The Role of Alcohol and Substance Usage History in Committed Suicides
Keywords:
Alcohol abuse, substance abuse, suicideAbstract
Object: It is thought that one forth of all attempted suicides are related with alcohol usage.Alcohol dependence is the second important factor increasing the tendency to suicide in later phases of human life. On the other side its verified
that heroin addicts have greater risk for suicide than controls. In present study we aimed to determine frequency of alcohol and substance usage in committed suicides.
Method: Between the dates 1.1.1996-31.6.1997 police files are reviewed about committed suicides in İstanbul. And then the persons in that list are looked for whether they were treated in Bakırköy Mental Hospital. The files of persons committed suicide who were treated there(n=48) are surveyed about alcohol and substance usage with the aid of a semi-structured form. A matched group who didn’t commit suicide but have same first axis diagnosis, same gender and age used as control group(n=45). Possible relation with the alcohol-subs-tance usage, clinical and socio-demographic variables are studied retrospectively.
Results:
Alcohol usage is found to be more frequent in suicide group as compared to the control group. Alcohol usage at level of abuse or dependence is found to be %35.4 in the suicide and % 15.6 in the control groups. With the same criteria drug-substance usage is found %2.1 in the suicide group % 2.2 in the control group, and mixed usage of alcohol-subs-tance-drug is found % 14.6 in the suicide group and % 13.3 in the control groups respectively.
Conclusion: Alcohol abuse or dependence are risk factors increasing the possibility of suicides in our country more than substance usage. These results also suggest that we should be more cautious and focus on alcohol usage problems in psychiatric patients to consider the increasing risk of suicide.
References
Roy, A., Linnoila, M.; “Alcoholism and suicide”, Suicide Life Threat Be-hav. 1986; 16: 244-73
Beck, A.T., Steer R.A., Trexler L.D.; “Alcohol abuse and eventual suicide” J Stud Alcohol 1989; 52: 202-9
Murphy, G. E. , Wetzel , R. D. ; “The lifetime risk of suicide in alcoholism” , Arch Gen Psychiatry 1990; 47:383-92
Osgood, N.J., “Psychological factors in late-life suicide” Crisis 1991;12:18-24
Fawcett, J. , “ Suicide risk factors in depressive disorders and in panic disorder “ J Clin Psychiatry 1992; 53:9-13.
Rudd, M.D., Dahm, P.F., Rajab, “M.H.; Diagnostic comorbidity in persons with suicidal ideation and behavior”, Am J Psychiatry 1993; 150:928934
Conwell,Y., Duberstein, P.R., Cox, C. ve ark.; “Relationships of age and Axis-1 diagnosis in victims of completed suicide:A psychological autopsy study”, Am J Psychiatry 1996;153:1001-1008
Pirkola, S.P., Isometsa, E.T., Henriksson, M.M., Heikkinen, M.E., Marttunen, M.J., Lonnqvist, J. K. ; “ The treatment received by substance-dependent male and female suicide victims “, Acta Psychiatr Scand. 1999; 99: 207-13.
Pages, K.P., Russo, J.E., Roy-Byrne, P.P., Ries, R.K., Cowley, D.S. ; “Determinants of suicidal ideation: the role of substance use disorders”, J Clin Psychiatry 1997 ; 58(1 l):51O-5; 516-7
Blumenthal, S.J.; “Suicide:a guide to risk factors, assesment and treatment of suicidal patients”, Medical Clinics of North America, Vol.72,No:4, 1988
Il-Cornelius, J.R., Salloum, I.M., Mezzich, J. ve ark.; “Disproportionate suicidality in patiens with comorbid Major Depression and Alcoholism “, Am J Psychiatry 1995; 152:358-364
Fidaner, H., Fidaner C. ; “inti-har:çok yönlü sosyal psikiyatri sorunu”, XXIII .Ulusal Psikiyatri ve Nörolojik bilimler kongresi bilimsel çalışmaları, İstanbul 1987, s:301-307
Hawton, K. ; “Assessment of suicide risk” , Br J Psychiatry 1987 ;150:145-153
Ağargün, M.Y., Kara, H., Karamustafalıoğlu, N. ve ark. ; “İntihar girişiminde bulunan alkol bağımlılarının demografik verileri ve klinik özellikleri”, Türk Psikiyatri Dergisi 1995;6(31:198-202
Inskip, H. M..Harris, E.C.Barraclough B.; “Lifetime risk of suicide for affective disorder, alcholism and schizophrenia", Br J Psychiatry 1998;172:35-37
Cheng, A.T., Chen, T.H., Chen, C.C., Jenkins, R., “Psychosocial and psychiatric risk factors for suicide. Case control psychological autopsy study”, Br J Psychiatry 2000;177:360-365
Rhyne,C.E., Templet D.I., Brown, L.G. ve ark. ; “Dimensions of suicide: perceptions of lethality, time and agony”, Suicide and Life Threatening Behavior 1995; 25(3): 373-80
Rich, C. L. , Ricketts, J. E. , Fowler, R. C. ve ark.; “Some differences between men and Women who commit suicide”, Am J Psychiatry 1988;145:718-722
Ceyhun, B.; “ Genel olarak intiharlar “, Ankara üniversitesi kriz uygulama ve araştırma merkezi ön eğitim programı sunumu, 1-31 Mart 1990, Ankara
Soloff, P.H., Lis, LA., Kelly, T. ve ark.; “Risk factors for suicidal behavior in borderline personality disorder”, Am.J.Psychiatry 1994;151:1316-1323
Fyer, M.R., Frances, A J, Sullivan, T. ve ark.; “Suicide attempts in patients with border-line personality disorder”, Am J Psychiatry 1988;145:737-739
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