Indian Journal of PsychiatryIndian Journal of Psychiatry
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ORIGINAL ARTICLE
Year : 2019  |  Volume : 61  |  Issue : 5  |  Page : 431-438

Patterns and predictors of self-harm in patients with substance-use disorder


Department of Psychiatry and National Drug Dependence Treatment Centre, AIIMS, New Delhi, India

Correspondence Address:
Dr. Siddharth Sarkar
Department of Psychiatry, National Drug Dependence Treatment Centre, Room No. 4096, Teaching Block, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_578_18

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Background: Suicide is a growing health concern and causes significant health burden. Patients with substance use disorders represent an especially vulnerable population in terms of self-harm. Data on risk factors for self-harm in substance-using population in the Indian context are limited. We aimed to determine the patterns and sociodemographic/clinical predictors of self-harm in patients with substance use disorders. Materials and Methods: We assessed 300 male patients on Deliberate Self-Harm Inventory to assess the patterns of self-harm. We performed mediation analysis to determine whether clinical variables acted via sociodemographic variables in their effect on self-harm. Results: The occurrence rate of self-harm was 32.7%. It was significantly associated with a younger age, being unmarried/separated, unemployed, history of injecting drug use, high-risk sexual behavior, and cannabis use disorders. Conclusion: Self-harm is an important consideration among patients with substance use disorders, and needs to be addressed by the clinicians involved in the care of such patients.



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