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Suicide attempts and overdoses among adults entering addictions treatment: comparing correlates in a U.S. National Study.
[child syndrome]
Suicide
attempts
and
non-fatal
overdoses
are
both
associated
with
substance
use
.
The
aim
of
the
present
study
was
to
examine
correlates
of
suicide
attempts
and
non-fatal
overdoses
simultaneously
among
individuals
seeking
addictions
treatment
.
A
large
U
.
S
.
national
sample
of
individuals
entering
addictions
treatment
participated
in
a
cross-sectional
survey
(
n
=
5892
)
.
Multinomial
logistic
regression
modeling
tested
the
adjusted
associations
of
violence
,
injection
drug
use
,
specific
substances
,
and
depressive
symptoms
with
a
four
-category
outcome
variable
based
on
prior
histories
of
suicide
attempt
and
non-fatal
overdose
(
neither
,
suicide
attempt
only
,
overdose
only
,
both
)
,
adjusting
for
demographic
and
treatment
characteristics
.
Sexual
and
physical
victimization
was
associated
with
suicide
attempts
with
or
without
overdoses
(
ORs
1
.
25
-
2
.
84
)
,
while
perpetrating
violence
was
associated
with
having
experienced
either
or
both
outcomes
(
ORs
1
.
25
-
1
.
56
)
.
Depressive
symptoms
had
a
stronger
association
with
suicide
attempts
(
OR
=
3
.
05
)
than
overdoses
(
OR
=
1
.
29
)
.
Injection
drug
use
was
associated
with
overdoses
with
or
without
suicide
attempts
(
ORs
2
.
65
-
3
.
22
)
.
Individuals
seeking
treatment
for
marijuana
use
were
less
likely
have
overdosed
or
attempted
suicide
(
ORs
0
.
39
-
0
.
67
)
,
while
individuals
seeking
treatment
for
heroin
use
were
more
likely
to
have
overdosed
(
OR
=
1
.
46
)
.
Seeking
treatment
for
use
of
more
than
one
substance
was
associated
with
overdose
and
overdose
and
suicide
attempt
(
ORs
1
.
58
-
2
.
51
)
,
but
not
suicide
attempt
alone
.
The
present
findings
indicate
that
suicide
and
overdose
are
connected
yet
distinct
problems
.
Individuals
who
have
had
a
history
of
both
may
be
a
group
with
particularly
poor
psychological
functioning
as
well
as
more
severe
drug-related
problems
.
Diseases
Validation
Diseases presenting
"overdoses with or without suicide attempts"
symptom
child syndrome
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