Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder

Taner Öznur, Havva Öznur, A. Bolu, Serdar Atik, A. Akgun, Şahin Kaymak, C. Çelik, K. N. Özmenler, Ö. Uzun
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引用次数: 2

Abstract

Relationship between suicide attempts and synthetic cannabinoids in adjustment disorder Objective: Although it has been known that adult patients with an adjustment disorder diagnosis do not have suicidal behavior similar to adolescents, the validity of this assertion in particular groups is unknown. This study was designed to determine the prevalence and risk factors associated with suicide in patients with adjustment disorder that resulted in suicide among young men performing compulsory military service. Method: Of 202 young men with a diagnosis of adjustment disorder, 125 (61.9%) were admitted with adjustment problems and 77 (38.1%) with suicide attempt. Demographic characteristics, substance abuse, psychiatric disorders, suicide attempts, family history of suicide, self-mutilation, and physical and sexual trauma histories of both groups were compared. Results: Of the patients who attempted suicide, 83.1% (n=64) selected methods unlikely to fail including f irearms, hanging, jumping, cutting tools, and burning. Signif icant differences were found between the two groups (those who attempted suicide versus those who did not) in terms of SC use and self mutilation history. In addition, the use of synthetic cannabinoids was associated with past suicide attempts. But, it is difficult to generalize the results of the study to all patients with adjustment disorder. Conclusion: These findings may help to predict suicidal behavior in young men showing symptoms of adjustment disorder.
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适应障碍患者自杀企图与合成大麻素的关系
目的:虽然已经知道适应障碍诊断的成年患者没有类似于青少年的自杀行为,但这一断言在特定群体中的有效性尚不清楚。本研究的目的是确定在服兵役的年轻男性中,因适应障碍而导致自杀的患病率及其与自杀相关的危险因素。方法:202例确诊为适应障碍的青年男性中,125例(61.9%)存在适应问题,77例(38.1%)有自杀企图。比较两组的人口学特征、药物滥用、精神障碍、自杀企图、自杀家族史、自残史以及身体和性创伤史。结果:在企图自杀的患者中,83.1% (n=64)选择了不太可能失败的方法,包括枪支、上吊、跳楼、刀具和焚烧。两组(自杀未遂组与未自杀组)在SC使用和自残史方面存在显著差异。此外,合成大麻素的使用与过去的自杀企图有关。但是,很难将研究结果推广到所有的适应障碍患者。结论:这些发现可能有助于预测有适应障碍症状的年轻男性的自杀行为。
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