Suicidal and self-injurious behavior among patients with alcohol and drug abuse

Alsharqi, Abdullah; Sherra, Khaled S; Alhabeeb, Abdulhameed Abdullah; Qureshi, Naseem Akhtar

doi:10.2147/sar.s22515

Cited by 14 publications

(10 citation statements)

References 43 publications

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“…Many factors may contribute to variation in DSH rates, including differences in definition (i.e., self-harming behavior vs. non-suicidal self-injury disorder), assessment (i.e., clinical interview vs. self-report questionnaire), and timeframe of interest (i.e., lifetime vs. twelve-month), and developmental context. With regard to DSH among international patients with substance use disorders, a 1-week prevalence of 6.9% and a lifetime prevalence of 25.0–45.5% have been reported ( 20 , 39 – 41 ). It seems that the risk of DSH in Chinese HDPs receiving detoxification treatment is lower than that in the general population and international patients with substance use disorders.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis

Zhong

Xie

et al. 2018

Front. Psychiatry

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Background: There is paucity of data regarding the prevalence and methods of deliberate self-harm (DSH) in patients with heroin dependence in international literature. In China, there have been a few studies investigating the prevalence of DSH in heroin-dependent patients (HDPs), but their rates varied widely. We thus conducted a meta-analysis of studies assessing the prevalence of DSH among Chinese HDPs.Methods: Relevant studies were retrieved from major Chinese databases (China National Knowledge Infrastructure, Wanfang data, and SinoMed) and western databases (PubMed, EMBASE, and PsycInfo). Two authors independently identified eligible studies and extracted data. Studies that included a representative sample of Chinese HDPs and ascertained DSH caseness in a reliable way were considered as high quality. Statistical analysis was performed using R software.Results: In total, 15 eligible studies with a total of 37,243 Chinese HDPs were included. All included studies were conducted in heroin detoxification settings. Only two studies were rated as high quality. The pooled prevalence of DSH in Chinese HDPs was 4.4% (95%CI: 2.9, 6.2%), but the heterogeneity of prevalence rates across studies was significant (I2 = 98%, P < 0.001). Studies rated as high quality had significantly higher prevalence of DSH than those rated as low quality (13.2 vs. 3.4%, P < 0.001). Swallowing foreign objects was the most common method of DSH, with a combined prevalence of 2.7% (95%CI: 1.6, 4.4%). Extreme DSH methods such as cutting off fingers and jumping from height were also not uncommon in this patient population.Conclusion: Due to methodological problems in available studies, we find a relatively low prevalence of DSH among Chinese HDPs receiving detoxification treatment. Nevertheless, the self-harmers of Chinese HDPs are more likely to harm themselves in a dangerous or life-threatening way. Restricting the availability of DSH methods may be an effective way to prevent or reduce DSH in China's detoxification treatment settings.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis

Zhong

Xie

et al. 2018

Front. Psychiatry

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“…Suicide is estimated to have claimed the lives of 817,000 people worldwide in 2016 [ 1 ]. Though global suicide rates are decreasing [ 1 ], males, people experiencing socio-economic disadvantage [ 1 ], those with psychiatric disorders [ 2 ] and those who abuse drugs and alcohol [ 3 ] continue to be at increased risk of suicide. Given the unprecedented challenges currently facing the global community (e.g.…”

