Access to Psychotropic Medication via Prescription Is Associated With Choice of Psychotropic Medication as Suicide Method: A Retrospective Study of 27,876 Suicide Attempts.

摘要: Objective Whether physical access to psychotropic medication via prescription (ie, prescribed access) is associated with use of as a means subsequent suicide attempt remains unclear. In population attempters, we investigated whether any increased the likelihood using drug in and specific type that an attempt. Methods Case-control study design was used. We identified individuals receiving care for (fatal or nonfatal) emergency department inpatient settings from US insurance claims dataset (2006-2013) relevant ICD-9-CM codes. Cases used their attempt, while controls another method. Exposed filled within 90 days prior Multivariable logistic regression estimated odds ratios. Results A 27,876 (cases = 10,158, 17,718) included. Anxiolytics were most attempts (n 6,037, 59.4%), followed by antidepressants 3,573, 35.2%), antipsychotics mood stabilizers 1,168, 11.5%), stimulants 368, 3.6%). Thirteen percent 1,316) more than 1 Across all groups evaluated, significantly likely have had (adjusted ratio [aOR] 1.7; 95% CI, 1.6-1.9), highest type-specific ratios (aOR 6.5; 5.4-7.7) 7.6; 5.5-10.5). Conclusions Individuals at high risk should be targeted safety interventions.