Nursing Journal in Costa Rica ISSN electrónico: 1409-4568

OAI: https://www.revistas.ucr.ac.cr/index.php/enfermeria/oai
Echoes of early-life stress on suicidal behavior in individuals with substance use disorder
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Keywords

Adverse-Childhood-Experiences
Child-Abuse
Self-injurious-Behavior
Substance-Related-Disorders
Suicide
Experiencias-Adversas-de-la-Infancia
Conducta-Autodestructiva
Maltrato-a-los-Niños
Suicidio
Trastornos-Relacionados-con-Sustancias
Experiências-Adversas-da-Infância
Comportamento-Autodestrutivo
Maus-Tratos-Infantis
Suicídio
Transtornos-Relacionados-ao-Uso-de-Substâncias

How to Cite

1.
Camargo-Júnior EB, Fernandes MN de F, Gherardi-Donato EC da S. Echoes of early-life stress on suicidal behavior in individuals with substance use disorder. Enferm. Actual Costa Rica (en línea) [Internet]. 2023Jan.2 [cited 2024May19];(44):1-15. Available from: https://www.revistas.ucr.ac.cr/index.php/enfermeria/article/view/48972

Abstract

Introduction: Psychoactive substances abuse is considered a problematic social factor due its likelihood to cause harmful, self-destructive behaviors to the subjects and the overall society. Stress in an individual's early life may also be a contributing factor to substance abuse as well as suicide attempts. There is a lack of studies examining these factors in people with substance-use disorder.

Aim: to identify the relationship between early-life stress and suicide attempts in drug-dependent adults.

Methods: This is a predictive correlational study with a cross-sectional approach. The convenience sample consisted of 105 individuals treated at an outpatient unit for addiction treatment. The participants were assessed using the Mini-international Neuropsychiatric Interview, a Childhood Trauma Questionnaire to measure the severity of the different types of early life stress; the Beck Scale for Suicide Ideation was also used. The data were analyzed using descriptive and inferential statistics through univariate and multivariate logistic regression.

Results: The analyzed sample included 33 (31.4%) individuals who attempted suicide and were significantly more likely to suffer from emotional, physical, or sexual abuse than those who had never attempted suicide (p <0,05).

Conclusions: Different forms of early-life stress are related to attempted suicide in people with substance-use disorder. Further studies are needed to understand the effects of early-life stress on suicide attempts in drug-dependent people.

https://doi.org/10.15517/enferm.actual.cr.i44.48972
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References

United Nations Office on Drugs and Crime. World Drug Report 2020 [Internet]. United Nations; 2020 [cited 2021 Oct 13]. Available from: https://www.un-ilibrary.org/content/books/9789210050470/read

Fundação Oswaldo Cruz, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. III Levantamento Nacional sobre o uso de drogas pela população brasileira [Internet]. 2017 [cited 2021 Feb 23]; Available from: https://www.arca.fiocruz.br/handle/icict/34614

Kim BKE, Gilman AB, Kosterman R, Hill KG. Longitudinal associations among depression, substance abuse, and crime: A test of competing hypotheses for driving mechanisms. J Crim Justice. 2019;62:50–7. doi: https://doi.org/10.1016/j.jcrimjus.2018.08.005

Too LS, Spittal MJ, Bugeja L, Reifels L, Butterworth P, Pirkis J. The association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies. J Affect Disord. 2019;259:302–13. doi: https://doi.org/10.1016/j.jad.2019.08.054

Padmanathan P, Hall K, Moran P, Jones HE, Gunnell D, Carlisle V, et al. Prevention of suicide and reduction of self-harm among people with substance use disorder: A systematic review and meta-analysis of randomised controlled trials. Compr Psychiatry. 2020;96:152135. doi: https://doi.org/10.1016/j.comppsych.2019.152135

Jung M. The relationship between alcohol abuse and suicide risk according to smoking status: A cross-sectional study. J Affect Disord. 2019;244:164–70. doi: https://doi.org/10.1016/j.jad.2018.09.077

Bonadiman CSC, Passos VMA, Mooney M, Naghavi M, Melo APS. A carga dos transtornos mentais e decorrentes do uso de substâncias psicoativas no Brasil: Estudo de Carga Global de Doença, 1990 e 2015. Rev Bras Epidemiol [Internet]. 2017;20:191–204. doi: https://doi.org/10.1590/1980-5497201700050016

