机构:[1]Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.[2]China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan Province, China.[3]Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei Province, China.[4]Peking University Clinical Research Institute, Peking University Health Science Center, Beijing, China.[5]Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.内科科室精神科昆明医科大学附属第一医院
To date, there have been very limited studies regarding the clinical epidemiology of attempted suicide in Chinese individuals with heroin-dependence. The objective of this study was to examine the prevalence and correlates of suicide attempt in Chinese individuals receiving methadone maintenance treatment for heroin dependence. Demographic, clinical, and psychosocial data of 603 methadone-maintained patients with heroin dependence were collected with a standardized self-administered questionnaire. The presence of suicide attempt and antisocial personality disorder was assessed by using a single question and the Mini-International Neuropsychiatric Interview 5.0. The one-month and lifetime prevalence rates of suicide attempt were 9.5% and 34.2%, respectively. In multivariable logistic regression, lifetime suicide attempt was significantly associated with female gender (OR = 2.81), being 20-39 years old (OR = 2.73), an education level of primary school or lower (OR = 2.07), poor economic status (OR = 3.06), injecting heroin before methadone maintenance treatment (OR = 2.92), depressive symptoms (OR = 3.46), anxiety symptoms (OR = 1.88), and antisocial personality disorder (OR = 2.85). Suicide attempt is very prevalent among Chinese individuals receiving methadone maintenance treatment for heroin dependence. Services for patients with heroin dependence in methadone maintenance treatment clinics in China should include psychosocial supports, periodic screening for suicide attempt and other suicidal behaviors and, when needed, psychiatric treatment and crisis intervention.
基金:
This study was funded by the National Key R&D Program of China (2016YFC0800908-Z02, HC, PI), the Subject
Leadership Training Programme for Medicine Discipline of Health and Family Planning Commission of Yunnan
Province (D-2017048, JL, PI), Health and Family Planning Commission of Yunnan Province [2016NS027, JL, PI],
the National Natural Science Foundation of China (71774060, BLZ, PI), and Wuhan Health and Family Planning
Commission [WG16A02, BLZ, PI].
第一作者机构:[1]Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan Province, China.[2]China National Clinical Research Center on Mental Disorders (Xiangya), Changsha, Hunan Province, China.[3]Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei Province, China.
通讯作者:
推荐引用方式(GB/T 7714):
Bao-Liang Zhong,Wu-Xiang Xie,Jun-Hong Zhu,et al.Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence[J].SCIENTIFIC REPORTS.2019,9:doi:10.1038/s41598-019-52440-x.
APA:
Bao-Liang Zhong,Wu-Xiang Xie,Jun-Hong Zhu,Jin Lu&Hongxian Chen.(2019).Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence.SCIENTIFIC REPORTS,9,
MLA:
Bao-Liang Zhong,et al."Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence".SCIENTIFIC REPORTS 9.(2019)