Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders

Background: It is not yet known if the increased risk of suicide in substance abusers is caused by the causal and/or coexisting relationship between substance use and psychiatric disorders. This study was designed to estimate the suicide risk among individuals with illicit drug use alone, illicit dr...

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Main Authors: Phunnapa Kittirattanapaiboon, Sirijit Suttajit, Boonsiri Junsirimongkol, Surinporn Likhitsathian, Manit Srisurapanont
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/53745
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-537452018-09-04T09:59:58Z Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders Phunnapa Kittirattanapaiboon Sirijit Suttajit Boonsiri Junsirimongkol Surinporn Likhitsathian Manit Srisurapanont Medicine Neuroscience Background: It is not yet known if the increased risk of suicide in substance abusers is caused by the causal and/or coexisting relationship between substance use and psychiatric disorders. This study was designed to estimate the suicide risk among individuals with illicit drug use alone, illicit drug users with mental disorders, and illicit drug users with alcohol use disorders. Methods: Subjects were participants of the 2008 Thai National Mental Health Survey. They were asked for their illicit drug use in the past year. The Mini International Neuropsychiatric Interview (MINI), current suicidality (1 month prior to assessment), mood episodes, anxiety disorders, psychotic disorders, and alcohol use disorders were used for assessing mental/alcohol use disorders. A score of 1 or more for the MINI-Suicidality module was defined as the presence of suicide risk. Results: Of the total 17,140 respondents, 537 currently used illicit drugs, while 1,194 respondents had a suicide risk. Common illicit drugs were kratom (59%) and (meth)amphetamine (24%). Compared with 16,603 Thais without illicit drug use, the illicit drug users with or without mental/alcohol use disorders (n=537) had an increased risk of suicide (adjusted odds ratio [OR], 95% confidence interval [CI] =2.09, 1.55-2.81). While those who used illicit drugs alone (no mental/alcohol use disorder) (n=348) had no increased risk of suicide (adjusted OR, 95% CI =1.04, 0.66-1.65), the illicit drug users with mental or alcohol use disorders (n=27 and n=162, respectively) had significantly increased risk of suicide (adjusted ORs, 95% CIs =14.06, 6.50-30.3 and 3.14, 1.98-4.99, respectively). Conclusion: A key limitation of this study was the combined suicidal behaviors as a suicidality risk. Mental or alcohol use disorders found in this population actually increased the suicide risk. These findings support the coexisting relationship that mental and alcohol use disorders play a vital role in increasing the suicide risk in illicit drug users. © 2014 Kittirattanapaiboon et al. 2018-09-04T09:57:02Z 2018-09-04T09:57:02Z 2014-03-13 Journal 11782021 11766328 2-s2.0-84897899910 10.2147/NDT.S56441 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84897899910&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/53745
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
Neuroscience
spellingShingle Medicine
Neuroscience
Phunnapa Kittirattanapaiboon
Sirijit Suttajit
Boonsiri Junsirimongkol
Surinporn Likhitsathian
Manit Srisurapanont
Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
description Background: It is not yet known if the increased risk of suicide in substance abusers is caused by the causal and/or coexisting relationship between substance use and psychiatric disorders. This study was designed to estimate the suicide risk among individuals with illicit drug use alone, illicit drug users with mental disorders, and illicit drug users with alcohol use disorders. Methods: Subjects were participants of the 2008 Thai National Mental Health Survey. They were asked for their illicit drug use in the past year. The Mini International Neuropsychiatric Interview (MINI), current suicidality (1 month prior to assessment), mood episodes, anxiety disorders, psychotic disorders, and alcohol use disorders were used for assessing mental/alcohol use disorders. A score of 1 or more for the MINI-Suicidality module was defined as the presence of suicide risk. Results: Of the total 17,140 respondents, 537 currently used illicit drugs, while 1,194 respondents had a suicide risk. Common illicit drugs were kratom (59%) and (meth)amphetamine (24%). Compared with 16,603 Thais without illicit drug use, the illicit drug users with or without mental/alcohol use disorders (n=537) had an increased risk of suicide (adjusted odds ratio [OR], 95% confidence interval [CI] =2.09, 1.55-2.81). While those who used illicit drugs alone (no mental/alcohol use disorder) (n=348) had no increased risk of suicide (adjusted OR, 95% CI =1.04, 0.66-1.65), the illicit drug users with mental or alcohol use disorders (n=27 and n=162, respectively) had significantly increased risk of suicide (adjusted ORs, 95% CIs =14.06, 6.50-30.3 and 3.14, 1.98-4.99, respectively). Conclusion: A key limitation of this study was the combined suicidal behaviors as a suicidality risk. Mental or alcohol use disorders found in this population actually increased the suicide risk. These findings support the coexisting relationship that mental and alcohol use disorders play a vital role in increasing the suicide risk in illicit drug users. © 2014 Kittirattanapaiboon et al.
format Journal
author Phunnapa Kittirattanapaiboon
Sirijit Suttajit
Boonsiri Junsirimongkol
Surinporn Likhitsathian
Manit Srisurapanont
author_facet Phunnapa Kittirattanapaiboon
Sirijit Suttajit
Boonsiri Junsirimongkol
Surinporn Likhitsathian
Manit Srisurapanont
author_sort Phunnapa Kittirattanapaiboon
title Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
title_short Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
title_full Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
title_fullStr Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
title_full_unstemmed Suicide risk among Thai illicit drug users with and without mental/alcohol use disorders
title_sort suicide risk among thai illicit drug users with and without mental/alcohol use disorders
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84897899910&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/53745
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