title: Suicidal ideation in veterans receiving treatment for opiate dependence.
abstract: Persons with opiate use disorders, especially veterans, have a number of both chronic and acute indicators of risk for suicide, but are not typically screened for suicidal ideation on a routine basis, beyond initial evaluations. One hundred one veterans receiving treatment for opiate dependence at an urban VA medical center were screened for suicidal ideation. Over 24% reported some suicidal ideation. Current ideation was associated with severe chronic pain, ongoing problems with street drugs, firearm ownership, and with having recently enrolled in treatment. It was also associated with a variety of recent negative life events and mental health issues, especially depression, recurring troubling thoughts, hallucinations, loss of jobs, and conflicts with family members. Two veterans endorsing suicidal ideation required immediate hospitalization. The implications of these findings are discussed, and frequent screening for suicidal ideation among patients receiving treatment for opiate dependence is recommended.
authors.affiliation: Juvenile Protective Association, Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60622, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Thompson
authors.forename: Vincent
authors.initials: V
authors.lastname: Kane
authors.forename: Joan M
authors.initials: JM
authors.lastname: Cook
authors.forename: Robert
authors.initials: R
authors.lastname: Greenstein
authors.forename: Patricia
authors.initials: P
authors.lastname: Walker
authors.forename: George
authors.initials: G
authors.lastname: Woody
mesh_terms: D004651:Employment; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D017533:Marital Status; D001523:Mental Disorders / Q000145:classification; D008875:Middle Aged; D016017:Odds Ratio; D009293:Opioid-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*; D015143:Philadelphia; D012959:Socioeconomic Factors; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D014728:Veterans / Q000523:psychology*