Abstract
BackgroundSeveral studies have attempted to understand the link among drug addicts and suicidal ideation. The purpose of this study was to investigate the factors associated with suicidal ideation in drug addicts based on the Theory of Planned Behavior (TPB).MethodThis cross-sectional study was conducted with 2160 of drug addicts in private and public clinics for quitting addiction through methadone treatment in Shiraz city, Fars province, Iran from October 2018 to June 2019. Data gathering tools were a questionnaire on demographic characteristics, the Beck Scale for Suicidal Ideation and a questionnaire based on constructs of TPB. Data were analysed by SPSS 22 using descriptive statistics (mean, standard deviation, and frequency) and statistical tests (independent t-test, Pearson correlation coefficient, and linear regression). The significance level was considered 0.05.ResultsThe mean age of the participants was 39.24 ± 11.92; 80.28% of them had a history of quit and 43.19% of them had a history of arrest and imprisonment. According to the results, 19.63% of the participants had suicidal ideation and 10.97% had a history of suicide attempt during their lifetime. The constructs of attitude, subjective norms, perceived behavioral control, and intent predicted suicidal ideation in the subjects. Intent and perceived behavioral control constructs were the strongest predictors of suicidal ideation, respectively. In general, the studied variables predicted 54.8% of suicidal ideation.ConclusionThe structures of attitude, subjective norms and perceived behavioral control and intent predicted suicidal ideation in the drug addicts, so the theory of planned behavior will be a good framework for educational interventions to reduce suicide in them.
Highlights
Suicide is one of the most important mental health problems and abnormal social behaviors that leads to personal and family losses as well as social harm
19.63% of the participants had suicidal ideation and 10.97% had a history of suicide attempt during their lifetime
The structures of attitude, subjective norms and perceived behavioral control and intent predicted suicidal ideation in the drug addicts, so the theory of planned behavior will be a good framework for educational interventions to reduce suicide in them
Summary
Suicide is one of the most important mental health problems and abnormal social behaviors that leads to personal and family losses as well as social harm. A Suicide attempt is consciously aimed at self-harm and resulting from suicidal ideation. One of the problems of the international community that has led to severe physical and mental health disorders is drug dependence, which leads to different misbehaviors including suicide attempts [4] so that the most common cause of death in the population of addicts is suicide. Half of those who attempt suicide have a history of drug abuse [5]. The purpose of this study was to investigate the factors associated with suicidal ideation in drug addicts based on the Theory of Planned Behavior (TPB)
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