The association between partner and non-partner aggression and suicidal ideation in patients seeking substance use disorder treatment.

摘要

OBJECTIVE: The present study was designed to examine the relationship between prior partner and non-partner aggression and suicidal ideation in patients seeking drug and alcohol treatment. METHOD: Patients entering drug and alcohol treatment (n=488) were screened for prior partner and non-partner aggression as well as recent suicidal thoughts. We examined the association between aggression and suicidal ideation in bivariate and multivariate models. RESULTS: Within the past two weeks, 33% (159/488) of the sample reported suicidal ideation. In bivariate analyses, neither psychological nor physical aggression towards a non-partner was related to suicidal ideation. Partner psychological aggression was related to suicidal ideation in bivariate but not multivariate analyses. Physical aggression towards a partner was consistently related to higher rates of suicidal ideation even after controlling for other known risk factors (OR=1.8; CI=1.1-2.7). Mediational analyses indicate that this relationship was no longer significant after accounting for current negative affect. CONCLUSION: Suicidal ideation is common in patients seeking drug and alcohol treatment and particularly likely in those who report prior aggression towards a partner.