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Are non-fatal opioid overdoses misclassified suicide attempts? Comparing the associated correlates.

机译:非致命的阿片类药物过量会误判自杀企图吗?比较相关的关联。

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This paper aimed to determine whether non-fatal opioid overdose and suicide attempts are distinct behaviours by examining the histories of 1500 opioid-dependent individuals. This paper utilised data collected as part of a large retrospective case-control study. Unintentional non-fatal opioid overdoses were more common than suicide attempts (58% vs. 32%). Overall, the correlates associated with a history of attempted suicide only and non-fatal opioid overdose only were different. Drug-related risk behaviours (including high impulsivity, injection of opioids, sedative dependence) were associated with non-fatal opioid overdose; and a history of mental disorders (depression, anxiety disorder, and screening positive for borderline personality disorder (BPD+) were associated with suicide attempts. Additionally, those who reported a history of both behaviours had a more severe clinical profile including excessive drug use, psychological disorders and childhood trauma. The study concluded that non-fatal opioid overdose and attempted suicide are distinct clinically significant problems that require different approaches for prevention. Additionally, if both behaviours are reported a thorough assessment of underlying comorbid problems should be initiated by treatment services.
机译:本文旨在通过检查1500名依赖阿片类药物的个体的历史来确定非致命性阿片类药物过量和自杀企图是否是不同的行为。本文利用收集的数据作为大型回顾性病例对照研究的一部分。非故意的非致命性阿片类药物过量比自杀未遂更为常见(58%比32%)。总体而言,与仅自杀未遂史和仅非致命性阿片类药物过量史相关的相关性是不同的。与药物有关的危险行为(包括高冲动性,阿片类药物的注射,镇静依赖性)与非致命性阿片类药物过量有关;并有精神疾病史(抑郁,焦虑症和筛查边缘性人格障碍(BPD +)阳性)与自杀未遂相关;此外,报告有两种行为史的患者的临床特征更为严重,包括过度吸毒,该研究得出的结论是,非致命性阿片类药物过量和自杀未遂是临床上显着的问题,需要采取不同的预防措施;此外,如果报告了两种行为,则应通过治疗服务对潜在的合并症进行彻底评估。

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