Significant relationship between lifetime alcohol use disorders and suicide attempts in an Australian schizophrenia sample

The aim of the study was to identify inpatients due to autolytic behavior in the acute psychiatric hospitalization of Dr. R. Lafora Hospital. It is an observational, descriptive and retrospective study. We collected information about patients aged 18 to 64 who were hospitalized during the month of January of 2015 in the acute psychiatric hospitalization by Selene software. The results were analyzed by SPSS software; 53.3% of patients diagnosed with schizophrenia spectrum and other psychotic disorders were hospitalized for acute exacerbation of paranoid schizophrenia; 57.1% of personality disorders for suicide attempts, 28.6% autolytic ideation; 28.6% of bipolar disorders due to mania, 28.6% depression, 28.6% mixed clinical and 14.29% suicide attempts; 60% of alcohol use disorders for autolytic ideation, 20% intoxication; 100% of substance-related and addictive disorders due to autolytic ideation; 100% of feeding and eating disorders for autolytic ideation; 50% of obsessive-compulsive and related disorders due to autolytic ideation; 100% of adjustment disorders with depressed mood due to drug over-eating; 100% of adjustment disorders with mixed anxiety and depressed mood for mixed clinic; 16.7% of depressive disorders due to dysthymia, 16.7% due to major depressive episode, 16.7% for moderate depressive episode, 16.7% for mild depressive episode with mixed nature, 16.7% for drug over-eating, 16.7% for autolytic ideation. It would be important to focus on patients with a diagnosis of adjustment disorders, personality disorders, alcohol use disorders, obsessive-compulsive and related disorders and bipolar disorders, providing community care and avoiding the risks associated psychiatric hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The Association of Alcohol Use Disorders with Suicidal Ideation and Suicide Attempts in a Population-Based Sample with Mood Symptoms

Archives of Suicide Research ◽

10.1080/13811118.2015.1004489 ◽

2015 ◽

Vol 20 (2) ◽

pp. 219-232 ◽

Cited By ~ 12

Author(s):

Yoon-kyu Sung ◽

Lareina N. La Flair ◽

Ramin Mojtabai ◽

Li-Ching Lee ◽

Stanislav Spivak ◽

...

Keyword(s):

Suicidal Ideation ◽

Alcohol Use ◽

Suicide Attempts ◽

Alcohol Use Disorders ◽

Population Based ◽

Mood Symptoms

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Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462010005000016 ◽

2010 ◽

Vol 32 (3) ◽

pp. 250-256 ◽

Cited By ~ 13

Author(s):

Neury José Botega ◽

Gabriela Nero Mitsuushi ◽

Renata Cruz Soares de Azevedo ◽

Daniela Dantas Lima ◽

Priscila Caroline Fanger ◽

...

Keyword(s):

Alcohol Use ◽

Psychiatric Disorders ◽

General Hospital ◽

Nicotine Dependence ◽

Suicide Attempts ◽

Alcohol Use Disorders ◽

Specific Treatment ◽

Depression Scale ◽

Surgical Patients ◽

Prevalence Rates

OBJECTIVE: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. METHOD: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. RESULTS: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). CONCLUSION: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies.

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