Abstract

Objective

There exists no national French study on suicide attempts among people who use drugs (PWUD). Our objectives are to analyze lifetime suicide attempts in that population and to compare associated risks based on gender.

Method

The ANRS-Coquelicot study (2011–2013) conducted 1718 interviews with people over 18 who have injected or snorted a drug or medication (whether or not it was prescribed) at least once in their lifetime, who speak French or Russian, and who attend harm reduction facilities and drug treatment centers in France. Through stratified multivariate analyses based on gender using a Poisson regression, we determined risk factors.

Results

Among PWUD, 39.9% had attempted suicide (n = 655), with a distribution of 58.8% (n = 188) for women and 35.0% (n = 467) for men. Experiences of overdose, depression, receiving psychiatric care, setting during adolescence, daily alcohol use, and number of substances consumed during the last month were risk factors for men. Among women, experiences of overdose, self-reported HIV positive, and daily use of benzodiazepines and cocaine were risk factors.

Conclusion

we should develop psychiatric care into health services catering specifically to PWUD. As risk factors differed based on gender, we should strive to create distinct preventive health measures adapted to different populations. Keywords: people who use drugs; lifetime suicide attempts; gender; mental health, quantitative survey

中文翻译：

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吸毒者的自杀企图：使用法国 ANRS-Coquelicot 调查进行的基于性别的比较分析

摘要

客观的

没有关于吸毒者（PWUD）自杀未遂的全国性法国研究。我们的目标是分析该人群的终生自杀企图，并根据性别比较相关风险。

方法

ANRS-Coquelicot 研究 (2011-2013) 对 18 岁以上的人进行了 1718 次访谈，这些人一生中至少注射或吸食过一次药物或药物（无论是否开处方），他们会说法语或俄语，并且参加过法国的减害设施和药物治疗中心。通过使用泊松回归基于性别的分层多变量分析，我们确定了风险因素。

结果

在 PWUD 中，39.9% 曾企图自杀（n = 655），女性分布为 58.8%（n = 188），男性为 35.0%（n = 467）。过量服用、抑郁、接受精神科护理、青春期环境、每日饮酒和上个月消耗的物质数量是男性的危险因素。在女性中，过量服用、自我报告 HIV 阳性以及每天使用苯二氮卓类药物和可卡因是危险因素。

结论

我们应该将精神科护理发展为专门针对 PWUD 的卫生服务。由于风险因素因性别而异，我们应努力制定适合不同人群的不同预防性健康措施。关键词：吸毒者；终生自杀未遂；性别; 心理健康，定量调查