Suicide mortality risk in a cohort of individuals treated for alcohol, heroin or cocaine abuse: Results of a follow-up study

Pavarin, Raimondo Maria; Sanchini, Samantha; Tadonio, Leonardo; Domenicali, Marco; Caputo, Fabio; Pacetti, Monica

doi:10.1016/j.psychres.2020.113639

Cited by 8 publications

(14 citation statements)

References 34 publications

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“…In total, 79 studies reported data on suicidal ideation and 86 studies reported data on suicide attempts. In addition, two studies (Karlsson & Håkansson, 2018; Pavarin et al, 2021) reported data on the relationship between pathological gambling and suicide…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, two studies (Cunningham-Williams et al, 2007; Schwarz & Lindner, 1992) were based on (cross-sectional) data collected in experimental studies (i.e., clinical interventions). Moreover, 11 studies (Chaput et al, 2007; Darbeda et al, 2020; Feigelman et al, 2006; Jeannot et al, 2023; Jolly et al, 2021; Karlsson & Håkansson, 2018; Ledgerwood et al, 2013; Morefield et al, 2014; Pavarin et al, 2021, 2022; Slutske et al, 2022) employed longitudinal designs, including four studies (Karlsson & Håkansson, 2018; Pavarin et al, 2021, 2022; Slutske et al, 2022) that employed a longitudinal cohort study design. Yet, only one of the longitudinal studies (i.e., Slutske et al, 2022) provided longitudinal associations on the relationship between gambling problems and suicidality.…”

Section: Resultsmentioning

confidence: 99%

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Suicidality among individuals with gambling problems: A meta-analytic literature review.

Kristensen,

Pallesen,

Bauer

et al. 2024

Psychological Bulletin

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Gambling problems have consistently been linked to suicidality, including suicidal ideation, attempts, and suicide. However, the magnitude of the relationship has varied significantly across studies and the potential causal link between gambling problems and suicidality is currently unclear. A meta-analytic literature review was conducted to (a) synthesize pooled prevalence rates of suicidality among individuals with gambling problems; (b) determine if individuals with gambling problems had an increased likelihood of reporting suicidality compared to individuals without gambling problems; and (c) review evidence on causality and directionality. A search in Web of Science, APA PsycInfo, APA PsycNet, Medline, CINAHL, ProQuest, Embase, and Google Scholar electronic databases identified 107 unique studies (N = 4,691,899) that were included for review. Studies were included if they were available in any European language and provided sufficient data for the calculation of prevalence rates or effect sizes. Two researchers extracted the data independently using a predefined coding schema that included the Newcastle-Ottawa Quality Assessment Scale. Random-effects meta-analyses yielded pooled prevalence rates of 31.6% (95% CI [29.1%, 34.3%]) for lifetime suicidal ideation and 13.2% (95% CI [11.3%, 15.5%]) for lifetime suicide attempts. Individuals with gambling problems had significantly increased odds of reporting lifetime suicidal ideation (OR = 2.17, 95% CI [1.90, 2.48]) and lifetime suicide attempts (OR = 2.81, 95% CI [2.23, 3.54]) compared to individuals without gambling problems. Two studies reported that individuals with pathological gambling had an increased risk of dying by suicide. Metaregression analyses suggested that the risk of study bias was positively related to the prevalence rates of suicidal ideation. Sex proportions were found to moderate the odds of suicidal ideation, but the direction of the effect was inconsistent. For suicide attempts, psychiatric comorbidity and sample size were positively and inversely, respectively, associated with prevalence rates. The synthesis indicates that suicidality is common among individuals with gambling problems and hence should be addressed by help agencies. Inferences on causality and directionality are hampered by a lack of longitudinal studies. Public Significance StatementThis meta-analytic literature review of 107 studies shows that lifetime suicidal ideation and suicide attempt(s) are commonly reported among individuals with gambling problems and that individuals with gambling problems have an increased likelihood of reporting lifetime suicidal ideation, suicide attempt(s), and dying by suicide compared to the general population. The observed increased likelihood of suicidality should be noted and addressed by help agencies and policymakers. Little is known about the directionality and mechanisms underlying this relationship, which needs to be investigated in future high-quality longitudinal research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Suicidality among individuals with gambling problems: A meta-analytic literature review.

