Abstract

The rate of suicide attempts among people with substance abuse disorders in the U.S. is six times higher than in the general population. The prevalence of suicidal ideations and attempts continues to increase in Puerto Rico, with a significant incidence in substance-abusing populations. This retrospective cohort study evaluate the suicide profile of 4,347 opioid dependent participants in ASSMCA's methadone center in San Juan, PR, from 2015 to 2018 using questions related to suicidal ideation and attempts included in the admission questionnaire. Participants reporting suicide ideation increase from 8.5% in 2015 to 17.0% in 2018. In 2015 only 7.0% claimed to have had a history of a suicide attempt, increasing to 12.4% in 2018. Our data support the need for screening for suicide risk among substance abusing populations to identify targeted interventions. The identification of high-risk populations for suicide can help during rehabilitation and finding the adequate resources needed.

Highlights

  • Suicide is the 10th leading cause of death in the United States [1]

  • This study aimed to explore the prevalence of suicidal ideas and attempts in participants having an opioid substance abuse disorder upon entering treatment at a Methadone Center in San Juan, Puerto Rico

  • This study aimed to explore the prevalence of suicidal ideas and suicidal attempts in an opioiddependent population before entering a treatment and rehabilitation program at the CIATM Methadone Center in San Juan, Puerto Rico

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Summary

Introduction

Suicide is the 10th leading cause of death in the United States [1]. Between 1999 and 2014, the annual age-adjusted death rate from suicide rates among opioid users in the United States has risen from 0.3 per 100,000 in 1999 to between 0.6 and 0.7 in 2014 [2]. The rate of suicide attempts among people with substance abuse disorders is six times higher than those who do not suffer from it, while heroin users are 14 times more likely to commit suicide [4, 5]. The rate of suicide attempts among people with substance abuse disorders in the U.S is six times higher than in the general population. The prevalence of suicidal ideations and attempts continues to increase in Puerto Rico, with a significant incidence in substance-abusing populations

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