Ideación suicida en pacientes con trastornos relacionados con sustancias

Autores/as

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2023.188538

Palabras clave:

Ideación Suicida, Trastornos Relacionados con Sustancias, Salud Mental, Servicios de Salud Mental, Enfermería Psiquiátrica

Resumen

Objetivo: caracterizar la ideación suicida durante la vida en pacientes con trastornos relacionados con
sustancias. Metodología: estudio observacional y transversal realizado en tres Centros de Atención
Psicosocial Alcohol y otras Drogas III con 137 participantes. La recolección de datos se realizó mediante
aplicación de dos instrumentos: Columbia Suicide Severity Rating Scale y Addiction Severity Index -
Version 6 y los datos se analizaron descriptivamente y se expresaron mediante frecuencias absolutas
y relativas, media y desviación estándar. Resultados: 112 (81,8%) participantes relataron ideación
suicida alguna vez en la vida; de estos 55 (49,1%) tenían plan e intención de ejecutarlo; 40 (35,8%)
con pensamientos diarios y muchas veces al día y 56 (49,9%) con duración de hasta ocho horas o
más; 78 participantes (69,6%) consideraban la ideación suicida ciertamente como un medio de acabar
con el sufrimiento. Conclusión: se observó elevada frecuencia de ideación suicida durante la vida en
pacientes con trastornos relacionados con sustancias, con variada gravedad e intensidad de acuerdo
con aspectos sociodemográficos, económicos y clínicos. Estos resultados pueden subsidiar la práctica
profesional en salud mental, posibilitando el desarrollo de estrategias preventivas.

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Referencias

Sadock BJ, Sadock VA, Ruiz P. Compêndio de Psiquiatria: ciência do comportamento e psiquiatria clínica. 11. ed. Porto Alegre: Artmed; 2017.

Silverman JJ, Galanter M, Jackson-Triche M, Jacobs DG, Lomax JW II, Riba MB, et al. The American Psychiatric Association practice guidelines for the psychiatric evaluation of adults. Am J Psychiatric. 2015;172:798-802. https://doi.org/10.1176/appi.ajp.2015.1720501

Klonsky ED, May AM, Saffer BY. Suicide, Suicide Attempts, and Suicidal Ideation. Annual Rev Clin Psychol. 2016;12(1):307-30. https://doi.org/10.1146/annurev-clinpsy-021815-093204

Rodríguez-Cintas L, Daigre C, Braquehais MD, Palma-Alvarez RF, Grau-López L, Ros-Cucurull E, et al. Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders. Psychiatry Res. 2018;262:440-5. https://doi.org/10.1016/j.psychres.2017.09.021

World Health Organization (WHO). Preventing suicide: a global imperative. Geneva: World Health Organization; 2014.

Posner K, Brown GK, Stanley B, Brent DA, Yershova K, Oquendo MA, et al. The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266-77. https://doi.org/10.1176/appi.ajp.2011.10111704

Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192(2):98-105. https://doi.org/10.1192/bjp.bp.107.040113

Weber AN, Michail M, Thompson A, Fiedorowicz JG. Psychiatric Emergencies. Med Clin North Am. 2017;101(3):553-71. https://doi.org/10.1016/j.mcna.2016.12.006

Gomes ER, Iglesias AC, Constatinidis TC. Revisão integrativa de produções científicas da psicologia sobre comportamento suicida. Rev Psicol Saúde. 2019;11(2):35-53. https://doi.org/10.20435/pssa.v11i2.616

McLellan AT, Luborsky L, Woody GE, O’Brien CP. An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. J Nerv Ment Dis. 1980;168(1):26-33. https://doi.org/10.1097/00005053-198001000-00006

Cantão L, Botti NCL. Suicidal behavior among drug addicts. Rev Bras Enferm. 2016;69(2). https://doi.org/10.1590/0034-7167.2016690224i

Hallgren KA, Ries RK, Atkins DC, Bumgardner K, Roy-Birne P. Prediction of Suicide Ideation and Attempt Among Substance-Using Patients in Primary Care. J Am Board Fam Med. 2017;30(2):150-60. https://doi.org/10.3122/jabfm.2017.02.160264

López-Goñi JJ, Fernández-Montalvo J, Arteaga A, Haro B. Suicidal ideation and attempts in patients who seek treatment for substance use disorder. Psychiatry Res. 2018;269:542-8. https://doi.org/10.1016/j.psychres.2018.08.100

Carmel A, Ries R, West II, Bumgardner K, Roy-Byrne P. Suicide risk and associated demographic and clinical correlates among primary care patients with recent drug use. Am J Drug Alcohol Abuse. 2016;42(3):351-7. https://doi.org/10.3109/00952990.2015.1133634

Ribeiro DB, Schneider JF, Terra MG, Soccol KLS, Camillo LA, Plein FAZ. Reasons for attempting suicide among men who use alcohol and other drugs. Rev Gaúcha Enferm. 2016;37(1):e54896. https://doi.org/10.1590/1983-1447.2016.01.54896

