TY  - JOUR
PY  - 1998//
TI  - Psychiatric co-morbidity, suicidal behaviour and suicidal ideation in alcoholics seeking treatment
JO  - Addiction
A1  - Driessen, M.
A1  - Veltrup, C.
A1  - Weber, J.
A1  - John, U.
A1  - Wetterling, T.
A1  - Dilling, H.
SP  - 889
EP  - 894
VL  - 93
IS  - 6
N2  - AIMS: To estimate the impact of co-morbid disorders for suicidal ideas in alcohol-dependent subjects seeking treatment. DESIGN: Life-time psychiatric co-morbidity and previous suicidal behaviours were assessed retrospectively after detoxification (t1). In addition, suicidal behaviours were assessed 12 months after discharge (t2). SETTING: An inpatient detoxification treatment unit. PARTICIPANTS: Two hundred and fifty dependent inpatients were studied after detoxification. One hundred and forty-nine of them participated in the follow-up face-to-face interviews. MEASUREMENTS: Using two extended standardized interviews (CIDI and IPDE) psychiatric co-morbidity (DSM-III-R, Axes I and II) was assessed at t1; suicide attempts were reported at t1 and t2, and suicidal ideas were assessed at t2. FINDINGS: A history of suicide attempts was reported by 29.2% at t1, and suicidal ideas by 14.1% and suicide attempts by 5.4% at the follow-up (t2). One female patient committed suicide within 6 months of discharge from hospital. The following co-morbidity patterns were associated with the greatest risk for suicidal ideas. Anxiety and depressive disorders, Axes I and 11 disorders, and a history of suicide attempt (for suicidal ideas at (t2). CONCLUSION. Our results underline the importance of psychiatric co-morbidity for the suicidal risk in alcohol-dependent patients, while alcoholism itself appears to be only a moderate risk factor.<p /> <p>Language: en</p>
LA  - en
SN  - 0965-2140
UR  - http://dx.doi.org/
ID  - ref1
ER  -