社区美沙酮维持治疗者自杀意念和自杀未遂现况及其影响因素

Investigation on current status and influencing factors of suicidal ideation and suicide attempt among heroin addicts under community-based methadone maintenance treatment

目的了解社区美沙酮维持治疗海洛因成瘾者自杀意念、自杀未遂的出现率及其危险因素。方法对常州市美沙酮门诊维持治疗〉1年的260名海洛因成瘾者进行问卷调查,通过logistic回归分析筛选其危险因素。结果自杀意念和自杀未遂终生发生率分别为13.9%和6.5%;多因素分析显示两者的共同危险因素为近1个月与家人关系,其OR值（95%CI）分别为3.472（1.656~7.299）、3.289（1.175~9.174）;已婚为自杀意念的保护因素,其OR值（95%CI）为0.441（0.207~0.941）。结论近1个月与家人关系差和无婚配者是社区美沙酮维持治疗海洛因成瘾者自杀意念的高危人群,需给他们更多的社会和家庭关怀。

Objective To investigate the incidence and risk factors of suicidal ideation and suicide attempt among heroin addicts under community-based methadone treatment.Methods A total of 260 heroin addicts enrolled in clinical methadone maintenance treatment in Changzhou for more than 1 year were investigated by aquestionnaire-based survey.Logistic regression was used to analyze related risk factors.Results The lifetime incidence of suicidal ideation and suicide attempt was 13.9% and 6.5%,respectively.Multivariate logistic regression analysis found family relations in recent one month was a common risk factor for suicidal ideation and suicide attempt,with OR（95%CI）of 3.472（1.656~7.299）and 3.289（1.175~9.174）,respectively.Marriage was a protective factor for suicide ideation,with OR（95%CI）of 0.441（0.207~0.941）.Conclusion Heroin addicts under community-based methadone maintenance treatment having poor family relations or no spouse were high risk population for suicidal ideation,requiring more social and family care.