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[Risk factors for suicide in substance-related disorders]
Barbara Schneider1, Klaus Georgi, Bernhard Weber
1Zentrum der Psychiatrie, Klinik für Psychiatrie und Psychotherapie. B.Schneider@em.uni-frankfurt.de
Objective:
To assess the contribution of sociodemographic and psychopathologic predictors for suicide in alcohol-related disorders and in substance-related disorders in general and to examine the constellations of risk factors for suicide.
Methods:
Out of 163 suicides (using psychological autopsy method) and 396 population-based control persons, 67 suicides and 67 controls with substance-related disorders (DSM-IV; alcohol-related disorders: suicides: n = 36, controls: n = 27) were assessed.
Results:
Affective disorders, suffering from substance dependence, and low education independently predicted increased suicide risk in alcohol-related disorders as well as in substance-related disorders in general, severe nicotine consumption only in alcohol-related disorders.
Conclusions:
There are common risk factors for suicide in alcoholism and substance-related disorders in general. Effective suicide prevention strategies must include a focus on substance dependence as well as on affective disorders.
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