Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders

Objective: Most previous studies that have investigated the relation between abortion and mental illness have presented mixed findings. We examined the relation between abortion, mental disorders, and suicidality using a US nationally representative sample. Methods: Data came from the National Comorbidity Survey Replication ( n = 3310 women, aged 18 years and older). The World Health Organization-Composite International Diagnostic Interview was used to assess mental disorders based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria and lifetime abortion in women. Multiple logistic regression analyses were employed to examine associations between abortion and lifetime mood, anxiety, substance use, eating, and disruptive behaviour disorders, as well as suicidal ideation and suicide attempts. We calculated the percentage of respondents whose mental disorder came after the first abortion. The role of violence was also explored. Population attributable fractions were calculated for significant associations between abortion and mental disorders. Results: After adjusting for sociodemographics, abortion was associated with an increased likelihood of several mental disorders—mood disorders (adjusted odds ratio [AOR] ranging from 1.75 to 1.91), anxiety disorders (AOR ranging from 1.87 to 1.91), substance use disorders (AOR ranging from 3.14 to 4.99), as well as suicidal ideation and suicide attempts (AOR ranging from 1.97 to 2.18). Adjusting for violence weakened some of these associations. Forall disorders examined, less than one-half of women reported that their mental disorder had begun after the first abortion. Population attributable fractions ranged from 5.8% (suicidal ideation) to 24.7% (drug abuse). Conclusions: Our study confirms a strong association between abortion and mental disorders. Possible mechanisms of this relation are discussed.

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Tobacco smoking and other substance use disorders associated with recurrent suicide attempts in bipolar disorder

Journal of Affective Disorders ◽

10.1016/j.jad.2019.05.075 ◽

2019 ◽

Vol 256 ◽

pp. 348-357

Author(s):

R. Icick ◽

I. Melle ◽

B. Etain ◽

P.A. Ringen ◽

S.R. Aminoff ◽

...

Keyword(s):

Bipolar Disorder ◽

Substance Use ◽

Substance Use Disorders ◽

Tobacco Smoking ◽

Suicide Attempts

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Factors associated with anxiety disorders among patients with substance use disorders in Lebanon: Results of a cross‐sectional study

Perspectives In Psychiatric Care ◽

10.1111/ppc.12462 ◽

2019 ◽

Vol 56 (4) ◽

pp. 745-752 ◽

Cited By ~ 3

Author(s):

Chadia Haddad ◽

Mouhamad J. Darwich ◽

Sahar Obeid ◽

Hala Sacre ◽

Maha Zakhour ◽

...

Keyword(s):

Substance Use ◽

Anxiety Disorders ◽

Substance Use Disorders ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Factors Associated With a Trusting Relationship Between Pregnant and Postpartum Women With Substance Use Disorders and Maternity Nurses

International Journal of Childbirth ◽

10.1891/ijcbirth-d-20-00018 ◽

2020 ◽

Vol 10 (4) ◽

pp. 180-197

Author(s):

Kalyn M. Renbarger ◽

Margaret Moorman ◽

Kenzie Latham-Mintus ◽

Carol Shieh ◽

Claire Draucker

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Qualitative Description ◽

Postpartum Women ◽

Structured Interviews ◽

Factors Associated ◽

Trusting Relationships ◽

Patient Relationships ◽

D Investment ◽

Improve Health

Trusting relationships between pregnant and postpartum women with substance use disorders (SUDs) and maternity nurses can improve health outcomes for women and their infants. This study was conducted to identify factors associated with the formation of trust in these nurse–patient relationships. Using a qualitative description approach, semi-structured interviews were conducted with 10 women who used substances during pregnancy and 15 maternity nurses. The narratives were analyzed with standard content analytic techniques. Findings revealed that six characteristics of nurses and five characteristics of women fostered or hindered the formation of trusting relationships. The characteristics of the maternity nurses were (a) interpersonal connections, (b) demeanor toward women, (c) ways of providing care, (d) approaches to providing information, (e) attitudes toward substance use, and (f) addiction expertise. The characteristics of the women were (a) engagement with nurses, (b) demeanor toward nurses, (c) attitudes toward care, (d) investment in recovery, and (e) ways of interacting with infant. The characteristics provide a framework by which maternity nurses can examine their attitudes and behaviors toward women with SUDs and inform the development of strategies to enhance their practice with this population.

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Associations between substance use disorders and suicide or suicide attempts in people with mental illness: a Danish nation-wide, prospective, register-based study of patients diagnosed with schizophrenia, bipolar disorder, unipolar depression or personal

Addiction ◽

10.1111/add.13788 ◽

2017 ◽

Vol 112 (7) ◽

pp. 1250-1259 ◽

Cited By ~ 42

Author(s):

Marie L. D. Østergaard ◽

Merete Nordentoft ◽

Carsten Hjorthøj

Keyword(s):

Bipolar Disorder ◽

Mental Illness ◽

Substance Use ◽

Substance Use Disorders ◽

Suicide Attempts ◽

Unipolar Depression ◽

People With Mental Illness

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Psychosocial stressors and the prognosis of major depression: a test of Axis IV

Psychological Medicine ◽

10.1017/s0033291712001080 ◽

2012 ◽

Vol 43 (2) ◽

pp. 303-316 ◽

Cited By ~ 43

Author(s):

S. E. Gilman ◽

N.-H. Trinh ◽

J. W. Smoller ◽

M. Fava ◽

J. M. Murphy ◽

...

Keyword(s):

Substance Use ◽

Suicidal Ideation ◽

Mental Disorders ◽

Substance Use Disorders ◽

Depressive Episode ◽

Poor Prognosis ◽

Prognostic Value ◽

Environmental Problems ◽

Psychosocial Stressors ◽

Axis I

BackgroundAxis IV is for reporting ‘psychosocial and environmental problems that may affect the diagnosis, treatment and prognosis of mental disorders’. No studies have examined the prognostic value of Axis IV in DSM-IV.MethodWe analyzed data from 2497 participants in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) with major depressive episode (MDE). We hypothesized that psychosocial stressors predict a poor prognosis of MDE. Secondarily, we hypothesized that psychosocial stressors predict a poor prognosis of anxiety and substance use disorders. Stressors were defined according to DSM-IV's taxonomy, and empirically using latent class analysis (LCA).ResultsPrimary support group problems, occupational problems and childhood adversity increased the risks of depressive episodes and suicidal ideation by 20–30%. Associations of the empirically derived classes of stressors with depression were larger in magnitude. Economic stressors conferred a 1.5-fold increase in risk for a depressive episode [95% confidence interval (CI) 1.2–1.9]; financial and interpersonal instability conferred a 1.3-fold increased risk of recurrent depression (95% CI 1.1–1.6). These two classes of stressors also predicted the recurrence of anxiety and substance use disorders. Stressors were not related to suicidal ideation independent from depression severity.ConclusionsPsychosocial and environmental problems are associated with the prognosis of MDE and other Axis I disorders. Although DSM-IV's taxonomy of stressors stands to be improved, these results provide empirical support for the prognostic value of Axis IV. Future work is needed to determine the reliability of Axis IV assessments in clinical practice, and the usefulness of this information to improving the clinical course of mental disorders.

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