title: Factors associated with depression and suicide attempts in patients undergoing rehabilitation for substance abuse.
abstract: BACKGROUND
  Comorbidity of major depression with substance abuse increases the risk of committing suicide. The objective of this work was to determine the psychological and socio-demographic factors associated with depression and suicide attempts in patients rehabilitating for drug consumption.
  
  
  METHODS
  57 Patients attending a center for drug abuse treatment answered the following instruments: the Mini-international neuropsychiatric interview, a questionnaire of general information and background data on consumption of substances, depression and suicide attempts, and the Spanish adaptation of the Holmes and Rahe scale for the assessment of life events. Chi-square and logistic regression tests were used to establish associations between variables.
  
  
  RESULTS
  68.4% of the Patients had current major depression, of these, 75.4% experienced it before the onset of substance abuse. Patients attempting suicide before drug use corresponded to 26%, whilst 28.1% attempted suicide within the last year. Current depression-related variables were receiving a diagnosis of depression prior to the consumption of drugs and the first used drugs, which were alcohol or marijuana. The adverse life event "Familial drug abuse history", was also significantly related to depression (p=0.02). Variables associated with current suicide attempts were: receiving a diagnosis of depression prior to the consumption of drugs (p=0.02), and suicide attempts previous to drug use (p<0.003).
  
  
  CONCLUSIONS
  A limitation of this study was the small size of the sample.
  
  
  CONCLUSIONS
  Patients with depression who attempted suicide prior to the use of drugs also experienced these conditions during the rehabilitation process. Substance use in the family was a risk factor for both, underscoring the need of actions aimed at preventing addictions in the household environment.
authors.affiliation: Facultad de Enfermería, Universidad Autónoma de Yucatán, Calle 90 S/N x 59 y 59-A CP 97000, C.P. 97000 Mérida, Yucatán, México.
authors.forename: L D
authors.initials: LD
authors.lastname: Ortíz-Gómez
authors.affiliation: Departamento de Neurociencias, Centro de Investigaciones Regionales "Dr. Hideyo Noguchi", Universidad Autónoma de Yucatán, Avenida Itzáes # 490 x 59, C.P. 97000 Mérida, Yucatán, México.
authors.forename: B
authors.initials: B
authors.lastname: López-Canul
authors.affiliation: Departamento de Neurociencias, Centro de Investigaciones Regionales "Dr. Hideyo Noguchi", Universidad Autónoma de Yucatán, Avenida Itzáes # 490 x 59, C.P. 97000 Mérida, Yucatán, México. Electronic address: asandov@uady.mx.
authors.forename: G
authors.initials: G
authors.lastname: Arankowsky-Sandoval
mesh_terms: D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology*; D003863:Depression; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D002189:Marijuana Abuse / Q000453:epidemiology / Q000523:psychology*; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Drug abuse; Life events; Major depression; Rehabilitation; Suicide attempt