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Risks and Predictors of Current Suicidality in HIV-Infected Heroin Users in Treatment in Yunnan, China: A Controlled Study
Jin, Hua1,2; Atkinson, J. Hampton1,2; Duarte, Nichole A.1; Yu, Xin3; Shi, Chuan3; Riggs, Patricia K.1; Li, Jianhua4; Gupta, Saurabh1; Wolfson, Tanya5; Knight, Adam F.1; Franklin, Donald1; Letendre, Scott1; Wu, Zunyou6; Grant, Igor1; Heaton, Robert K.1; HNRC China Collaboration Grp
关键词IV drug use HIV Depression Suicide China
刊名JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
2013-03-01
DOI10.1097/QAI.0b013e31827ce513
62期:3页:311-316
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Immunology ; Infectious Diseases
研究领域[WOS]Immunology ; Infectious Diseases
关键词[WOS]LIFETIME PREVALENCE ; METROPOLITAN CHINA ; IDEATION ; DISORDERS ; COUNTRIES ; HIV/AIDS ; BEHAVIOR ; STRESS ; PLANS ; RATES
英文摘要

Objective: Suicide is an important public health problem in China. Elsewhere, injection drug use and HIV infection have independently been associated with suicidality, but research has often overlooked these high-risk groups in China. We determined the frequency and predictors of suicidal ideas in Chinese HIV-infected (HIV+) and HIV-uninfected (HIV-) heroin injection drug users (IDUs) in treatment and a control sample. We hypothesized that rates of suicidal ideas would be significantly higher among IDUs compared with controls and highest among HIV+ IDUs.

Method: We assessed suicidal ideas within the past 2 weeks in HIV+ (n = 204) and HIV- (n = 202) heroin IDUs in methadone treatment in Yunnan, a province at the intersection of the heroin and HIV epidemics, and in demographically matched HIV- non-drug-using controls (n = 201).

Results: Rates of suicidality were higher in IDUs than controls, but there was no additive effect of HIV infection (HIV+ IDU: 43.1%; HIV- IDU: 37.1%; controls: 8.5%). Among HIV+ IDUs, suicidality was associated most strongly with a combination of prior history of major depression, low perceived social support, and experience of HIV-relevant stress, but not with AIDS diagnosis. Among HIV- IDUs, suicidality was associated with prior history of major depressive or alcohol use disorder. Less than 25% of IDUs with suicidality had histories of mood or alcohol use diagnoses.

Conclusion: Because suicidal ideation is frequent in IDUs in China, regardless of HIV status, and is not fully accounted for by past psychiatric history, additional research may be warranted.

语种英语
WOS记录号WOS:000314869300019
项目编号RO1 MH73433 ; P30 MH62512
资助机构National Institutes of Health, Bethesda
引用统计
被引频次:16[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59203
专题北京大学精神卫生研究所
作者单位1.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
2.China Yunnan Inst Drug Addict, Kunming, Peoples R China
3.China Centers Dis Control China CDC, Beijing, Peoples R China
4.VA San Diego Healthcare Syst, San Diego, CA USA
5.Univ Calif San Diego, HIV Neurobehav Res Program HNRP, HIV Neurobehav Res Ctr, San Diego, CA 92103 USA
6.Univ Calif San Diego, CASL, La Jolla, CA 92093 USA
推荐引用方式
GB/T 7714
Jin, Hua,Atkinson, J. Hampton,Duarte, Nichole A.,et al. Risks and Predictors of Current Suicidality in HIV-Infected Heroin Users in Treatment in Yunnan, China: A Controlled Study[J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES,2013,62(3):311-316.
APA Jin, Hua.,Atkinson, J. Hampton.,Duarte, Nichole A..,Yu, Xin.,Shi, Chuan.,...&HNRC China Collaboration Grp.(2013).Risks and Predictors of Current Suicidality in HIV-Infected Heroin Users in Treatment in Yunnan, China: A Controlled Study.JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES,62(3),311-316.
MLA Jin, Hua,et al."Risks and Predictors of Current Suicidality in HIV-Infected Heroin Users in Treatment in Yunnan, China: A Controlled Study".JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES 62.3(2013):311-316.
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