Suicidal ideation and attempts among men who inject drugs in Delhi, India: psychological and social risk factors

Social psychiatry - Tập 49 - Trang 1367-1377 - 2014
Gregory Armstrong1, Anthony F. Jorm2, Luke Samson3, Lynette Joubert4, Shalini Singh3, Michelle Kermode1
1Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Australia
2Population Mental Health Group, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Australia
3The Society for Service to Urban Poverty (SHARAN), Delhi, India
4Department of Social Work, School of Health Sciences, University of Melbourne, Carlton, Australia

Tóm tắt

Suicide is major public health problem in India. The objective of the analyses presented in this paper is to examine depressive and anxiety symptoms and socio-demographic indicators as correlates of suicidal ideation and attempts among people who inject drugs (PWID), a high-risk group for suicide. We analysed data collected in April–May of 2012 from a community-based sample of 420 PWID in Delhi using time location sampling. Self-report symptom scales were used to measure the severity of symptoms of depression (PHQ-9) and anxiety (GAD-2) within the preceding 2 weeks. We assessed the presence of suicidal thoughts within the past 12 months. Depressive and anxiety symptoms were associated with suicidal ideation, as were a range of social stressors including poor physical health, length of injecting drug use, housing insecurity, and experiences of violence and sexual abuse. However, depressive and anxiety symptoms were not associated with suicide attempts. Factors associated with suicide attempts among ideators were housing insecurity and relational dynamics including a poor relationship with family and, interestingly, being married. Suicide prevention interventions among this population should address not only individual mental health and addiction support needs but also the overwhelmingly poor psychosocial circumstances of this group.

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