Substance abuse and suicide risk among adolescents

被引:87
作者
Pompili, Maurizio [1 ,2 ,3 ]
Serafini, Gianluca [1 ]
Innamorati, Marco [1 ]
Biondi, Massimo [10 ]
Siracusano, Alberto [4 ]
Di Giannantonio, Massimo [5 ]
Giupponi, Giancarlo [6 ]
Amore, Mario [7 ]
Lester, David [8 ]
Girardi, Paolo [1 ]
Moeller-Leimkuehler, Anne Maria [9 ]
机构
[1] Univ Roma La Sapienza, St Andrea Hosp, Suicide Prevent Ctr, Dept Neurosci Mental Hlth & Sensory Funct, I-00189 Rome, Italy
[2] Harvard Univ, McLean Hosp, Sch Med, Belmont, MA USA
[3] Univ Roma La Sapienza, St Andrea Hosp, Dept Neurosci Mental Hlth & Sensory Organs, I-00189 Rome, Italy
[4] Univ Roma Tor Vergata, Div Psychiat, Dept Neurosci, Rome, Italy
[5] Univ G dAnnunzio, Neurosci & Imaging Dept, Chieti, Italy
[6] Dept Psychiat, Bolzano, Italy
[7] Univ Parma, Dept Neurosci, Div Psychiat, I-43100 Parma, Italy
[8] Richard Stockton Coll New Jersey, Pomona, NJ USA
[9] Univ Munich, Dept Psychiat, D-8000 Munich, Germany
[10] Univ Roma La Sapienza, Dept Psychiat & Psychol Med, I-00189 Rome, Italy
关键词
Drug abuse; Alcohol abuse; Suicide; Youths; Prevention; STRESSFUL LIFE EVENTS; ALCOHOL-USE; DRUG-USE; DEPENDENT PATIENTS; COMPLETED SUICIDE; MENTAL-HEALTH; USE DISORDERS; CANNABIS USE; PSYCHIATRIC-DISORDERS; CONDUCT DISORDER;
D O I
10.1007/s00406-012-0292-0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this paper was to review the literature concerning the relationship between suicide and substance abuse behaviours among adolescents, focusing on epidemiology, comorbidity and preventive programmes. We performed a Pubmed/Medline, Scopus, PsycLit and PsycInfo search to identify all papers and book chapters during the period between 1980 and 2011. Adolescents with substance abuse disorder who attempt or complete suicide can be characterized as having mood disorders, stressful life events, interpersonal problems, poor social support, lonely lives and feelings of hopelessness. The research supports the existence of a strong relationship between suicide and substance abuse. Preventive programmes should be based on the detection of risk factors associated with both suicide and substance abuse disorder. Management programmes should combine different therapeutic strategies such as peer-to-peer education, school-based programmes, psychotherapy and pharmacological treatment. Evidence suggests that targeted suicide prevention programmes can be delivered which reduce the burden associated with substance abuse and suicide in youths.
引用
收藏
页码:469 / 485
页数:17
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