Kristensen,

Pallesen,

Bauer

et al. 2024

Psychological Bulletin

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“…Многие исследователи подчеркивают, что гендер является важной переменной при изучении самоубийств (мужская смертность от самоубийств выше женской). Исследование (Pavarin et al, 2021) было направлено на оценку риска смертности в результате самоубийства пациентов, обращающихся в государственный лечебный центр от наркозависимости с расстройствами, связанными с употреблением алкоголя и наркотиков. Авторы обнаружили, что общий уровень смертности от самоубийств был выше у пациентов с алкогольной зависимостью и у мужчин в возрасте 45-64 лет.…”

Section: факторы самоубийств в научных исследованияхunclassified

“…Стандартными факторами, анализируемыми в литературе, посвященной динамике и причинам самоубийств, являются половозрастные и социальные характеристики (Summer et al, 2019), употребление алкоголя и психотропных препаратов (Pavarin, 2021), уровень жизни и благосостояния населения (Alothman, Fogarty, 2020), этническая принадлежность (Семёнова, 2018), пребывание в длительном стрессовом состоянии (Касьянов и др., 2019), экономические кризисы (Разводовский, 2017). Также подчеркивается, что долги, повседневный и психологический стресс, одиночество в значительной степени связаны с суицидальными идеями (Lu et al, 2020).…”

Section: Introductionunclassified

The Impact of Debt Burden on the Number of Suicides in the Russian Regions

Дорошенко¹,

Sanaeva²

2021

Spatial Economics

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Population size is one of the most important parameters of national social and economic systems. This parameter is controlled by a variety of factors (components) that form ambiguous and complex feedback circuits. The most important issue is the study of the behavioral reactions of the population, which form certain parameters of the dynamics of the population. The authors consider only one behavioral reaction that seems to them to be important – the propensity for suicide, which ultimately leads to the formation of the suicide dynamics and which entails serious socio-economic and demographic losses. We put an emphasis on assessing the impact of financial parameters, namely households’ debt burden, on the suicide rates in the Russian regions. An econometric assessment of the influence of individual debt on the number of suicides among other socio-economic factors (unemployment rate, logarithm of GRP per capita, divorce rate, number of patients with mental disorders, average actual working week, number of alcoholics) was carried out for the regions among rural, urban populations and total. We use panel data for 80 Russian regions covering the period from 2005 to 2018. We apply the generalized method of moments (GMM) using Stata 14 statistical package. The empirical analysis demonstrates negative impact of the amount of individual debt on the number of suicides in the regions of Russia, which contradicts the results of similar studies conducted for developed economies. At the same time, some results obtained earlier in domestic and foreign studies have been confirmed, including an existence of a parabolic (U-shaped) dependence between the length of working hours and the suicide rates in the regions of the Russian Federation. In addition, there is a direct connection between an increase in the committed suicides and an increase in divorce rates and the number of patients with mental disorders. Moreover, we find out that the rise in unemployment rate and alcohol consumption leads to an increase in the number of committed suicides. This effect is especially perceptible among the people living in rural areas

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“…Cocaine use disorder (CocUD) has been recognized as a public health priority worldwide, 1 with a lifetime prevalence of 3% in the US general population 2 and a standardized mortality rate of four to eight 3 . Cocaine-related mortality is often due to cardiovascular events such as strokes, 4 however, recent studies have highlighted the burden of suicide deaths in CocUD, 5 , 6 especially in young individuals 7 . Studying the risk factors for suicide deaths is difficult due to their rareness.…”

Section: Introductionmentioning

confidence: 99%

Childhood Trauma and the Severity of past Suicide Attempts in Outpatients with Cocaine use Disorders

et al. 2022

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Introduction: Suicide attempts have been associated with both cocaine use disorder (CocUD) and childhood trauma. We investigated how childhood trauma is an independent risk factor for serious and recurrent suicide attempts in CocUD. Method: 298 outpatients (23% women) with CocUD underwent standardized assessments of substance dependence (Diagnostic and Statistical Manual—mental disorders, fourth edition, text revised), impulsiveness, resilience, and childhood trauma, using validated tools. Suicide attempts history was categorized as single vs. recurrent or non-serious vs. serious depending on the lifetime number of suicide attempts and the potential or actual lethality of the worst attempt reported, respectively. Bivariate and multinomial regression analyses were used to characterize which childhood trauma patterns were associated with the suicide attempts groups. Results: 58% of CocUD patients reported childhood trauma. Recurrent and serious suicide attempts clustered together and were thus combined into “severe SA.” Severe suicide attempt risk increased proportionally to the number of childhood traumas (test for trend, p = 9 × 10−7). Non-severe suicide attempt risk increased with impulsiveness and decreased with resilience. In multinomial regression models, a higher number of traumas and emotional abuse were independently and only associated with severe vs. non-severe suicide attempts (effect size = 0.82, AUC = 0.7). The study was limited by its cross-sectional design. Conclusion: These preferential associations between childhood trauma and severe suicide attempts warrant specific monitoring of suicide attempts risk in CocUD, regardless of the severity of addiction profiles.

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Suicide mortality risk in a cohort of individuals treated for alcohol, heroin or cocaine abuse: Results of a follow-up study

Cited by 8 publications

References 34 publications

Suicidality among individuals with gambling problems: A meta-analytic literature review.

Suicidality among individuals with gambling problems: A meta-analytic literature review.

The Impact of Debt Burden on the Number of Suicides in the Russian Regions

Childhood Trauma and the Severity of past Suicide Attempts in Outpatients with Cocaine use Disorders

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