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Published Online:https://doi.org/10.1027/0227-5910.17.4.175

The prevalence of suicide attempts among opioid addicts is reported to lie between 8% and 17%, with some studies reporting an even higher rate among special groups of addicts. Yet there is insufficient knowledge about which addicts have a higher risk of suicide and which other factors seem to be involved in the constellation leading to the suicide attempt; the study of different subgroups of addicts is thus necessary. This paper reports a study on suicide attempts among a sample population in a detoxification unit and another group undergoing codeine maintenance treatment. There was a high rate of suicide attempts among both groups (23% of those in the detoxification unit and 28% of those maintained on codeine), but treating physicians tended to underestimate suicidality. The results lead to the conclusion that among a subgroup of addicts suicidality plays a larger role; a greater emphasis should thus be placed on the underlying psychopathology and the treatment needed.

References

  • Baden, MMHomicide, suicide and accidental death among narcotic addicts. Human Pathology, (1972). 31, 91–95 CrossrefGoogle Scholar

  • Behrendt, K, Bonorden-Kleij, K, Krausz, M, Degkwitz, P, Kellermann, BNiedrigschwelliger Drogenentzug — Konzept, Erfahrungen, Konsequenzen. Deutsches Ärzteblatt, (1993). 90, 147–151 Google Scholar

  • Degkwitz, P, Behrendt, K, Bonorden-Kleij, K, Krausz, MNiedrigschwelliger Drogenentzugs — Weichenstellung zur Schadensbegrenzung. In M Nowak, R Schifman, R Brinkmann (Eds) Drogensucht — Entstehungsbedingungen und therapeutische Praxis. Stuttgart New York: Schattauer (1994). Google Scholar

  • Fowler, RC, Rich, CL, Young, DThe San Diego Suicide Study: Substance abuse in young cases. Archives of General Psychiatry, (1986). 43, 962–965 Crossref MedlineGoogle Scholar

  • Hasin, D, Grant, B, Endicott, JTreated and untreated suicide attempts in substance abuse patients. Journal of Nervous and Mental Disease, (1988). 176, 289–294 Crossref MedlineGoogle Scholar

  • James, IPSuicide and mortality amongst heroin addicts in Britain. British Journal of Addiction, (1967). 62, 391–398 CrossrefGoogle Scholar

  • Kosten, TR, Rounsaville, BJSuicidality among opioid addicts: 2.5 year follow-up. American Journal of Drug, (&). Alcohol Abuse 1988; 14, 357–369 Google Scholar

  • Krausz, M, Degkwitz, P, Wernecke, A, Verthein, U, Chorzelski, G, Behrendt, KSubstitutionsbehandlung von Heroinabhängigen mit codeinhaltigen Präparaten — Behandlungseffekte aus Sicht der Ärzte und Patienten. Psychiatrische Praxis, (1995). 22, 179–185 MedlineGoogle Scholar

  • Murphy, SL, Rounsaville, BJ, Eyre, S, Kleber, HDSuicide attempts in treated opiate addicts. Comprehensive Psychiatry, (1983). 79–89 Crossref MedlineGoogle Scholar

  • Rich, CL, Fowler, RC, Young, DSubstance abuse and suicide: The San Diego Study. Annals of Clinical Psychiatry, (1989). 1, 79–85 CrossrefGoogle Scholar

  • Shafii, M, Carrigan, S, Whittinghill, JR, Derrick, APsychological autopsy of completed suicide in children and adolescents. American Journal of Psychiatry, (1985). 142, 1061–1064 Crossref MedlineGoogle Scholar

  • Schmidtke, AVerhaltenstheoretisches Erklärungsmodell suizidalen Verhaltens. Regensburg: Roderer (1986). Google Scholar

  • Verthein, U, Raschke, P, Kalke, JMethadone therapy in Hamburg. European Addiction Research, (1995). 1, 99–105 CrossrefGoogle Scholar

  • Weissman, MM, Slobetz, F, Prosoff, B, Mezritz, M, Howard, PClinical depression among narcotic addicts maintained on methadone in the community. American Journal of Psychiatry, (1976). 133, 1434–1438 Crossref MedlineGoogle Scholar