Recognition of adjustment disorder among patients with substance use disorders referred for suicide-related concerns in an academic hospital setting.

IF 1.6 4区医学 Q3 SUBSTANCE ABUSE

Journal of Addictive Diseases Pub Date : 2024-05-31 DOI:10.1080/10550887.2024.2353435

Matthew C Castellana, Seth A Brand, Raphael J Leo

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引用次数: 0

Abstract

Background: Persons with substance use disorders (SUDs) have a greater risk of suicide compared with the general population. Adjustment Disorder (AD) has been under-researched in SUD populations.

Objective(s): To characterize rates, and associated features, of AD among persons with SUD for whom lethality concerns arise in a general hospital setting.

Methods: Retrospective analysis of electronic medical record data from psychiatric consultations during a consecutive six-month period.

Results: Compared with persons with SUD classified as non-attempters, suicide attempters were significantly more likely to be diagnosed with AD. Multiple logistic regression models revealed patients with SUD referred for suicide-related concerns have an increased risk of suicide attempt if also diagnosed with AD or if they have a history of prior suicide attempt.

Conclusions: These data are in line with the contention that SUD, with comorbid AD, portend significant risk for suicide. AD represents an important disorder to recognize and target in suicide prevention strategies.

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在学术医院环境中，识别因自杀相关问题而转诊的药物使用障碍患者中的适应障碍。

背景：与普通人群相比，药物使用障碍（SUD）患者的自杀风险更高。对药物使用障碍人群中的适应障碍（AD）研究不足：目的：描述在综合医院环境中出现致死问题的 SUD 患者中出现适应障碍的比例及相关特征：方法：对连续六个月的精神科就诊电子病历数据进行回顾性分析：与被归类为非自杀企图者的 SUD 患者相比，自杀企图者被诊断为注意力缺失症的可能性明显更高。多元逻辑回归模型显示，因自杀相关问题而转诊的 SUD 患者如果同时被诊断为 AD 或有自杀未遂史，则自杀未遂的风险会增加：这些数据与 SUD 合并注意力缺失症预示着巨大的自杀风险这一论点相一致。注意力缺失症是一种重要的失调症，需要加以认识，并将其作为自杀预防策略的目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Addictive Diseases SUBSTANCE ABUSE-

CiteScore

4.30

自引率

4.30%

发文量

期刊介绍： The Journal of Addictive Diseases is an essential, comprehensive resource covering the full range of addictions for today"s addiction professional. This in-depth, practical journal helps you stay on top of the vital issues and the clinical skills necessary to ensure effective practice. The latest research, treatments, and public policy issues in addiction medicine are presented in a fully integrated, multi-specialty perspective. Top researchers and respected leaders in addiction issues share their knowledge and insights to keep you up-to-date on the most important research and practical applications.