남자 알코올 의존 환자의 자살시도에 대한 위험요인
Risk Factors of Suicide Attempt in Male Patients with Alcohol Dependence
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives The aim of this study was to evaluate the risk factors of suicide attempt in patients with alcohol dependence. Methods A total of 68 patients admitted to the hospital for alcohol dependence were divided into two groups according to history of suicide attempt. In this study, sociodemographic variables,characteristics of alcohol drinking, and clinical scales were compared between the two groups. Results Regarding sociodemographic and clinical features, the alcoholic group with history of suicide attempt included more patients with no spouse, using medical aid in social security, and history of depressive disorder. Regarding characteristics of alcohol drinking, ages of first alcohol problems and first admission for alcohol problems were significantly younger in the attempter group. Patients in the attempter group had been drinking more and had higher frequency of delirium tremens and psychiatric admission. Regarding clinical scales, significantly higher scores for suicide ideation, depression, anxiety, and impulsiveness were observed in the attempter group. Among the scores for Temperament and character inventory, the score for persistence was significantly lower in the attempter group. After controlling for other compounding factors, depressive disorder [p=0.006, odds ratio (OR)=32.2] and suicide ideation (p=0.029, OR=1.2) were significant factors showing correlation with suicide attempt. Conclusion Results of this study suggest that assessment and management of the depressive disorder and suicide ideation are necessary for suicide prevention in patients with alcohol dependence.
Abstract
Objectives The aim of this study was to evaluate the risk factors of suicide attempt in patients with alcohol dependence. Methods A total of 68 patients admitted to the hospital for alcohol dependence were divided into two groups according to history of suicide attempt. In this study, sociodemographic variables,characteristics of alcohol drinking, and clinical scales were compared between the two groups. Results Regarding sociodemographic and clinical features, the alcoholic group with history of suicide attempt included more patients with no spouse, using medical aid in social security, and history of depressive disorder. Regarding characteristics of alcohol drinking, ages of first alcohol problems and first admission for alcohol problems were significantly younger in the attempter group. Patients in the attempter group had been drinking more and had higher frequency of delirium tremens and psychiatric admission. Regarding clinical scales, significantly higher scores for suicide ideation, depression, anxiety, and impulsiveness were observed in the attempter group. Among the scores for Temperament and character inventory, the score for persistence was significantly lower in the attempter group. After controlling for other compounding factors, depressive disorder [p=0.006, odds ratio (OR)=32.2] and suicide ideation (p=0.029, OR=1.2) were significant factors showing correlation with suicide attempt. Conclusion Results of this study suggest that assessment and management of the depressive disorder and suicide ideation are necessary for suicide prevention in patients with alcohol dependence.
참고문헌 (60)
- Annual report on the cause of death statistics of 2011, "National Statistical Office", National Statistical Office, ~ (2011)
- Arsenault-Lapierre G, "Psychiatric diagnoses in 3275 suicides: a meta-analysis", BMC Psychiatry, 4, pp.37~ (2004)
- Henriksson MM, "Mental disorders and comorbidity in suicide", Am J Psychiatry, 150, pp.935~940 (1993)
- Cherpitel CJ, "Acute alcohol use and suicidal behavior: a review of the literature", Alcohol Clin Exp Res, 28(5), pp.18~28 (2004)
- 조맹제, "한국 주요정신장애의 유병률 및 관련요인:2006 전국정신질환역학조사", 신경정신의학, 48(3), pp.143~152 (2009), 대한신경정신의학회
- Koller G, "Impulsivity and aggression as predictors of suicide attempts in alcoholics", Eur Arch Psychiatry Clin Neurosci, 252, pp.155~160 (2002)
- Roy A, "Distal risk factors for suicidal behavior in alcoholics: replications and new findings", J Affect Disord, 77, pp.267~271 (2003)
- Preuss UW, "Comparison of 3190 alcohol-dependent individuals with and without suicide attempts", Alcohol Clin Exp Res, 26, pp.471~477 (2002)
- Simon RI, "The American Psychiatric Publishing textbook of suicide assessment and management" (2012), American Psychiatric Publishing
- Dumais A, "Risk factors for suicide completion in major depression: a casecontrol study of impulsive and aggressive behaviors in men", Am J Psychiatry, 162, pp.2116~2124 (2005)
- Elizabeth Sublette M, "Substance use disorders and suicide attempts in bipolar subtypes", J Psychiatr Res, 43, pp.230~238 (2009)
- Suominen K, "Hopelessness, impulsiveness and intent among suicide attempters with major depression, alcohol dependence, or both", Acta Psychiatr Scand, 96, pp.142~149 (1997)
- Chachamovich E, "Levels of aggressiveness are higher among alcohol-related suicides: results from a psychological autopsy study", Alcohol, 46, pp.529~536 (2012)
- Isometsä ET, "Suicide attempts preceding completed suicide", Br J Psychiatry, 173, pp.531~535 (1998)