Section: Introductionmentioning

confidence: 99%

Suicide along the Australian coast: Exploring the epidemiology and risk factors

et al. 2021

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Suicide is an increasing global concern with multiple risk factors, yet location-based understanding is limited. In Australia, surf lifesavers (SLS) and lifeguards patrol the coast, performing rescues and assisting injured people, including people who suicide. This study is a descriptive epidemiological analysis of Australian coastal suicide deaths. The results will be used to inform training and support surf lifesaving personnel and suicide prevention organisations. This is a population-based cross-sectional study of suicide deaths at Australian coastal locations (between 1 January 2005 and 31 December 2019). Data were sourced from the National Coronial Information System and SLS Australia’s Incident Report Database. Analyses explored decedent, incident, and risk factors by sex and method. Across the study period, there were 666 coastal suicide deaths (71.0% male, 43.4% jumping from high places [X80]). Males were more likely to suicide by other means (hanging, self-poisoning, firearm discharge; n = 145, 83.8%), compared to females who were more likely to suicide by drowning ([X71]; n = 77, 37.7%). In one third (n = 225, 38.3%) toxicology was a contributing factor. The risk of coastal suicides was 10.3 times higher during the seven-days prior to their birthday (p<0.001). Evidence of mental ill health was reported in 61.4% (n = 409) of cases and evidence of suicidal behaviour was reported for 37.4% of decedents (n = 249), more prevalent in females. SLS responded in 10.7% (n = 71) of coastal suicides (most jumps from high places; n = 36, 50.7%). Coastal suicides differ to national trends suggesting that location-based differences should be considered during development of preventative and protective measures, especially at a community level. Accessibility, availability, perceived lethality and symbolic qualities are proposed to influence suicide location decisions. These results will guide support and education strategies for surf lifesaving personnel, contributes to established, ongoing suicide surveillance efforts (including hot-spot identification) and add to the limited literature exploring place-based suicide.

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“…The prevalence figures for a lifetime wish to be dead (39%) and suicidal ideation (22%) are comparable to those found by other authors in the substance-using population from other cultures, as are the rates of actual self-harm (32.7%). [1030] These rates are significantly higher than those observed in the general population in India. [31] This difference from the general population is expected, as patients with substance use are known to be at a higher risk of suicide.…”

Section: Discussionmentioning

confidence: 99%

“…[31] This difference from the general population is expected, as patients with substance use are known to be at a higher risk of suicide. [10] World literature reveals that patients with substance use disorders are more likely to suffer from personality disorders and other axis I psychiatric disorders and are more likely to have greater life stresses and poorer psychosocial support than the general population, all of which have been shown to significantly increase suicidal ideation. [30]…”

Section: Discussionmentioning

confidence: 99%

“…Literature demonstrates that these different intensities of self-harm may be differentially associated with certain sociodemographic and clinical variables; for instance, a wish to be dead and nonspecific suicidal ideation being more associated with a higher income. [10] It is also known that patients with substance use sometimes attempt self-harm not with an intent to die, but as an expression of frustration and means of manipulation. [11] Recent studies have found a high prevalence of nonsuicidal self-harm behavior of up to 50% in patients with substance use, as compared to a 20% prevalence of suicidal behavior.…”

Section: Introductionmentioning

confidence: 99%

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Patterns and predictors of self-harm in patients with substance-use disorder

Gupta¹,

Narnoli²,

Das³

et al. 2019

Indian J Psychiatry

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Background:Suicide is a growing health concern and causes significant health burden. Patients with substance use disorders represent an especially vulnerable population in terms of self-harm. Data on risk factors for self-harm in substance-using population in the Indian context are limited. We aimed to determine the patterns and sociodemographic/clinical predictors of self-harm in patients with substance use disorders.Materials and Methods:We assessed 300 male patients on Deliberate Self-Harm Inventory to assess the patterns of self-harm. We performed mediation analysis to determine whether clinical variables acted via sociodemographic variables in their effect on self-harm.Results:The occurrence rate of self-harm was 32.7%. It was significantly associated with a younger age, being unmarried/separated, unemployed, history of injecting drug use, high-risk sexual behavior, and cannabis use disorders.Conclusion:Self-harm is an important consideration among patients with substance use disorders, and needs to be addressed by the clinicians involved in the care of such patients.

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Suicidal and self-injurious behavior among patients with alcohol and drug abuse

Cited by 14 publications

References 43 publications

Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis

Prevalence of Deliberate Self-harm Among Chinese Patients With Heroin Dependence: A Meta-Analysis

Suicide along the Australian coast: Exploring the epidemiology and risk factors

Patterns and predictors of self-harm in patients with substance-use disorder

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