as significant risk factors for both later suicide and other causes of death (10).…”

mentioning

confidence: 99%

The relationship of suicide attempt history with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality in substance dependents

Evren

2006

Nordic Journal of Psychiatry

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The aim of this study was to evaluate the prevalence of suicide in Turkish male substance dependents, and to investigate the relationship of suicide attempt history with childhood abuse and neglect, alexithymia, and temperament and character dimensions of personality. Participants were 154 consecutively admitted male substance dependents. Patients were investigated with the Childhood Abuse and Neglect Questionnaire, Toronto Alexithymia Scale (TAS-20) and Temperament and Character Inventory (TCI). Among substance-dependent patients, 28.6% was considered a group with suicide attempt history (SAH). Current age was lower and rate of being single was higher in the group with SAH. There were no significant differences between groups in terms of employment, educational status and duration of education. Rates of physical, emotional abuse and neglect, self-mutilation and being alexithymic were higher and ages at first substance use and regular substance use were lower in the group with SAH. Mean scores of "difficulty in identifying feelings" (DIF) and "difficulty in describing feelings" (DDF) subscale EOT of the TAS-20 were higher in the SAH group. Among temperament and character dimensions of the TCI, only "Self-directedness" and "Cooperativeness" were lower in SAH and there were no significant differences between groups in terms of other subscales. Age and Self-directedness score of TCI were determinants for suicide attempt. In particular, young drug users with low Self-directedness scores could be the target population in order to prevent suicidal behavior. This study also suggests that in substance-dependent patients, in the background of all suicidal behavior, childhood abuse and neglect must be evaluated.

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“…Suicidal behavior is complex and heterogeneous (16). Among other risk factors, history of suicide attempt (HSA) appears to be the strongest known predictor of completed suicide in alcohol dependents (17). Suicidal behavior is very common among alcohol dependent individuals (18,19).…”

Section: Introductionmentioning

confidence: 99%

Yatarak Tedavi Gören Alkol Bağımlılarında Kendini Yaralama Davranışı ve Özkıyım Girişimi Öyküsü ile İlişkili Savunma Biçimleri / Defense Styles That Are Related With History Of Self-Mutilation And Suicide Attempt In Alcohol Dependent Inpatients

Evren¹,

Özçetinkay²,

Cagil³

et al. 2012

Dusunen Adam

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Defense styles that are related with history of self-mutilation and suicide attempt in alcohol dependent inpatients Objective: The aim of this study was to investigate the relationship of defense styles with history of selfmutilation (SM) and suicide attempt (SA) in alcohol dependent inpatients. Method: Participants were consecutively admitted 118 male alcohol dependent inpatients. Patients were investigated with the Self-Mutilative Behavior Questionnaire (SMBQ) and the Defense Style Questionnaire (DSQ). Results: Acting-out was higher in alcohol dependent patients with a history of SM (n=53, 44.92%) and predicted SM in this group, together with being younger. On the other hand, sublimation, anticipation and suppression (and total mature defense style score) were lower in alcohol dependent patients with suicide attempt history (n=31, 28.44%), but only low anticipation predicted suicide attempt history in this group together with being younger. Conclusion: These results show that to reduce self-mutilative behaviors and SAs among young alcohol dependent inpatients, therapies should focus on increasing the use of mature defense styles and decreasing the use of immature defense styles.

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An Examination of Suicide Probability in Alcoholic in-Patients

Abstract: It was found that self-esteem, depression and trait anxiety predict suicide probability. Suicide probability was higher within the sub-sample with a history of a suicidal act in comparison to those without such a history.

Cited by 15 publications

References 19 publications

Advances in the assessment of suicide risk

Advances in the assessment of suicide risk

The relationship of suicide attempt history with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality in substance dependents

Yatarak Tedavi Gören Alkol Bağımlılarında Kendini Yaralama Davranışı ve Özkıyım Girişimi Öyküsü ile İlişkili Savunma Biçimleri / Defense Styles That Are Related With History Of Self-Mutilation And Suicide Attempt In Alcohol Dependent Inpatients

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