title: Suicide attempts prior to starting methadone maintenance treatment in Taiwan.
abstract: This study investigates recent (one-month) and lifetime prevalence of suicide attempts, and factors associated with one-month suicide attempts among heroin users (n=488) seeking treatment at a methadone maintenance programme in Taiwan. Data were collected by structured interview on demographics, use of heroin and other substances, criminal convictions, depression, social networks, and history of suicide attempt (lifetime suicide attempt, and suicide attempt and suicide ideation in the previous month). Prevalence of recent (one-month) suicide attempt was 10.9% and lifetime prevalence was 17.8%. The finding that so many heroin users had made a suicide attempt in the very recent past is both disturbing and little researched. Recent suicidal attempts were associated with severity of heroin dependence, needle sharing, higher educational level, increased levels of depression, and number of stressful life events. It is suggested that methadone maintenance programmes should routinely screen at intake for previous suicidal behaviour and especially for recent suicidal attempts.
authors.affiliation: Department of Psychiatry, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Vincent Chin-Hung
authors.initials: VC
authors.lastname: Chen
authors.forename: Tsang-Yaw
authors.initials: TY
authors.lastname: Lin
authors.forename: Charles Tzu-Chi
authors.initials: CT
authors.lastname: Lee
authors.forename: Te-Jen
authors.initials: TJ
authors.lastname: Lai
authors.forename: Hong
authors.initials: H
authors.lastname: Chen
authors.forename: Cleusa P
authors.initials: CP
authors.lastname: Ferri
authors.forename: Michael
authors.initials: M
authors.lastname: Gossop
mesh_terms: D000328:Adult; D017668:Age of Onset; D003863:Depression / Q000150:complications / Q000523:psychology; D005190:Family; D005260:Female; D006556:Heroin Dependence / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009294:Narcotics / Q000627:therapeutic use*; D016485:Needle Sharing / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology
chemical_list: D009294:Narcotics; D008691:Methadone