title: Is drug use related to the choice of potentially more harmful methods in suicide attempts?
abstract: OBJECTIVE
  To identify whether drug abuse is a risk factor for potentially more harmful methods of suicide attempts that could predict suicide completion in the future.
  
  
  METHODS
  The study involved the assessment of 86 patients who attempted suicide and who were admitted to the emergency ward of a Southwestern Brazilian general hospital.
  
  
  RESULTS
  Most patients were women (84.9%), young adults (30.53 ± 10.4 years), and single (61.6%). Recent drug use was reported by 53.5%, and 25.6% reported the use of drugs during the 24-hour period immediately before the suicide attempt. Most patients (75.6%) ingested pills when attempting suicide-a method considered potentially less harmful. Hanging, jumping, gas inhaling, and wrist cutting accounted for 22.2% of the attempts. Considering dual diagnoses, 54.7% presented with a depressive disorder, 8.1% with a disorder on the impulse control spectrum, and 26.7% reported an associated clinical condition. Recent drug use was predictive of the severity of the suicide attempt, as it was reported by 81% of those who engaged in more harmful attempts and by 46.2% of those who used less harmful methods (P < 0.01; odds ratio = 4.96; confidence interval: 1.5-16.4).
  
  
  CONCLUSIONS
  The identified variables associated with the use of potentially more harmful methods in suicide attempts were gender (male), presence of an impulsive control disorder, and recent use of psychoactive drugs.
authors.affiliation: PROAD-Addiction Unit, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Dartiu Xavier
authors.initials: DX
authors.lastname: da Silveira
authors.affiliation: PROAD-Addiction Unit, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Thiago Marques
authors.initials: TM
authors.lastname: Fidalgo
authors.affiliation: PROAD-Addiction Unit, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Monica
authors.initials: M
authors.lastname: Di Pietro
authors.affiliation: PROAD-Addiction Unit, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil. ; Department of Physiological Sciences, Faculty of Medical Sciences of Santa Casa Sao Paulo, Sao Paulo, Brazil.
authors.forename: Jair Guilherme
authors.initials: JG
authors.lastname: Santos
authors.affiliation: PROAD-Addiction Unit, Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
authors.forename: Leonardo Q
authors.initials: LQ
authors.lastname: Oliveira
keywords: drugs; impulse control disorder; risk factor; substance misuse; suicide