Suicidal ideation in patients with substance-related disorders

Authors

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2023.188538

Keywords:

Suicidal Ideation, Substance-Related Disorders, Mental Health, Mental Health Services, Psychiatric Nursing

Abstract

Objective: to characterize suicidal ideation during life in patients with substance-related disorders.
Methodology: observational and cross-sectional study carried out in three Psychosocial Care
Centers for Alcohol and Other Drugs III with a total of 137 participants. Data collection occurred
through the application of two instruments: Columbia Suicide Severity Rating Scale and Addiction
Severity Index – Version 6. The data were analyzed descriptively and expressed as absolute and
relative frequencies, mean and standard deviation. Results: 112 (81.8%) participants reported
suicidal ideation at some point in their lives. Of these, 55 (49.1%) had a plan and intention to
carry it out, 40 (35.8%) had daily thoughts and many times a day and 56 (49.9%) lasting up to
eight hours or more, 78 participants (69.6%) considered suicidal ideation certainly as a means
of ending suffering. Conclusion: a high frequency of suicidal ideation during life was observed
in patients with substance-related disorders, with varying severity and intensity according to
sociodemographic, economic and clinical aspects. These results can support professional practice
in mental health, enabling the development of preventive strategies.

Downloads

Download data is not yet available.

References

Sadock BJ, Sadock VA, Ruiz P. Compêndio de Psiquiatria: ciência do comportamento e psiquiatria clínica. 11. ed. Porto Alegre: Artmed; 2017.

Silverman JJ, Galanter M, Jackson-Triche M, Jacobs DG, Lomax JW II, Riba MB, et al. The American Psychiatric Association practice guidelines for the psychiatric evaluation of adults. Am J Psychiatric. 2015;172:798-802. https://doi.org/10.1176/appi.ajp.2015.1720501

Klonsky ED, May AM, Saffer BY. Suicide, Suicide Attempts, and Suicidal Ideation. Annual Rev Clin Psychol. 2016;12(1):307-30. https://doi.org/10.1146/annurev-clinpsy-021815-093204

Rodríguez-Cintas L, Daigre C, Braquehais MD, Palma-Alvarez RF, Grau-López L, Ros-Cucurull E, et al. Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders. Psychiatry Res. 2018;262:440-5. https://doi.org/10.1016/j.psychres.2017.09.021

World Health Organization (WHO). Preventing suicide: a global imperative. Geneva: World Health Organization; 2014.

Posner K, Brown GK, Stanley B, Brent DA, Yershova K, Oquendo MA, et al. The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266-77. https://doi.org/10.1176/appi.ajp.2011.10111704

Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192(2):98-105. https://doi.org/10.1192/bjp.bp.107.040113

Weber AN, Michail M, Thompson A, Fiedorowicz JG. Psychiatric Emergencies. Med Clin North Am. 2017;101(3):553-71. https://doi.org/10.1016/j.mcna.2016.12.006

Gomes ER, Iglesias AC, Constatinidis TC. Revisão integrativa de produções científicas da psicologia sobre comportamento suicida. Rev Psicol Saúde. 2019;11(2):35-53. https://doi.org/10.20435/pssa.v11i2.616

McLellan AT, Luborsky L, Woody GE, O’Brien CP. An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. J Nerv Ment Dis. 1980;168(1):26-33. https://doi.org/10.1097/00005053-198001000-00006

Cantão L, Botti NCL. Suicidal behavior among drug addicts. Rev Bras Enferm. 2016;69(2). https://doi.org/10.1590/0034-7167.2016690224i

Hallgren KA, Ries RK, Atkins DC, Bumgardner K, Roy-Birne P. Prediction of Suicide Ideation and Attempt Among Substance-Using Patients in Primary Care. J Am Board Fam Med. 2017;30(2):150-60. https://doi.org/10.3122/jabfm.2017.02.160264

López-Goñi JJ, Fernández-Montalvo J, Arteaga A, Haro B. Suicidal ideation and attempts in patients who seek treatment for substance use disorder. Psychiatry Res. 2018;269:542-8. https://doi.org/10.1016/j.psychres.2018.08.100

Carmel A, Ries R, West II, Bumgardner K, Roy-Byrne P. Suicide risk and associated demographic and clinical correlates among primary care patients with recent drug use. Am J Drug Alcohol Abuse. 2016;42(3):351-7. https://doi.org/10.3109/00952990.2015.1133634

Ribeiro DB, Schneider JF, Terra MG, Soccol KLS, Camillo LA, Plein FAZ. Reasons for attempting suicide among men who use alcohol and other drugs. Rev Gaúcha Enferm. 2016;37(1):e54896. https://doi.org/10.1590/1983-1447.2016.01.54896

Choi NG, Dinitto DM, Marti CN. Middle-aged and older adults who had serious suicidal thoughts: who made suicide plans and non fatal suicide attempts? Int Psychogeriatr. 2015;27(3):491-500. https://doi.org/10.1017/S1041610214002464