Choi NG, Dinitto DM, Marti CN. Middle-aged and older adults who had serious suicidal thoughts: who made suicide plans and non fatal suicide attempts? Int Psychogeriatr. 2015;27(3):491-500. https://doi.org/10.1017/S1041610214002464

Conway PM, Erlangsen A, Teasdale TW, Jakobsen IS, Larsen KJ. Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide. Arch Suicide Res. 2017;21(3):455-69. https://doi.org/10.1080/1311118.2016.1222318

Al-Halabí S, Sáiz PA, Burón P, Garrido M, Benabarre A, Jiménez E, et al. Validación de la versión em español de la Columbia-Suicide Severity Rating Scale. Rev Psiquiatría Salud Mental. 2016;9(3):134-42. https://doi.org/10.1016/j.rpsm.2016.02.002

Park EH, Hong N, Jon DI, Hong HJ, Jung MH. Past suicidal ideation as an independent risk factor for suicide behaviours in patients with depression. Int J Psychiatr Clin Practice. 2016;21(1):24-8. https://doi.org/10.1080/13651501.2016.1249489

Horwitz AG, Czyz EK, King CA. Predicting future suicide attempts among adolescent and emerging adult psychiatric emergency patients. J Clin Child Adolesc Psychol. 2015;44(5):751-61. https://doi.org/10.1080/15374416.2014.910789

Czyz EK, King CA, Nahum-Shani I. Ecological assessment of daily suicidal thoughts and attempts among suicidal teens after psychiatric hospitalization: Lessons about feasibility and acceptability. Psychiatry Res. 2018;267:566-74. https://doi.org/10.1016/j.psychres.2018.06.031

Cheek SM, Nestor BA, Liu RT. Substance use and suicidality: specificity of substance use by injection to suicide attempts in a nationally representative sample of adults with major depression. Depression Anxiety. 2016;33(6):541-8. https://doi.org/10.1002/da.22407

Matarazzo BB, Brown GK, Stanley B, Forster JE, Billera M, Currier GW, et al. Predictive Validity of the Columbia-Suicide Severity Rating Scale among a Cohort of At-risk Veterans. Suicide Life Threat Behav. 2019;49(5):1255-65. https://doi.org/10.1111/sltb.12515

Lindh ÅU, Waern M, Beckman K, Renberg ES, Dahlin M, Runeson B. Short term risk of non-fatal and fatal suicidal behaviours: the predictive validity of the Columbia-Suicide Severity Rating Scale in a Swedish adult psychiatric population with a recent episode of self-harm. BMC Psychiatry. 2018;18(1). https://doi.org/10.1186/s12888-018-1883-8

Afzali MH, Sunderland M, Batterham PJ, Carragher N, Slade T. Trauma characteristics, post-traumatic symptoms, psychiatric disorders and suicidal behaviours: Results from the 2007 Australian National Survey of Mental Health and Wellbeing. Australian N Z J Psychiatry. 2017;51(11):1142-51. https://doi.org/10.1177/0004867416683815

Santos WS, Ulisses SM, Costa TM, Farias MG, Moura DPF. The influence of risk or protective factors for suicide ideation. Psicol Saúde Doenças. 2016;17(3):515-26. https://doi.org/10.15309/16psd170316

Weiser AV, Oliveira MM, Ramos CI, Weiss CV, Lemos DSC, Silveira KL. Reasons and feelings that link crack use to suicide attempt. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2020;16(4):58-64. https://doi.org/10.11606/issn.1806-6976.smad.2020.163178

Nock MK, Millner AJ, Joiner TE, Gutierrez PM, Han G, Hwang I, et al. Risk factors for the transition from suicide ideation to suicide attempt: Results from the Army Study to Assess Risk and Resilience in Service members (Army STARRS). J Abnormal Psychol. 2018;127(2):139-49. https://doi.org/10.1037/abn0000317

Ferreira ACZ, Capistrano FC, Maftum GJ, Kalinke LP, Maftum MA. Comportamentos suicidas em pessoas com transtornos relacionados a substâncias. Rev Enferm UFPE on line. 2019;13:e241446. https://doi.org/10.5205/1981-8963.2019.241446

Choi NG, DiNitto DM, Marti CN, Choi BY. Relationship between marijuana and other illicit drug use and depression/suicidal thoughts among late middle-aged and older adults. Int Psychogeriatr. 2018;28(4):577-89. https://doi.org/10.1017/s1041610215001738

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Publicado

2023-04-05

Número

Vol. 19 Núm. 1 (2023): SMAD, Revista Eletrônica Saúde Mental, Álcool e Drogas

Sección

Artículo Original

Licencia

Derechos de autor 2023 SMAD, Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português)

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

Cómo citar

Vale, C. C. F., Ferreira, A. C. Z. ., Capistrano, F. C., Kaled, M., Maftum, M. A., & Palm, R. D. C. M. (2023). Ideación suicida en pacientes con trastornos relacionados con sustancias. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 19(1), 70-81. https://doi.org/10.11606/issn.1806-6976.smad.2023.188538

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