Klinik Psikiyatri Dergisi (Sep 2018)
The relationship of suicide attempt story and stress coping style among the patients with opioid substitution therapy
Abstract
Objective: In this study, it was aimed to investigate the relationship between stress coping styles and story of suicide attempt among a group of patients with buprenorphine maintenance treatment. Method: This study evaluated 90 patients who were hospitalized in the Alcohol and Substance Research Treatment and Training Center. All patients were evaluated using a semi-structured sociodemographic and clinical information form. At the same time with this form, substance abuse patterns and some clinical variables such as story of suicide attempt were also questioned. In addition, each patient was given State- Trait Anxiety Inventory, Beck Depression Ýnventory and the Coping Inventory for Stressful Situations. Results: The mean age of the patients was 26.3, duration of training was 9.45, age of first drug use was 16.1 years, duration of heroin use was 6.4 years. 33.3% of the patients had attempted suicide at least once. Patients who had a suicide attempt story had significantly lower age at onset (16.8 versus 14.8, p = 0.035, respectively). There was no statistically significant difference in emotion-oriented coping and avoidanceoriented coping scores while the task-oriented coping score was lower in those who had suicide attempt stories (25.33 versus 22.37, p = 0.019, respectively). The STAI-II scale score was significantly higher in those who had suicide attempt stories (43.4 versus 50.1, p <0.001, respectively). The difference between the two groups in terms of BDI and STAI-I scales was not statistically significant. Discussion: A third of the sample had at least one suicide attempt story. Those who attempt suicide use less the task-oriented coping strategies. According to the results of the study, it can be said that attempts to improve task-oriented coping skills in response to stressful conditions and to reduce the trait anxiety will have an important place in preventing suicidal behavior.
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