Conway PM, Erlangsen A, Teasdale TW, Jakobsen IS, Larsen KJ. Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide. Arch Suicide Res. 2017;21(3):455-69. https://doi.org/10.1080/1311118.2016.1222318

Al-Halabí S, Sáiz PA, Burón P, Garrido M, Benabarre A, Jiménez E, et al. Validación de la versión em español de la Columbia-Suicide Severity Rating Scale. Rev Psiquiatría Salud Mental. 2016;9(3):134-42. https://doi.org/10.1016/j.rpsm.2016.02.002

Park EH, Hong N, Jon DI, Hong HJ, Jung MH. Past suicidal ideation as an independent risk factor for suicide behaviours in patients with depression. Int J Psychiatr Clin Practice. 2016;21(1):24-8. https://doi.org/10.1080/13651501.2016.1249489

Horwitz AG, Czyz EK, King CA. Predicting future suicide attempts among adolescent and emerging adult psychiatric emergency patients. J Clin Child Adolesc Psychol. 2015;44(5):751-61. https://doi.org/10.1080/15374416.2014.910789

Czyz EK, King CA, Nahum-Shani I. Ecological assessment of daily suicidal thoughts and attempts among suicidal teens after psychiatric hospitalization: Lessons about feasibility and acceptability. Psychiatry Res. 2018;267:566-74. https://doi.org/10.1016/j.psychres.2018.06.031

Cheek SM, Nestor BA, Liu RT. Substance use and suicidality: specificity of substance use by injection to suicide attempts in a nationally representative sample of adults with major depression. Depression Anxiety. 2016;33(6):541-8. https://doi.org/10.1002/da.22407

Matarazzo BB, Brown GK, Stanley B, Forster JE, Billera M, Currier GW, et al. Predictive Validity of the Columbia-Suicide Severity Rating Scale among a Cohort of At-risk Veterans. Suicide Life Threat Behav. 2019;49(5):1255-65. https://doi.org/10.1111/sltb.12515

Lindh ÅU, Waern M, Beckman K, Renberg ES, Dahlin M, Runeson B. Short term risk of non-fatal and fatal suicidal behaviours: the predictive validity of the Columbia-Suicide Severity Rating Scale in a Swedish adult psychiatric population with a recent episode of self-harm. BMC Psychiatry. 2018;18(1). https://doi.org/10.1186/s12888-018-1883-8

Afzali MH, Sunderland M, Batterham PJ, Carragher N, Slade T. Trauma characteristics, post-traumatic symptoms, psychiatric disorders and suicidal behaviours: Results from the 2007 Australian National Survey of Mental Health and Wellbeing. Australian N Z J Psychiatry. 2017;51(11):1142-51. https://doi.org/10.1177/0004867416683815

Santos WS, Ulisses SM, Costa TM, Farias MG, Moura DPF. The influence of risk or protective factors for suicide ideation. Psicol Saúde Doenças. 2016;17(3):515-26. https://doi.org/10.15309/16psd170316

Weiser AV, Oliveira MM, Ramos CI, Weiss CV, Lemos DSC, Silveira KL. Reasons and feelings that link crack use to suicide attempt. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2020;16(4):58-64. https://doi.org/10.11606/issn.1806-6976.smad.2020.163178

Nock MK, Millner AJ, Joiner TE, Gutierrez PM, Han G, Hwang I, et al. Risk factors for the transition from suicide ideation to suicide attempt: Results from the Army Study to Assess Risk and Resilience in Service members (Army STARRS). J Abnormal Psychol. 2018;127(2):139-49. https://doi.org/10.1037/abn0000317

Ferreira ACZ, Capistrano FC, Maftum GJ, Kalinke LP, Maftum MA. Comportamentos suicidas em pessoas com transtornos relacionados a substâncias. Rev Enferm UFPE on line. 2019;13:e241446. https://doi.org/10.5205/1981-8963.2019.241446

Choi NG, DiNitto DM, Marti CN, Choi BY. Relationship between marijuana and other illicit drug use and depression/suicidal thoughts among late middle-aged and older adults. Int Psychogeriatr. 2018;28(4):577-89. https://doi.org/10.1017/s1041610215001738

Downloads

Published

2023-04-05

Issue

Vol. 19 No. 1 (2023): SMAD, Revista Eletrônica Saúde Mental, Álcool e Drogas

Section

Original Article

License

Copyright (c) 2023 SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Vale, C. C. F., Ferreira, A. C. Z. ., Capistrano, F. C., Kaled, M., Maftum, M. A., & Palm, R. D. C. M. (2023). Suicidal ideation in patients with substance-related disorders. SMAD Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 19(1), 70-81. https://doi.org/10.11606/issn.1806-6976.smad.2023.188538