PMID- 17568953
OWN - NLM
STAT- MEDLINE
DCOM- 20070906
LR  - 20191210
IS  - 1937-1888 (Print)
IS  - 1937-1888 (Linking)
VI  - 68
IP  - 4
DP  - 2007 Jul
TI  - Substance use-disorder treatment and a decline in attempted suicide during and 
      after treatment.
PG  - 503-9
AB  - OBJECTIVE: Suicide attempts are common in patients being treated for 
      substance-use disorders (SUDs). However, little is known about the frequency of 
      suicidal behavior during and after SUD treatment or about aspects of treatment 
      that predict subsequent suicidal behavior. The present study examines whether 
      treatment setting, length of treatment, and availability/use of psychiatric 
      services are associated with a reduced likelihood of a suicide attempt during and 
      1 year after treatment. METHOD: A national sample of 3,733 patients was assessed 
      at the start of an episode of SUD treatment and again at discharge and/or 1 year 
      after treatment. Mixed-model logistic regression analyses examined 
      treatment-related predictors of in-treatment and posttreatment suicide attempts. 
      RESULTS: The rate of suicide attempts was significantly lower in the year 
      following treatment (4%) than in the year before treatment (9%). Additionally, a 
      total of 2% of patients reported a suicide attempt during treatment. Suicide 
      attempts made during treatment were less likely in patients treated in 
      residential as compared with outpatient settings. A longer course of treatment 
      was associated with a lower likelihood of a posttreatment suicide attempt. 
      CONCLUSIONS: A sizable minority of patients report a suicide attempt either 
      during or within 1 year after completion of SUD treatment. Even after controlling 
      for baseline suicidality, aspects of the SUD treatment episode are associated 
      with a lower risk of a future suicide attempt. Treatment providers should 
      consider placing patients in residential settings to reduce suicide attempts made 
      during treatment and providing a longer course of treatment to reduce the 
      likelihood of suicide following treatment.
FAU - Ilgen, Mark A
AU  - Ilgen MA
AD  - Center for Health Care Evaluation, Department of Veterans Affairs Palo Alto 
      Health Care System, 795 Willow Road (MPD 152), Menlo Park, California 94025, USA. 
      Mark.Ilgen@va.gov
FAU - Jain, Anuja
AU  - Jain A
FAU - Lucas, Emma
AU  - Lucas E
FAU - Moos, Rudolf H
AU  - Moos RH
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - J Stud Alcohol Drugs
JT  - Journal of studies on alcohol and drugs
JID - 101295847
RN  - 0 (Crack Cocaine)
SB  - IM
MH  - Adult
MH  - Alcoholism/epidemiology/*rehabilitation
MH  - Cocaine-Related Disorders/epidemiology/*rehabilitation
MH  - *Crack Cocaine
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Likelihood Functions
MH  - Longitudinal Studies
MH  - Male
MH  - Statistics as Topic
MH  - Substance Abuse Treatment Centers/statistics & numerical data
MH  - Substance-Related Disorders/epidemiology/*rehabilitation
MH  - Suicide, Attempted/*prevention & control/statistics & numerical data
MH  - United States
EDAT- 2007/06/15 09:00
MHDA- 2007/09/07 09:00
CRDT- 2007/06/15 09:00
PHST- 2007/06/15 09:00 [pubmed]
PHST- 2007/09/07 09:00 [medline]
PHST- 2007/06/15 09:00 [entrez]
AID - 10.15288/jsad.2007.68.503 [doi]
PST - ppublish
SO  - J Stud Alcohol Drugs. 2007 Jul;68(4):503-9. doi: 10.15288/jsad.2007.68.503.