Document Detail


Risks and predictors of current suicidality in HIV-infected heroin users in treatment in Yunnan, China: a controlled study.
MedLine Citation:
PMID:  23196829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Suicide is an important public health problem in China. Elsewhere, injection drug use and HIV infection have independently been associated with suicidality, but research has often overlooked these high-risk groups in China. We determined the frequency and predictors of suicidal ideas in Chinese HIV-infected (HIV(+)) and HIV-uninfected (HIV(-)) heroin injection drug users (IDUs) in treatment and a control sample. We hypothesized that rates of suicidal ideas would be significantly higher among IDUs compared with controls and highest among HIV IDUs.
METHOD: We assessed suicidal ideas within the past 2 weeks in HIV(+) (n = 204) and HIV(-) (n = 202) heroin IDUs in methadone treatment in Yunnan, a province at the intersection of the heroin and HIV epidemics, and in demographically matched HIV non-drug-using controls (n = 201).
RESULTS: Rates of suicidality were higher in IDUs than controls, but there was no additive effect of HIV infection (HIV(+) IDU: 43.1%; HIV(-) IDU: 37.1%; controls: 8.5%). Among HIV(+) IDUs, suicidality was associated most strongly with a combination of prior history of major depression, low perceived social support, and experience of HIV-relevant stress, but not with AIDS diagnosis. Among HIV(-) IDUs, suicidality was associated with prior history of major depressive or alcohol use disorder. Less than 25% of IDUs with suicidality had histories of mood or alcohol use diagnoses.
CONCLUSION: Because suicidal ideation is frequent in IDUs in China, regardless of HIV status, and is not fully accounted for by past psychiatric history, additional research may be warranted.
Authors:
Hua Jin; J Hampton Atkinson; Nichole A Duarte; Xin Yu; Chuan Shi; Patricia K Riggs; Jianhua Li; Saurabh Gupta; Tanya Wolfson; Adam F Knight; Donald Franklin; Scott Letendre; Zunyou Wu; Igor Grant; Robert K Heaton;
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  62     ISSN:  1944-7884     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-08-08     Completed Date:  2013-08-20     Revised Date:  2014-04-10    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  311-6     Citation Subset:  IM; X    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Case-Control Studies
China
Cohort Studies
Female
HIV Infections / psychology*
Heroin Dependence / psychology*
Humans
Logistic Models
Male
Middle Aged
Risk Factors
Substance Abuse, Intravenous / psychology
Suicidal Ideation*
Young Adult
Grant Support
ID/Acronym/Agency:
P30 MH62512/MH/NIMH NIH HHS; R01 MH073433/MH/NIMH NIH HHS; R01 MH73433/MH/NIMH NIH HHS
Comments/Corrections

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