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Associations of substance use, abuse, and dependence with subsequent suicidal behavior

dc.creatorBorges, G.
dc.creatorWalters, E.E.
dc.creatorKessler, R.C.
dc.date.accessioned2017-06-29T04:23:31Z
dc.date.available2017-06-29T04:23:31Z
dc.date.issued2000es_ES
dc.identifier301es_ES
dc.identifier.issn0002-9262es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4995
dc.identifier.urihttps://doi.org/10.1093/oxfordjournals.aje.a010278es_ES
dc.language.isoenges_ES
dc.relation151 (8) 781-789 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAlcohol drinkinges_ES
dc.subject.meshComorbidityes_ES
dc.subject.meshFemalees_ES
dc.subject.meshForecastinges_ES
dc.subject.meshHealth surveyses_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental healthes_ES
dc.subject.meshMiddle agedes_ES
dc.subject.meshRetrospective studieses_ES
dc.subject.meshSubstance-related disorders-Complicationses_ES
dc.subject.meshSubstance-related disorders-Psychologyes_ES
dc.subject.meshSuicide, attemptedes_ES
dc.titleAssociations of substance use, abuse, and dependence with subsequent suicidal behaviores_ES
dc.typearticlees_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USAes_ES
dc.contributor.emailguibor@imp.edu.mxes_ES
dc.relation.jnabreviadoAM J EPIDEMIOLes_ES
dc.relation.journalAmerican Journal of Epidemiologyes_ES
dc.identifier.placeCaryes_ES
dc.date.published2000es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1476-6256es_ES
dc.description.abstractotrodiomaGeneral population survey data are used to disaggregate the associations of substance use disorders with suicide attempts in order to evaluate a number of hypotheses about the processes leading to these associations. Data are from the US National Comorbidity Survey (1990-1992). Discrete-time survival analysis is used to study the effects of retrospectively reported temporally prior substance use, abuse, and dependence in predicting first onset of suicidal behavior. Alcohol and drug use predict subsequent suicide attempts after controlling for sociodemographics and comorbid mental disorders. Previous use is not a significant predictor among current nonusers. Abuse and dependence are significant predictors among users for three of the 10 substances considered (alcohol, inhalants, and heroin). The number of substances used is more important than the types of substances used in predicting suicidal behavior. Disaggregation shows that the effects of use are largely on suicidal ideation and nonplanned attempts among ideators. In comparison, the effects of use on suicide plans and planned attempts among ideators are not significant. Clinicians need to be aware that current substance use, even in the absence of abuse or dependence, is a significant risk factor for unplanned suicide attempts among ideators.es_ES


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