Ferrari AJ, Norman RE, Freedman G, Baxter AJ, Pirkis JE, Harris MG, et al. The burden attributable to mental and substance use disorders as risk factors for suicide: Findings from the Global Burden of Disease Study 2010. PLoS One [Internet]. 2014;9(4). doi: 10.1371/journal.pone.0091936

Kinsella EA, Smith K, Bhanji S, Shepley R, Modor A, Bertrim A. Mindfulness in allied health and social care professional education: a scoping review. Disabil Rehabil. 2020;42(2):283–95. doi: https://doi.org/10.1080/09638288.2018.1496150

Ostergaard MLD, Nordentoft M, Hjorthoj C. 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 personality disorder. Addiction. 2017;112(7):1250–9. doi: https://doi.org/10.1111/add.13788

Enoch MA. The role of early life stress as a predictor for alcohol and drug dependence. Psychopharmacology (Berl). 2011 Mar;214(1):17–31. Doi:10.1007/s00213-010-1916-6.

Fuller-Thomson E, Roane JL, Brennenstuhl S. Three Types of Adverse Childhood Experiences, and Alcohol and Drug Dependence Among Adults: An Investigation Using Population-Based Data. Subst Use Misuse. 2016;51(11):1451–61. doi: https://doi.org/10.1080/10826084.2016.1181089

Choi NG, DiNitto DM, Marti CN, Segal SP. Adverse childhood experiences and suicide attempts among those with mental and substance use disorders. Child Abus Negl. 2017;69:252–62. doi: https://doi.org/10.1016/j.chiabu.2017.04.024

Hung GCL, Caine ED, Fan HF, Huang MC, Chen YY. Predicting suicide attempts among treatment-seeking male alcoholics: An exploratory study. Suicide Life-Threatening Behav. 2013;43(4):429–38. doi: https://doi.org/10.1111/sltb.12028

Marshall BDL, Galea S, Wood E, Kerr T. Longitudinal associations between types of childhood trauma and suicidal behavior among substance users: A cohort study. Am J Public Health. 2013;103(9):e69. doi: https://doi.org/10.2105/AJPH.2013.301257

Angelakis I, Gillespie EL, Panagioti M. Childhood maltreatment and adult suicidality: A comprehensive systematic review with meta-analysis. Psychol Med. 2019;49(7):1057–78. doi: https://doi.org/10.1017/S0033291718003823

Newins AR, Wilson LC, Kimbrel NA. Child maltreatment and suicidal ideation: The role of PTSD symptoms and alcohol misuse. Curr Psychol. 2019;1–7. doi: https://doi.org/10.1007/s12144-019-00436-1

Mohammadzadeh A, Ganji Z, Khosravani V, Mohammadpanah Ardakan A, Amirinezhad A. Direct and indirect associations between perception of childhood trauma and suicidal ideation through emotion dysregulation in males who use heroin. Addict Behav. 2019;98:106011. doi: https://doi.org/10.1016/j.addbeh.2019.05.035

Icick R, Karsinti E, Brousse G, Chrétienneau C, Trabut J-B, Belforte B, et al. Childhood trauma and the severity of past suicide attempts in outpatients with cocaine use disorders. Subst Abus. 2021;1–10. doi: https://doi.org/10.1080/08897077.2021.1975875

Amorim P. Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Rev Bras Psiquiatr. 2000;22(3):106–15. doi: https://doi.org/10.1590/S1516-44462000000300003

Marques JMA, Zuardi AW. Validity and applicability of the Mini International Neuropsychiatric Interview administered by family medicine residents in primary health care in Brazil. Gen Hosp Psychiatry. 2008;30(4):303–10. doi: https://doi.org/10.1016/j.genhosppsych.2008.02.001

Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abus Negl. 2003;27(2):169–90. doi: https://doi.org/10.1016/j.genhosppsych.2008.02.001

Grassi-Oliveira R, Stein LM, Pezzi JC. Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire. Rev Saude Publica. 2006;40(2):249–55. doi: https://doi.org/10.1590/S0034-89102006000200010

Cunha J. Manual da versão em português das Escalas Beck – ScienceOpen [Internet]. São Paulo: Casa do Psicólogo; 2001 [cited 2021 Feb 24]. Available from: https://www.scienceopen.com/document?vid=760d7977-aa5a-4b16-be6a-7f84e0aa0201

Werlang BSG, Borges VR, Fensterseifer L. Estudo de fidedignidade e validade da Escala de Ideação Suicida de Beck. In: Comportamento suicida. Porto Alegre: Artmed; 2004:189–93.

