Deliberate self-harm in nondepressed substance-dependent patients

Sagar Lavania, Daya Ram, Samir Kumar Praharaj, Amil Hayat Khan, Amrit Pattojoshi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: The lifetime diagnosis of substance dependence syndrome is a major risk factor for attempting suicide. The systematic study of various risk factors of suicide in substance-dependent patients in Indian population will have far-reaching implications about the understanding of disorder. The objective was to study the sociodemographic and clinical factors associated with deliberate self-harm (DSH) in nondepressed substance-dependent patients. Methods: Participants included 60 male inpatients (30 patients with DSH and 30 without DSH) fulfilling International Classification of Diseases, Tenth Revision Diagnostic Criteria for Research for substance dependence syndrome, aged between 18 and 60 years, with Hamilton Depression Rating Scale score fewer than 7. They were assessed using Addiction Severity Index, Presumptive Stressful Life Event Scale, State-Trait Anger Expression Inventory, Lubben Social Network Scale, International Personality Disorder Examination, Risk Rescue Rating Scale, and Global Assessment of Functioning. Result: Patients with DSH had significantly higher rates of opioid dependence (P < .05), risk of isolation (P < 0.001), the number of life events (P < 0.001), anger trait and anger expression (P < 0.001), personality disorder (P < 0.05), the number of substance use problems and lower social functioning (P < 0.001), as compared with those without DSH (P < 0.001). There was no significant correlation between Risk Rescue Rating Scale with sociodemographic and clinical variables. Conclusions: The study demonstrated that patients with opioid dependence, high risk of isolation, the greater number of life events, higher anger trait and anger expression, personality disorder, low social functioning, and greater number of substance use problems have risk for DSH.

Original languageEnglish
Pages (from-to)247-252
Number of pages6
JournalJournal of Addiction Medicine
Volume6
Issue number4
DOIs
Publication statusPublished - 01-12-2012

Fingerprint

Self-Injurious Behavior
Anger
Personality Disorders
Suicide
Opioid Analgesics
Substance-Related Disorders
Social Problems
International Classification of Diseases
Social Support
Inpatients
Depression
Equipment and Supplies
Research
Population

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Lavania, Sagar ; Ram, Daya ; Praharaj, Samir Kumar ; Khan, Amil Hayat ; Pattojoshi, Amrit. / Deliberate self-harm in nondepressed substance-dependent patients. In: Journal of Addiction Medicine. 2012 ; Vol. 6, No. 4. pp. 247-252.
@article{417a2db9fe7b4e11861b4dcb3178ff6f,
title = "Deliberate self-harm in nondepressed substance-dependent patients",
abstract = "Objective: The lifetime diagnosis of substance dependence syndrome is a major risk factor for attempting suicide. The systematic study of various risk factors of suicide in substance-dependent patients in Indian population will have far-reaching implications about the understanding of disorder. The objective was to study the sociodemographic and clinical factors associated with deliberate self-harm (DSH) in nondepressed substance-dependent patients. Methods: Participants included 60 male inpatients (30 patients with DSH and 30 without DSH) fulfilling International Classification of Diseases, Tenth Revision Diagnostic Criteria for Research for substance dependence syndrome, aged between 18 and 60 years, with Hamilton Depression Rating Scale score fewer than 7. They were assessed using Addiction Severity Index, Presumptive Stressful Life Event Scale, State-Trait Anger Expression Inventory, Lubben Social Network Scale, International Personality Disorder Examination, Risk Rescue Rating Scale, and Global Assessment of Functioning. Result: Patients with DSH had significantly higher rates of opioid dependence (P < .05), risk of isolation (P < 0.001), the number of life events (P < 0.001), anger trait and anger expression (P < 0.001), personality disorder (P < 0.05), the number of substance use problems and lower social functioning (P < 0.001), as compared with those without DSH (P < 0.001). There was no significant correlation between Risk Rescue Rating Scale with sociodemographic and clinical variables. Conclusions: The study demonstrated that patients with opioid dependence, high risk of isolation, the greater number of life events, higher anger trait and anger expression, personality disorder, low social functioning, and greater number of substance use problems have risk for DSH.",
author = "Sagar Lavania and Daya Ram and Praharaj, {Samir Kumar} and Khan, {Amil Hayat} and Amrit Pattojoshi",
year = "2012",
month = "12",
day = "1",
doi = "10.1097/ADM.0b013e31826508c0",
language = "English",
volume = "6",
pages = "247--252",
journal = "Journal of Addiction Medicine",
issn = "1932-0620",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

Deliberate self-harm in nondepressed substance-dependent patients. / Lavania, Sagar; Ram, Daya; Praharaj, Samir Kumar; Khan, Amil Hayat; Pattojoshi, Amrit.

