Document Detail

Suicidal ideation and alexithymia in patients with alcoholism: a pilot study.
MedLine Citation:
PMID:  15974142     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Suicidal incidences are known to be high in patients manifesting alcoholism. We attempted to characterize suicidal ideation in Japanese patients with alcoholism in relation to alexithymia. METHODS: Eighty-five male alcoholic patients, hospitalized in the alcoholics ward of a mental hospital and aged between 40 to 69 (52.9 +/- 8.3 years), and 79 nonalcoholic males in the same age range (54.9 +/- 7.1 years) recruited from a municipal garbage disposal plant were included in the study. The patients were evaluated using the Scale of Suicidal Ideation (SSI) and the Toronto Alexithymia Scale (TAS) during 2002. RESULTS: Of the alcoholic patients, 76.6% belonged to the high-risk group of suicidal ideation (SSI > 2), and 66.6% of the high-risk patients were alexithymic. In contrast, 86.1% of the nonalcoholic controls showed no suicidal ideation and only 17.7% of those without suicidal ideation were alexithymic. When the alcoholic patients with intensive suicidal ideation were compared with nonalcoholic patients without suicidal ideation, the scores of factor 1 and factor 2 were significantly higher in the former group (p < 0.001). CONCLUSIONS: Alcoholic patients with intensive suicidal ideation accompanied with alexithymia are characterized by the inability to communicate feelings. Therefore, the possibility of a suicidal attempt in those patients should always be kept in mind even though no suicide message is expressed.
Shigeru Sakuraba; Masako Kubo; Takeshi Komoda; Jun-Ichi Yamana
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Substance use & misuse     Volume:  40     ISSN:  1082-6084     ISO Abbreviation:  Subst Use Misuse     Publication Date:  2005  
Date Detail:
Created Date:  2005-06-24     Completed Date:  2006-05-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602153     Medline TA:  Subst Use Misuse     Country:  United States    
Other Details:
Languages:  eng     Pagination:  823-30     Citation Subset:  IM    
School of Health Sciences, Kyoto University, Kyoto, Japan.
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MeSH Terms
Affective Symptoms / epidemiology,  psychology*
Alcohol-Related Disorders / epidemiology,  psychology*
Cluster Analysis
Japan / epidemiology
Middle Aged
Pilot Projects
Suicide, Attempted / psychology*

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