- Durkheim E, "Suicide: a study in sociology" (1951), Free Press
- Beck AT, "Assessment of suicidal intention: the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
- Shin MS, "A study of suicidal ideation among high school students: the structural relation among depression, hopelessness and suicidal ideation", Korean J Clin Psychol, 9, pp.1~19 (1990)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Beck AT, "An inventory for measuring clinical anxiety: psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
- Kim YC, "Self-referent processing of personality-describing ajectives as a function of test anxiety level", Korean J Psychol, 4, pp.171~183 (1984)
- Kim JH, "Relations of perceived stress, cognitive set and coping behaviors to depression", pp.1997
- 최미례, "스트레스와 우울의 관계에 대한 자아존중감의 중재효과와 매개효과", 한국심리학회지 임상, 22(2), pp.363~383 (2003), 한국임상심리학회
- Rosenberg M., "Society and the adolescent self-image" (1989), Wesleyan University Press
- Sherer M, "The self-efficacy scale: construction and validation", Psychol Rep, 51, pp.663~671 (1982)
- Hong HY., "The relationships of perfectionism, self-efficacy and depression", pp.1995
- Barratt ES., "Factor analysis of some psychometric measures of impulsiveness and anxiety", Psychol Rep, 16, pp.547~554 (1965)
- Lee HS, "Impulsivity Scale" (1996), Korean Guidance
- The Temperament and Character Inventory (TCI), "Cloninger CR", Center for Psychobiology of Personality, Washington University, ~ (1994)
- Sung SM, "Reliability and validity of the Korean version of the Temperament and Character Inventory", Compr Psychiatry, 43, pp.235~243 (2002)
- Yudofsky SC, "The Overt Aggression Scale for the objective rating of verbal and physical aggression", Am J Psychiatry, 143, pp.35~39 (1986)
- Kim SW, "Study of aggressive behaviors in psychiatric inpatients", J Korean Neuropsychiatr Assoc, 31, pp.275~287 (1992)
- Steinert T, "Aggressive behavior against self and others among first-admission patients with schizophrenia", Psychiatr Serv, 50, pp.85~90 (1999)
- Rendall MS, "The protective effect of marriage for survival: a review and update", Demography, 48, pp.481~506 (2011)
- Qin P, "Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: a national register- based study of all suicides in Denmark, 1981-1997", Am J Psychiatry, 160, pp.765~772 (2003)
- Gearing RE, "Religion and suicide", J Relig Health, 48, pp.332~341 (2009)
- Jin RL, "The impact of unemployment on health: review of the evidence", CMAJ, 153, pp.529~540 (1995)
- Buda B, "The International Handbook of Suicide and Attempted Suicide", The Journal of Crisis Intervention and Suicide Prevention, 21, pp.143~144 (2000)
- Waern M, "Burden of illness and suicide in elderly people: case-control study", BMJ, 324, pp.1355~ (2002)
- Harris EC, "Suicide as an outcome for medical disorders", Medicine, 73, pp.281~296 (1994)
- Cavanagh JT, "Psychological autopsy studies of suicide: a systematic review", Psychol Med, 33, pp.395~405 (2003)
- Sainsbury P, "Depression and suicide prevention", Bibl Psychiatr, 162, pp.17~32 (1982)
- Grant BF, "Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Arch Gen Psychiatry, 61, pp.807~816 (2004)
- Nepon J, "The relationship between anxiety disorders and suicide attempts: findings from the National Epidemiologic Survey on Alcohol and Related Conditions", Depress Anxiety, 27, pp.791~798 (2010)
- Schuckit MA, "Alcohol dependence and anxiety disorders: what is the relationship?", Am J Psychiatry, 151, pp.1723~1734 (1994)
- Conner KR, "Predisposing and precipitating factors for suicide among alcoholics: empirical review and conceptual integration", Alcohol Clin Exp Res, 28(5), pp.6~17 (2004)
- Kessler RC, "Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey", Arch Gen Psychiatry, 56, pp.617~626 (1999)
- Bandura A., "Self-efficacy: toward a unifying theory of behavioral change", Psychol Rev, 84, pp.191~215 (1977)
- Cervone D, "Mood, self-efficacy, and performance standards: lower moods induce higher standards for performance", J Personal Soc Psychol, 67, pp.499~512 (1994)
- Makaremi A, "Self-efficacy and depression among Iranian college students", Psychol Rep, 86, pp.386~388 (2000)
- Conner KR, "Precontemplated and impulsive suicide attempts among individuals with alcohol dependence", J Stud Alcohol, 67, pp.95~101 (2006)
- Wojnar M, "Impulsive suicide attempts predict post-treatment relapse in alcohol-dependent patients", Drug Alcohol Depend, 97, pp.268~275 (2008)
- Borges G, "Suicide attempts and alcohol consumption in an emergency room sample", J Stud Alcohol, 57, pp.543~548 (1996)
- Sher L, "Alcohol consumption and suicide", QJM, 99, pp.57~61 (2006)
- Calati R, "Temperament and character of suicide attempters", J Psychiatr Res, 42, pp.938~945 (2008)
- Mitsui N, "Temperament and character profiles of Japanese university student suicide completers", Compr Psychiatry, 54, pp.556~561 (2013)
- Cannon DS, "Persistence predicts latency to relapse following inpatient treatment for alcohol dependence", Addict Behav, 22, pp.535~543 (1997)
- Li D, "Cigarette smoking and risk of completed suicide: a meta-analysis of prospective cohort studies", J Psychiatr Res, 46, pp.1257~1266 (2012)
- Miller M, "Cigarettes and suicide: a prospective study of 50,000 men", Am J Public Health, 90, pp.768~773 (2000)
