Table 3 - uploaded by Sami Pirkola
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Context 1
... numerous psychological autopsy studies of completed suicides (Table 3) little is known about the help seeking by substance dependent victims and the treatment they receive, although a few studies have reported psychiatric hospitalisations, multiple admissions and general medical contacts among alcohol dependent victims ( Barraclough et al 1974, Runeson 1990, Murphy, 1992). ...
Context 2
... the backward stepwise (likelihood ratio) logistic procedure ( Table 13) the variables that stayed in the model and predicted SDAM in 86.5%, were: previous suicide attempts, a personality disorder, no psychiatric contacts within a month, four or more stressors, current dating, parental violence and alcohol concentration of 1.5ο/οο or more (Hosmer- Lemeshov Goodness-of-fit χ 2 =4.859 , df=7 , p=0.677). The other model, predicting suicide under the influence of alcohol in 78.6%, found weekends and SDAM to be the only significant factors. ...
Citations
Substance use disorders are among the most frequent psychiatric disorders found in suicides. In psychological autopsy studies between 19% and 63% of all suicides suffered from substance use disorders, mostly from alcohol use disorders. Suicide risk is highly increased in substance use disorders, particularly in alcohol use disorders, and in co-morbid alcoholism and depression. So far, some risk factors for suicide have been identified in alcoholism. Nevertheless, various questions about the relationship between substance use disorders and suicide remain open, which indicate directions for future research.
Victims of suicides are frequently known to have suffered from depression and alcohol-related disorders, but whether these disorders exert different impacts on the period of survival following last hospitalizations have remained unknown. We surveyed 1,585 suicide victims from northern Finland and assigned them to one of three groups, based on lifetime history of depression, alcohol-related disorders, and both together. We then compared survival times in the three groups. Survival times in depressed alcoholic and non-alcoholic males were significantly shorter than those of males with alcohol-related disorders alone. Depressed but non-alcoholic suicide victims had more commonly used violent methods, had less often been under the influence of alcohol, and had had more psychotic disorders than the rest. It is apparently important in clinical practice to recognize the increased risk of suicide soon after hospital discharge not only in depressed patients, but also in those with a history of both depression and alcohol-related disorders.
