4176.0: Tuesday, October 23, 2001 - 3:15 PM

Abstract #25457

Prevalence of attempted suicide among young injection drug users and their treatment seeking behaviors

Jennifer R Havens, MPH1, Steffanie A Strathdee, PhD1, Crystal Fuller, MPH, PhD2, Robin Ikeda, MD, MPH3, Don C Des Jarlais, PhD4, Patricia Morse, PhD5, Susan Bailey, PhD6, Peter Kerndt, MD, MPH7, Richard Garfein, PhD8, and S. R Friedman9. (1) Department of Epidemiology, Johns Hopkins School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, 301-571-0770x117, jrochuss@jhsph.edu, (2) Division of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, (3) Division of Violence Prevention, Centers for Disease Control, Atlanta, GA, (4) Beth Israel Medical Center, New York, NY, (5) Department of Psychiatry, LSU Health Sciences Center, New Orleans, LA, (6) University of Illinois at Chicago School of Public Health, Chicago, IL, (7) Division of HIV Epidemiology, Los Angeles County Health Department, Los Angeles, CA, (8) Division of HIV/AIDS Prevention, Centers for Disease Control, 1600 Clifton Road, MS E-45, Atlanta, GA 30333, (9) National Development and Research Institutes, Two World Trade Center, 16th floor, New York, NY 10048

Objectives: To determine the prevalence of suicidal ideation and attempted suicide among young injection drug users (IDUs), and describe their treatment seeking behaviors. Methods: IDUs aged 18-30 were recruited in five U.S. locations: Baltimore, Chicago, New Orleans, New York City, and Los Angeles. Participants underwent interviewer-administered questionnaires concerning sociodemographics, behaviors and experiences during the prior six months. Chi-square analyses and logistic regression was used to identify services accessed by IDUs who had attempted suicide compared to those who had not, controlling for age and site. Results: Of 2175 IDUs with complete data, the sample was 63.3% male and 20.3% African American; mean age was 23.7 years. Thirty-six percent reported suicidal ideation in the past six months, of whom 149 (18.9%) reported a suicide attempt. Compared to those not reporting a recent suicide attempt, those attempting suicide were more likely to currently be receiving drug abuse treatment (53.7% vs. 37.1%, p<0.001), an association which persisted after controlling for age, site and other covariates [Adjusted Odds Ratio (AOR)=2.18, (95% CI: 1.54-3.09)]. Conclusions: One third of young IDUs reported suicidal ideation in the past six months, among whom nearly one fifth had recently attempted suicide, which highlights the need for appropriate suicide prevention services in this vulnerable population. Since persons who have attempted suicide are at high risk of subsequent attempts and completed suicide, these data suggest that drug treatment programs could represent an important site for locating such services.

Learning Objectives: N/A

Keywords: Injection Drug Users, Suicide

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA