南加州醉酒驾驶自残的患病率及相关因素

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2022-10-28 DOI:10.1080/16066359.2022.2135702
Melanie Barker, M. Zúñiga, J. Stockman, Susan Woodruff, Brittany A Wood
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引用次数: 0

摘要

背景酒精和其他药物影响下的自杀和驾驶是美国的公共卫生流行病。关于酒后驾驶与自杀之间关系的研究存在研究空白。本研究描述了南加州DUI项目参与者中人口统计学、酒精和药物相关特征、抑郁和自残(自杀念头、行为和非自杀性自残)之间的流行程度和联系。方法:在2019年7月至2020年3月期间,接受酒后驾驶治疗服务的参与者(n = 1310)报告了药物使用、心理健康和人口统计数据。使用描述性分析来确定终生自残想法或行为的流行程度。探讨了终身自残想法或行为与社会人口统计学、酒精、药物和抑郁严重程度测量之间的关联的双变量分析。采用人工逆向消去法获得变量p < 0.05有统计学意义或至少有一类非二分类变量p < 0.05有统计学意义的最终逻辑回归模型。对于那些报告自残的人,一份图表综述提取了临床主题,以确定酒后驾车事件是否被报告为蓄意自杀。结果有10% (n = 135)的参与者承认有终生自残史。年龄较小、女性、既往酒精治疗、抑郁情绪和家庭自杀史与自残显著相关。一人将酒后驾车事件报告为非自杀性自残,三人将其报告为自杀未遂。第一次和多次酒后驾车的违法者代表了临床人群中自杀念头和行为的风险增加,需要专门的治疗转诊。
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Prevalence and correlates of self-harm in a Southern California driving under the influence treatment setting
Abstract Background Suicide and driving under the influence of alcohol and other drugs are US public health epidemics. Research exploring the associations between driving under the influence and suicide presents a research gap. This study describes the prevalence and associations between demographic, alcohol and drug-related characteristics, depression, and self-harm (suicidal thoughts, behavior, and non-suicidal self-injury) among participants in a Southern California DUI Program. Methods Participants receiving driving under the influence treatment services (n = 1310) reported substance use, mental health and demographic data upon program intake between July 2019 and March 2020. A descriptive analysis was used to determine the prevalence of lifetime self-harm thoughts or behaviors. Bivariate analyses of associations between lifetime self-harm thoughts or behaviors and sociodemographic, alcohol, drug, and depression severity measures were explored. Manual backward elimination was used to obtain the final logistic regression model with variables statistically significant at p < 0.05 or had at least one category that was significant at p < 0.05 for non-dichotomous variables. For those reporting self-harm, a chart review extracted clinical themes to identify whether the driving under the influence event was reported as a deliberate suicide attempt. Results Ten percent (n = 135) of participants endorsed a lifetime self-harm history. Younger age, female gender, prior alcohol treatment, depressed mood, and family suicide history were significantly associated with self-harm. One individual reported the driving under the influence event as non-suicidal self-injury), and three reported it as a suicide attempt. Conclusion First- and multiple-time driving under the influence offenders represent a clinical population at increased risk for suicidal thoughts and behavior in need of specialized treatment referrals.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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