未经治疗的非法物质使用者的自杀想法和行为:基于人口的研究
Ramin Shiraly1, Seyed Amin Jazayeri2, Asal Seifaei2
1Community Medicine Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. rshiraly@gmail.com.
Harm reduction journal
|May 16, 2024
概括
甲基胺和海洛因使用与未经治疗的非法物质使用者的自杀想法有关. 医疗保健提供者应评估使用这些特定精神活性物质的个体的自杀风险.
科学领域:
- 精神病学和行为科学
- 成 药物 药物 药物 药物
- 流行病学 流行病学
背景情况:
- 之前关于精神活性物质和自杀倾向的研究已经产生了不一致的结果.
- 了解导致未经治疗的非法物质使用者的自杀念头和行为的具体因素对于有针对性的干预至关重要.
研究的目的:
- 为了调查自杀思想和行为的普遍性.
- 在未经治疗的非法物质使用者的基于人口的样本中确定与自杀倾向相关的因素.
主要方法:
- 总共有616名未经治疗的非法物质使用者被使用雪球采样招募.
- 收集了关于社会人口统计,精神健康史,物质使用,自杀念头 (贝克自杀念头量表) 和自杀企图的数据.
- 采用多重逻辑回归分析来确定自杀倾向的独立预测因素.
主要成果:
- 23.6%的参与者报告说最近有自杀想法,6.7%的人报告说去年有过自杀企图.
- 在49.2%的自杀企图中,甲基胺是主要的药物.
- 自杀想法与失业,先前的心理健康状况,先前的自杀企图,多重物质使用和甲基胺或海洛因的主要使用有关.
结论:
- 甲基胺和海洛因的使用与当前的自杀想法有显著的关联.
- 医生和心理健康专业人员应主动评估使用这些物质的个体的自杀风险,特别是在社区和门诊环境中.
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