Mark A Ilgen1, Quyen Tiet, Rudolf Moos. 1. Center for Health Care Evaluation, Department of Veterans Affairs Palo Alto Health Care System, California, USA. Mark.Ilgen@med.va.gov
Abstract
OBJECTIVE: Numerous studies report high rates of substance-related problems and psychopathology in substance use disorder (SUD) patients with a history of a suicide attempt. However, little is known about the response of suicidal SUD patients to treatment. This study examined the treatment outcomes of suicidal and nonsuicidal SUD patients who were followed for 5 years. METHOD: A total of 2099 male SUD patients were recruited from 15 Department of Veterans Affairs residential alcohol and drug treatment programs and were assessed at four points (treatment entry, discharge, and 1 and 5 years later). Approximately 7% (n = 156) of the patients reported a suicide attempt in the 3 months prior to the start of treatment. RESULTS: Although patients with a recent suicide attempt reported severe patterns of alcohol use and elevated psychiatric symptoms at baseline, they showed significant improvements in both of these domains at discharge from residential treatment, and these improvements were still evident at 1-year and 5-year follow-ups. Suicidal SUD patients were no more likely to leave treatment early than were nonsuicidal patients, and they received slightly longer and more individualized treatment. CONCLUSIONS: Despite a more severe pattern of alcohol use and psychiatric symptoms at baseline, suicidal SUD patients benefitted substantially from residential SUD treatment. These findings imply that suicidal SUD patients can be treated effectively within SUD treatment settings.
OBJECTIVE: Numerous studies report high rates of substance-related problems and psychopathology in substance use disorder (SUD) patients with a history of a suicide attempt. However, little is known about the response of suicidal SUD patients to treatment. This study examined the treatment outcomes of suicidal and nonsuicidal SUD patients who were followed for 5 years. METHOD: A total of 2099 male SUD patients were recruited from 15 Department of Veterans Affairs residential alcohol and drug treatment programs and were assessed at four points (treatment entry, discharge, and 1 and 5 years later). Approximately 7% (n = 156) of the patients reported a suicide attempt in the 3 months prior to the start of treatment. RESULTS: Although patients with a recent suicide attempt reported severe patterns of alcohol use and elevated psychiatric symptoms at baseline, they showed significant improvements in both of these domains at discharge from residential treatment, and these improvements were still evident at 1-year and 5-year follow-ups. Suicidal SUD patients were no more likely to leave treatment early than were nonsuicidal patients, and they received slightly longer and more individualized treatment. CONCLUSIONS: Despite a more severe pattern of alcohol use and psychiatric symptoms at baseline, suicidal SUD patients benefitted substantially from residential SUD treatment. These findings imply that suicidal SUD patients can be treated effectively within SUD treatment settings.
Authors: Marcin Wojnar; Mark A Ilgen; Andrzej Jakubczyk; Anna Wnorowska; Anna Klimkiewicz; Kirk J Brower Journal: Drug Alcohol Depend Date: 2008-06-16 Impact factor: 4.492
Authors: Anna Klimkiewicz; Mark A Ilgen; Amy S B Bohnert; Andrzej Jakubczyk; Marcin Wojnar; Kirk J Brower Journal: Alcohol Alcohol Date: 2012-06-12 Impact factor: 2.826
Authors: Maurizio Pompili; Gianluca Serafini; Marco Innamorati; Giovanni Dominici; Stefano Ferracuti; Giorgio D Kotzalidis; Giulia Serra; Paolo Girardi; Luigi Janiri; Roberto Tatarelli; Leo Sher; David Lester Journal: Int J Environ Res Public Health Date: 2010-03-29 Impact factor: 3.390
Authors: Mark A Ilgen; Steve T Chermack; Regan Murray; Maureen A Walton; Kristen L Barry; Marcin Wojnar; Frederic C Blow Journal: Addict Behav Date: 2008-10-10 Impact factor: 3.913