高度的自杀倾向预测了物质使用障碍患者中过量服用事件:潜伏类分析
Renae D Schmidt1, Viviana E Horigian1, Dikla Shmueli-Blumberg2
1Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.
Frontiers in public health
|June 1, 2023
概括
在有物质使用障碍 (SUD) 的个体中识别自杀模式对于过量预防至关重要. 那些自杀倾向高的人更有可能过量服用,这凸显了对自杀风险综合评估的必要性.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
背景情况:
- 自杀是美国死亡的主要原因之一.
- 同时出现的物质使用障碍 (SUD) 和心理健康障碍增加了过量服用的风险.
- 识别有SUD的自杀倾向的个体对于解决协同流行病至关重要.
研究的目的:
- 评估是否自杀性认可模式可以预测物质使用和过量风险.
- 在SUD患者中识别不同类别的自杀倾向.
- 检查自杀类与过量使用风险之间的关系.
主要方法:
- 简要的健康风险跟踪自我报告 (CHRT-SR) 数据的隐性类别分析 (LCA) 来自2,541名SUD参与者.
- 从8个随机临床试验 (2012-2021) 的数据分析.
- 多变量逻辑回归用于根据已识别的自杀类预测过量和物质使用日.
主要成果:
- 确定了三个不同的自杀倾向类别:最小,中等和高自杀倾向.
- 高自杀率类别的男性比例更高,黑人/非裔美国人,以及那些有精神病史/抑郁症的人.
- 与最低自杀率类别相比,高自杀率类别的个体明显更有可能过量服用 (p=0.04).
结论:
- 自杀倾向模式对于查和识别处于过量使用风险的个体至关重要.
- 整合自杀风险评估和降低策略可以帮助预防SUD患者的自杀和过量服用.
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