Somatic Comorbidity and Other Factors Related to Suicide Attempt Among Polish Methadone Maintenance Patients.
OBJECTIVE
Fatal and nonfatal suicide attempts are far more common in opioid-dependent individuals than in the general population. More research is needed to understand the specific risk factors for suicidal behaviors in this patient population, particularly outside of the United States and Western Europe. This study investigated the correlates of suicide attempts among Polish patients in methadone maintenance treatment and interpreted results in the context of findings from other countries.


METHODS
The study was based on a sample of 240 individuals recruited from a methadone maintenance clinic in Poland. Participants were interviewed using standardized measures.


RESULTS
Consistent with studies in other countries, sexual abuse, depression, alcohol dependence, and impulsivity were associated with suicide attempt. Additionally, those patients with somatic comorbidity had an increase in odds (odds ratio = 2.6) of suicide attempt.


CONCLUSIONS
The results of our study suggest a potential benefit to treatment approaches that address somatic concerns of methadone-maintenance patients. More research is needed to identify, assess, and understand possible cultural and regional differences between opioid-dependent populations to better tailor prevention strategies.
Department of Psychiatry (S.F., A.P., M.W.), Medical University of Warsaw, Warsaw, Poland; Department of Psychiatry (M.I., K.B., M.W., F.C.B., A.B.), University of Michigan, Ann Arbor, MI, USA; Department of Veterans Affairs (M.I., K.B., F.C.B., A.B.), Center for Clinical Management Research, Ann Arbor, MI, USA; and Nowowiejski Hospital (I.K., P.S.), Warsaw, Poland.
Sylwia
S
Fudalej
Mark
M
Ilgen
Iwona
I
Kołodziejczyk
Anna
A
Podgórska
Piotr
P
Serafin
Kristen
K
Barry
Marcin
M
Wojnar
Frederic C
FC
Blow
Amy
A
Bohnert
D000293:Adolescent; D000328:Adult; D000437:Alcoholism; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D016015:Logistic Models; D008297:Male; D008691:Methadone / Q000009:adverse effects* / Q000627:therapeutic use; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D058850:Opiate Substitution Treatment / Q000009:adverse effects*; D009293:Opioid-Related Disorders / Q000188:drug therapy*; D011044:Poland / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012720:Severity of Illness Index; D013406:Suicide, Attempted; D055815:Young Adult
D008691:Methadone