Jordans M, Rathod S, Fekadu A, Medhin G, Kigozi F, Kohrt B, et al. Suicidal ideation and behaviour among community and health care seeking populations in five low- and middle-income countries: A cross-sectional study. Epidemiol Psychiatr Sci. 2018;27(4):393–402. doi: https://doi.org/10.1017/S2045796017000038

Plans L, Nieto E, Benabarre A, Vieta E. Completed suicide in bipolar disorder patients: A cohort study after first hospitalization. J Affect Disord. 2019;257:340–4. doi: https://doi.org/10.1016/j.jad.2019.07.048

Borges G, Nock MK, Abad JMH, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the world health organization world mental health surveys. J Clin Psychiatry. 2010;71(12):1617–28 doi: 10.4088/JCP.08m04967blu

Abdalla RR, Miguel AC, Brietzke E, Caetano R, Laranjeira R, Madruga CS. Suicidal behavior among substance users: Data from the second brazilian national alcohol and drug survey (II bnads). Brazilian J Psychiatry. 2019;41(5):437–40. doi: https://doi.org/10.1590/1516-4446-2018-0054

Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016;387(10024):1227–39. doi: https://doi.org/10.1016/S0140-6736(15)00234-2

Vijayakumar L. Suicide in women. Indian J Psychiatry. 2015;57(6):233. doi: 10.4103/0019-5545.161484

Alvarado-Esquivel C. Suicidal Ideation and Suicide Attempts in Middle-Aged Women Attending a Primary Care Center: A Cross-Sectional Study in Mexico. J Clin Med Res. 2018;10(9):693–9. doi: https://doi.org/10.14740/jocmr3501w

Park S, Lee Y, Youn T, Kim BS, Park JI, Kim H, et al. Association between level of suicide risk, characteristics of suicide attempts, and mental disorders among suicide attempters. BMC Public Health. 2018;18(1). doi: https://doi.org/10.1186/s12889-018-5387-8

Fountoulakis KN. Suicides in Greece before and during the period of austerity by sex and age group: Relationship to unemployment and economic variables. J Affect Disord. 2020;260:174–82. doi: https://doi.org/10.1016/j.jad.2019.09.001

Goodwill JR, Zhou S. Association between perceived public stigma and suicidal behaviors among college students of color in the U.S. J Affect Disord. 2020;262:1–7. doi: https://doi.org/10.1016/j.jad.2019.10.019

Yuodelis-Flores C, Ries RK. Addiction and suicide: A review. Am J Addict. 2015;24:98–104. doi: https://doi.org/10.1111/ajad.12185

Liu J, Fang Y, Gong J, Cui X, Meng T, Xiao B, et al. Associations between suicidal behavior and childhood abuse and neglect: A meta-analysis. J Affect Disord. 2017;220:147–55. doi: https://doi.org/10.1016/j.jad.2017.03.060

Rodríguez-Cintas L, Daigre C, Braquehais MD, Palma-Alvarez RF, Grau-López L, Ros-Cucurull E, et al. Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders. Psychiatry Res. 2018;262:440–5. doi: https://doi.org/10.1016/j.psychres.2017.09.021

Heim C, Shugart M, Craighead WE, Nemeroff CB. Neurobiological and psychiatric consequences of child abuse and neglect. Dev Psychobiol. 2010;52(7):671–90. doi: https://doi.org/10.1002/dev.20494

Lee Y, Lee D, Hong HJ. Gender-based Multilevel Analysis of Influential Factors for Suicide Attempts among At-risk Non-referred Adolescents in Korea. Clin Psychopharmacol Neurosci. 2020;18(1):116–26. doi: https://doi.org/10.9758/cpn.2020.18.1.116

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Copyright (c) 2023 Elton Brás Camargo-Júnior, Dr., Maria Neyrian de Fátima Fernandes, Edilaine Cristina da Silva Gherardi-Donato, Dra

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