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Suicide and drug and alcohol addiction: Self-destructive behaviours. An observational study on clinic hospital population

Published online by Cambridge University Press:  23 March 2020

A. Nardella ,
G. Falcone ,
G. Giordano ,
D. Erbuto ,
M. Migliorati ,
M. Innamorati ,
P. Girardi  and
M. Pompili
A. Nardella
Affiliation:
Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
G. Falcone
Affiliation:
Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
G. Giordano
Affiliation:
Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
D. Erbuto
Affiliation:
Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sensory Organs NESMOS, Rome, Italy
M. Migliorati
Affiliation:
Faculty of Medicine and Psychology, Sapienza University of Rome, Department of Neuroscience, Mental Health and Sensory Organs NESMOS, Rome, Italy
M. Innamorati
Affiliation:
European University of Rome, Department of Human Sciences, Rome, Italy
P. Girardi
Affiliation:
Faculty of Medicine and Psychology, Sapienza University of Rome, Sant’Andrea Hospital Rome, Department of Neuroscience, Mental Health and Sensory Organs NESMOS, Rome, Italy
M. Pompili
Affiliation:
Faculty of Medicine and Psychology, Sapienza University of Rome, Sant’Andrea Hospital Rome, Department of Neuroscience, Mental Health and Sensory Organs NESMOS, Rome, Italy

Abstract

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Introduction

Suicidal behaviour and drug and alcohol dependence represent two different aspects of self-destructive behavior.

Objectives

We evaluated the relationship between suicidal behavior and substance and alcohol addiction. It was investigated the role of childhood trauma in these self-destructive behaviors and in the development of the two mental constructions of hopelessness and mentalization.

Aims

We also assessed how a high level of hopelessness could affect suicidal ideation and how low or absent capacity of mentalization could influence the development of substance and/or alcohol addiction.

Methods

This naturalistic, observational study included 50 patients (mean age = 46.54; S.D = 14.57) recruited from the department of psychiatry (n = 18) and the centre for suicide prevention (n = 32) of Sant’Andrea Hospital (Rome). Different questionnaires were administered to each patient from February to May 2016.

Results

There was not a statistically significant relationship between suicidal behavior and addict behavior. Childhood trauma resulted a risk factor for alcohol abuse with a relationship that tended to significance (P = 0.07). Physical and sexual abuses were significantly associated with addiction (respectively P = 0.014; P = 0.033). It was showed a statistically significant interaction between high level of hopelessness and suicidal ideation (P = 0.037). The absence of mentalization was related to the absence of alcohol abuse (P = 0.061). Finally, trauma experienced during childhood was associated with high level of hopelessness (P = 0.005).

Conclusions

Suicidal behavior is influenced indirectly by a childhood traumatic experience that conditioning the level of hopelessness. Childhood trauma affected directly the development of drug abuse and alcoholism. The capacity of mentalization was not related with childhood trauma.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Suicidology and suicide prevention – Part 2
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S400
Copyright
Copyright © European Psychiatric Association 2017
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