In: Journal of Addiction Medicine, Vol. 6, No. 4, 01.12.2012, p. 247-252.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Deliberate self-harm in nondepressed substance-dependent patients

AU - Lavania, Sagar

AU - Ram, Daya

AU - Praharaj, Samir Kumar

AU - Khan, Amil Hayat

AU - Pattojoshi, Amrit

PY - 2012/12/1

Y1 - 2012/12/1

N2 - Objective: The lifetime diagnosis of substance dependence syndrome is a major risk factor for attempting suicide. The systematic study of various risk factors of suicide in substance-dependent patients in Indian population will have far-reaching implications about the understanding of disorder. The objective was to study the sociodemographic and clinical factors associated with deliberate self-harm (DSH) in nondepressed substance-dependent patients. Methods: Participants included 60 male inpatients (30 patients with DSH and 30 without DSH) fulfilling International Classification of Diseases, Tenth Revision Diagnostic Criteria for Research for substance dependence syndrome, aged between 18 and 60 years, with Hamilton Depression Rating Scale score fewer than 7. They were assessed using Addiction Severity Index, Presumptive Stressful Life Event Scale, State-Trait Anger Expression Inventory, Lubben Social Network Scale, International Personality Disorder Examination, Risk Rescue Rating Scale, and Global Assessment of Functioning. Result: Patients with DSH had significantly higher rates of opioid dependence (P < .05), risk of isolation (P < 0.001), the number of life events (P < 0.001), anger trait and anger expression (P < 0.001), personality disorder (P < 0.05), the number of substance use problems and lower social functioning (P < 0.001), as compared with those without DSH (P < 0.001). There was no significant correlation between Risk Rescue Rating Scale with sociodemographic and clinical variables. Conclusions: The study demonstrated that patients with opioid dependence, high risk of isolation, the greater number of life events, higher anger trait and anger expression, personality disorder, low social functioning, and greater number of substance use problems have risk for DSH.

AB - Objective: The lifetime diagnosis of substance dependence syndrome is a major risk factor for attempting suicide. The systematic study of various risk factors of suicide in substance-dependent patients in Indian population will have far-reaching implications about the understanding of disorder. The objective was to study the sociodemographic and clinical factors associated with deliberate self-harm (DSH) in nondepressed substance-dependent patients. Methods: Participants included 60 male inpatients (30 patients with DSH and 30 without DSH) fulfilling International Classification of Diseases, Tenth Revision Diagnostic Criteria for Research for substance dependence syndrome, aged between 18 and 60 years, with Hamilton Depression Rating Scale score fewer than 7. They were assessed using Addiction Severity Index, Presumptive Stressful Life Event Scale, State-Trait Anger Expression Inventory, Lubben Social Network Scale, International Personality Disorder Examination, Risk Rescue Rating Scale, and Global Assessment of Functioning. Result: Patients with DSH had significantly higher rates of opioid dependence (P < .05), risk of isolation (P < 0.001), the number of life events (P < 0.001), anger trait and anger expression (P < 0.001), personality disorder (P < 0.05), the number of substance use problems and lower social functioning (P < 0.001), as compared with those without DSH (P < 0.001). There was no significant correlation between Risk Rescue Rating Scale with sociodemographic and clinical variables. Conclusions: The study demonstrated that patients with opioid dependence, high risk of isolation, the greater number of life events, higher anger trait and anger expression, personality disorder, low social functioning, and greater number of substance use problems have risk for DSH.

UR - http://www.scopus.com/inward/record.url?scp=84871251262&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871251262&partnerID=8YFLogxK

U2 - 10.1097/ADM.0b013e31826508c0

DO - 10.1097/ADM.0b013e31826508c0

M3 - Article

C2 - 22895462

AN - SCOPUS:84871251262

VL - 6

SP - 247

EP - 252

JO - Journal of Addiction Medicine

JF - Journal of Addiction Medicine

SN - 1932-0620

IS - 4

ER -