Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence.

Abstract

To date, there have been very limited studies regarding the clinical epidemiology of attempted suicide in Chinese individuals with heroin-dependence. The objective of this study was to examine the prevalence and correlates of suicide attempt in Chinese individuals receiving methadone maintenance treatment for heroin dependence. Demographic, clinical, and psychosocial data of 603 methadone-maintained patients with heroin dependence were collected with a standardized self-administered questionnaire. The presence of suicide attempt and antisocial personality disorder was assessed by using a single question and the Mini-International Neuropsychiatric Interview 5.0. The one-month and lifetime prevalence rates of suicide attempt were 9.5% and 34.2%, respectively. In multivariable logistic regression, lifetime suicide attempt was significantly associated with female gender (OR = 2.81), being 20-39 years old (OR = 2.73), an education level of primary school or lower (OR = 2.07), poor economic status (OR = 3.06), injecting heroin before methadone maintenance treatment (OR = 2.92), depressive symptoms (OR = 3.46), anxiety symptoms (OR = 1.88), and antisocial personality disorder (OR = 2.85). Suicide attempt is very prevalent among Chinese individuals receiving methadone maintenance treatment for heroin dependence. Services for patients with heroin dependence in methadone maintenance treatment clinics in China should include psychosocial supports, periodic screening for suicide attempt and other suicidal behaviors and, when needed, psychiatric treatment and crisis intervention.

• Authors: Bao-Liang Zhong, Wu-Xiang Xie, Jun-Hong Zhu, Jin Lu, Hongxian Chen
• Journal: Scientific reports (Sci Rep) Vol. 9 Issue 1 Pg. 15859 (10 30 2019) ISSN: 2045-2322 [Electronic] England
• PMID: 31666637 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Heroin
• Methadone

Topics

• Adult
• Antisocial Personality Disorder (drug therapy, epidemiology, pathology, psychology)
• Anxiety (drug therapy, epidemiology, pathology, psychology)
• China (epidemiology)
• Depressive Disorder, Major (chemically induced, drug therapy, epidemiology, pathology)
• Female
• Heroin (toxicity)
• Heroin Dependence (drug therapy, epidemiology, pathology, psychology)
• Humans
• Male
• Methadone (adverse effects, therapeutic use)
• Opiate Substitution Treatment (adverse effects)
• Prevalence
• Psychiatric Status Rating Scales
• Risk Factors
• Suicidal Ideation
• Suicide, Attempted
• Surveys and Questionnaires