|Year : 2019 | Volume
| Issue : 5 | Page : 431-438
Patterns and predictors of self-harm in patients with substance-use disorder
Rishi Gupta, Shubham Narnoli, Nileshwar Das, Siddharth Sarkar, Yatan Pal Singh Balhara
Department of Psychiatry and National Drug Dependence Treatment Centre, AIIMS, New Delhi, India
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.
Dr. Siddharth Sarkar
Department of Psychiatry, National Drug Dependence Treatment Centre, Room No. 4096, Teaching Block, AIIMS, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
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