[Risk factors for suicide in substance-related disorders].
OBJECTIVE
To assess the contribution of sociodemographic and psychopathologic predictors for suicide in alcohol-related disorders and in substance-related disorders in general and to examine the constellations of risk factors for suicide.


METHODS
Out of 163 suicides (using psychological autopsy method) and 396 population-based control persons, 67 suicides and 67 controls with substance-related disorders (DSM-IV; alcohol-related disorders: suicides: n = 36, controls: n = 27) were assessed.


RESULTS
Affective disorders, suffering from substance dependence, and low education independently predicted increased suicide risk in alcohol-related disorders as well as in substance-related disorders in general, severe nicotine consumption only in alcohol-related disorders.


CONCLUSIONS
There are common risk factors for suicide in alcoholism and substance-related disorders in general. Effective suicide prevention strategies must include a focus on substance dependence as well as on affective disorders.
Schneider
Barbara
B
Zentrum der Psychiatrie, Klinik für Psychiatrie und Psychotherapie. B.Schneider@em.uni-frankfurt.de
Georgi
Klaus
K
Weber
Bernhard
B
Schnabel
Axel
A
Ackermann
Hanns
H
Wetterling
Tilman
T
D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000401:mortality* / Q000523:psychology; D016022:Case-Control Studies; D002423:Cause of Death; D015897:Comorbidity; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000401:mortality / Q000523:psychology; D008875:Middle Aged; D011599:Psychopathology; D011619:Psychotropic Drugs; D012307:Risk Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000401:mortality* / Q000523:psychology; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D014029:Tobacco Use Disorder / Q000401:mortality / Q000523:psychology; D000092864:Suicide Prevention
D011619:Psychotropic Drugs