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Suicidality and substance misuse in first‐admitted subjects with psychotic disorder
Author(s) -
Verdoux H.,
Liraud F.,
Gonzales B.,
Assens F.,
Abalan F.,
Os J.
Publication year - 1999
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1999.tb10883.x
Subject(s) - polysubstance dependence , parasuicide , psychiatry , psychosis , population , substance abuse , poison control , medicine , substance misuse , psychology , injury prevention , suicide attempt , mental health , medical emergency , environmental health
Method Data were collected on a sample of first‐admitted subjects with psychosis (n=64). Results More than 1 in 4 patients had a history of parasuicide, and more than 1 in 10 patients were referred to the psychiatric hospital after such an act. Parasuicide was more frequent in subjects with a history of drug misuse (OR=4, 95% CI= 1.1–14.0, P=0.03), and especially of poly‐substance use (OR=6.6, 95% CI= 1.2–34.7, P=0.03). Conclusion The association between substance misuse and suicidality found in subjects with psychosis is similar to that which exists in the general population. Since early psychosis is a high‐risk period for substance misuse, subjects with incipient psychosis may be especially vulnerable to the devastating consequences of drug use with regard to increased risk of suicide.