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首页> 外文期刊>International Journal of Environmental Research and Public Health >Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt
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Associations among Substance Use, Mental Health Disorders, and Self-Harm in a Prison Population: Examining Group Risk for Suicide Attempt

机译：监狱人口中物质使用，心理健康障碍和自我伤害之间的联系：检查自杀未遂的群体风险

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Substance use disorders (SUD) and mental health disorders are significant public health issues that co-occur and are associated with high risk for suicide attempts. SUD and mental health disorders are more prevalent among offenders (i.e., prisoners or inmates) than the non-imprisoned population, raising concerns about the risk of self-harm. This cross-sectional study examined the population of a state prison system (10,988 out of 13,079) to identify associations among SUD (alcohol, cannabis, intravenous drugs, narcotics, and tobacco smoking), mental health disorders (anxiety, bipolar, depression, and psychotic disorders), and suicide attempts. The primary aim was to determine which groups (SUD, mental health disorders, and co-occurrences) were strongly association with suicide attempts. Groups with a documented SUD or mental health disorders compared to peers without these issues had 2.0 and 9.2 greater odds, respectively, for attempting suicide, which was significant at p < 0.0001 for both conditions. There were also significant differences within SUD and mental health disorders groups in regard to suicide attempts. Groups with the greatest odds for suicide attempts were offenders with comorbid bipolar comorbid and anxiety, alcohol combined with depression, and cannabis co-occurring with depression. Documentation of suicide attempts during imprisonment indicates awareness, but also suggest a need to continue enhancing screening and evaluating environmental settings.
机译：物质使用障碍（SUD）和精神健康障碍是共同发生的重大公共卫生问题，与自杀未遂的高风险有关。与未经监禁的人口相比，罪犯（即囚犯或囚犯）中的SUD和心理健康障碍更为普​​遍，这引发了人们对自残风险的担忧。这项横断面研究调查了州监狱系统的人口（13,079人中有10,988人），以识别SUD（酒精，大麻，静脉注射药物，麻醉品和吸烟），精神健康障碍（焦虑，双相情感障碍，抑郁和精神病）和自杀未遂。主要目的是确定哪些组（SUD，精神健康障碍和同发）与自杀未遂密切相关。与没有这些问题的同龄人相比，具有已记录的SUD或精神健康障碍的组自杀企图的几率分别为2.0和9.2，这在两种情况下的p <0.0001均很显着。在SUD和心理健康障碍组中，自杀企图也存在显着差异。自杀未遂几率最高的人群是合并双相躁狂症和焦虑症的共生者，酗酒合并抑郁症的人和大麻伴随抑郁症的人。入狱期间自杀未遂的文件表明了自己的意识，但也表明需要继续加强筛查和评估环境。

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