Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil

作者: Vinícius Serafini Roglio , Eduardo Nunes Borges , Francisco Diego Rabelo-da-Ponte , Felipe Ornell , Juliana Nichterwitz Scherer

DOI: 10.1371/JOURNAL.PONE.0232242

关键词:

摘要: Background Suicide is a severe health problem, with high rates in individuals addiction. Considering the lack of studies exploring suicide predictors this population, we aimed to investigate factors associated attempted inpatients diagnosed cocaine use disorder using two analytical approaches. Methods This cross-sectional study secondary database 247 men and 442 women hospitalized for disorder. Clinical assessment included Addiction Severity Index, Childhood Trauma Questionnaire, Structured Interview Diagnostic Statistical Manual Mental Disorders, totalling 58 variables. Descriptive Poisson regression predictive Random Forest algorithm were used complementarily estimate prevalence ratios build prediction models, respectively. All analyses stratified by gender. Results The was 34% 50% women. In both genders, depression (PRM = 1.56, PRW 1.27) hallucinations 1.80, 1.39) suicide. Other specific found women, such as childhood trauma, aggression, drug severity. The men's model had statistics AUC 0.68, Acc. 0.66, Sens. 0.82, Spec. 0.50, PPV 0.47 NPV 0.84. This identified several variables important predictors, mainly related women's higher power (AUC 0.73 all other equal 0.71) parsimonious. Conclusions Our findings indicate that depression, trauma genders. Also, it suggests severity may be moderator between among men, while psychiatric issues shown more

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