Suicide Ideation among Outpatients with Alcohol Use Disorder

Introduction. Individuals with substance use disorders, particularly those with alcohol use disorder (AUD), have a high risk of suicide. Therefore, identifying risk factors for suicide in these individuals is crucial. Methods. This retrospective study reviewed the medical records of individuals with...

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Main Authors: Wen-Yu Hsu, Ting-Gang Chang, Cheng-Chen Chang, Nan-Ying Chiu, Chieh-Hsin Lin, Hsien-Yuan Lane
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2022/4138629
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author Wen-Yu Hsu
Ting-Gang Chang
Cheng-Chen Chang
Nan-Ying Chiu
Chieh-Hsin Lin
Hsien-Yuan Lane
author_facet Wen-Yu Hsu
Ting-Gang Chang
Cheng-Chen Chang
Nan-Ying Chiu
Chieh-Hsin Lin
Hsien-Yuan Lane
author_sort Wen-Yu Hsu
collection DOAJ
description Introduction. Individuals with substance use disorders, particularly those with alcohol use disorder (AUD), have a high risk of suicide. Therefore, identifying risk factors for suicide in these individuals is crucial. Methods. This retrospective study reviewed the medical records of individuals with AUD who participated in an alcohol treatment program in central Taiwan during 2019–2020. We collected data using the Cut down, Annoyed, Guilty, and Eye-opener questionnaire, Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and a suicidal ideation question. Furthermore, we collected information on several related variables, namely, sex, age, marital status, years in school, employment status, family history of alcohol problems, age at first exposure to alcohol, duration of alcohol use, history of alcohol cessation, history of domestic violence, and history of drunk driving. In total, 136 individuals were recruited to participate in this study. Results. The suicidal ideation group had significantly younger participants, a higher proportion of women, a higher proportion of participants with a history of domestic violence, a greater severity of alcohol addiction (based on both AUDIT and MAST scores), higher depression scores, higher anxiety scores, less social support, a lower quality of life (World Health Organization Quality of Life (WHOQOL)), and poorer sleep quality (Pittsburgh Sleep Quality Index, PSQI) compared with the nonsuicidal ideation group. The suicidal ideation score was correlated with the AUDIT score after age, and BDI, BAI, WHOQOL, and PSQI scores were controlled for (P=0.034). Conclusion. Individuals with higher AUDIT scores visiting a clinic for alcohol treatment might have a higher risk of suicidal ideation. Therefore, clinicians should pay close attention to the suicidal ideation problem in this population. Furthermore, appropriate medication or management programs for suicide prevention should be considered.
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spelling doaj-art-6e4e660b937a4c0eb40915cddf95fae12025-02-03T01:07:11ZengWileyBehavioural Neurology1875-85842022-01-01202210.1155/2022/4138629Suicide Ideation among Outpatients with Alcohol Use DisorderWen-Yu Hsu0Ting-Gang Chang1Cheng-Chen Chang2Nan-Ying Chiu3Chieh-Hsin Lin4Hsien-Yuan Lane5Institute of Clinical Medical ScienceDepartment of PsychiatryDepartment of PsychiatryDepartment of PsychiatryInstitute of Clinical Medical ScienceInstitute of Clinical Medical ScienceIntroduction. Individuals with substance use disorders, particularly those with alcohol use disorder (AUD), have a high risk of suicide. Therefore, identifying risk factors for suicide in these individuals is crucial. Methods. This retrospective study reviewed the medical records of individuals with AUD who participated in an alcohol treatment program in central Taiwan during 2019–2020. We collected data using the Cut down, Annoyed, Guilty, and Eye-opener questionnaire, Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and a suicidal ideation question. Furthermore, we collected information on several related variables, namely, sex, age, marital status, years in school, employment status, family history of alcohol problems, age at first exposure to alcohol, duration of alcohol use, history of alcohol cessation, history of domestic violence, and history of drunk driving. In total, 136 individuals were recruited to participate in this study. Results. The suicidal ideation group had significantly younger participants, a higher proportion of women, a higher proportion of participants with a history of domestic violence, a greater severity of alcohol addiction (based on both AUDIT and MAST scores), higher depression scores, higher anxiety scores, less social support, a lower quality of life (World Health Organization Quality of Life (WHOQOL)), and poorer sleep quality (Pittsburgh Sleep Quality Index, PSQI) compared with the nonsuicidal ideation group. The suicidal ideation score was correlated with the AUDIT score after age, and BDI, BAI, WHOQOL, and PSQI scores were controlled for (P=0.034). Conclusion. Individuals with higher AUDIT scores visiting a clinic for alcohol treatment might have a higher risk of suicidal ideation. Therefore, clinicians should pay close attention to the suicidal ideation problem in this population. Furthermore, appropriate medication or management programs for suicide prevention should be considered.http://dx.doi.org/10.1155/2022/4138629
spellingShingle Wen-Yu Hsu
Ting-Gang Chang
Cheng-Chen Chang
Nan-Ying Chiu
Chieh-Hsin Lin
Hsien-Yuan Lane
Suicide Ideation among Outpatients with Alcohol Use Disorder
Behavioural Neurology
title Suicide Ideation among Outpatients with Alcohol Use Disorder
title_full Suicide Ideation among Outpatients with Alcohol Use Disorder
title_fullStr Suicide Ideation among Outpatients with Alcohol Use Disorder
title_full_unstemmed Suicide Ideation among Outpatients with Alcohol Use Disorder
title_short Suicide Ideation among Outpatients with Alcohol Use Disorder
title_sort suicide ideation among outpatients with alcohol use disorder
url http://dx.doi.org/10.1155/2022/4138629
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