Tags

Type your tag names separated by a space and hit enter

Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use.
Drug Alcohol Depend. 2004 Dec 07; 76 Suppl:S31-43.DA

Abstract

This study examines the roles of post-traumatic stress disorder (PTSD) and drug dependence in non-fatal suicidality, i.e., suicidal ideation and suicide attempt, among Vietnam veterans in their adult years. The sample includes male veterans deployed to Vietnam, including an oversample of those who tested positive for opiates at their return (n = 642). PTSD, substance abuse, suicidality, and other psychopathology are analyzed using three waves of survey and military data covering the time period from early adolescence to middle adulthood. Measures include the onset and recency of each of the lifetime DSM-IV PTSD symptom criteria, and yearly symptom measures of DSM-IV dependence for alcohol and eight classes of psychoactive substances. Survival and hazard models are applied to assess the effects of drug dependence, PTSD, and other psychopathology on the duration of suicidality. Longitudinal models estimate the casual relationships among PTSD, drug dependence, and suicidality over a 25-year period. Results show evidence of strong continuity of PTSD, drug dependence, and suicidality over time. The causal role of drug dependence on PTSD and suicidality is limited to young adulthood. Evidence is stronger for self-medication in later adulthood. The results indicate that a life course perspective is needed for the combined treatment of PTSD and drug dependence for severely traumatized populations.

Authors+Show Affiliations

Department of Psychiatry, Washington University School of Medicine, 40 N. Kingshighway, Suite 2, St. Louis, MO 63108, USA. price@rkp.wustl.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15555815

Citation

Price, Rumi Kato, et al. "Post-traumatic Stress Disorder, Drug Dependence, and Suicidality Among Male Vietnam Veterans With a History of Heavy Drug Use." Drug and Alcohol Dependence, vol. 76 Suppl, 2004, pp. S31-43.
Price RK, Risk NK, Haden AH, et al. Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use. Drug Alcohol Depend. 2004;76 Suppl:S31-43.
Price, R. K., Risk, N. K., Haden, A. H., Lewis, C. E., & Spitznagel, E. L. (2004). Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use. Drug and Alcohol Dependence, 76 Suppl, S31-43.
Price RK, et al. Post-traumatic Stress Disorder, Drug Dependence, and Suicidality Among Male Vietnam Veterans With a History of Heavy Drug Use. Drug Alcohol Depend. 2004 Dec 7;76 Suppl:S31-43. PubMed PMID: 15555815.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use. AU - Price,Rumi Kato, AU - Risk,Nathan K, AU - Haden,Ashley H, AU - Lewis,Collins E, AU - Spitznagel,Edward L, PY - 2004/07/08/received PY - 2004/08/04/accepted PY - 2004/11/24/pubmed PY - 2005/5/4/medline PY - 2004/11/24/entrez SP - S31 EP - 43 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 76 Suppl N2 - This study examines the roles of post-traumatic stress disorder (PTSD) and drug dependence in non-fatal suicidality, i.e., suicidal ideation and suicide attempt, among Vietnam veterans in their adult years. The sample includes male veterans deployed to Vietnam, including an oversample of those who tested positive for opiates at their return (n = 642). PTSD, substance abuse, suicidality, and other psychopathology are analyzed using three waves of survey and military data covering the time period from early adolescence to middle adulthood. Measures include the onset and recency of each of the lifetime DSM-IV PTSD symptom criteria, and yearly symptom measures of DSM-IV dependence for alcohol and eight classes of psychoactive substances. Survival and hazard models are applied to assess the effects of drug dependence, PTSD, and other psychopathology on the duration of suicidality. Longitudinal models estimate the casual relationships among PTSD, drug dependence, and suicidality over a 25-year period. Results show evidence of strong continuity of PTSD, drug dependence, and suicidality over time. The causal role of drug dependence on PTSD and suicidality is limited to young adulthood. Evidence is stronger for self-medication in later adulthood. The results indicate that a life course perspective is needed for the combined treatment of PTSD and drug dependence for severely traumatized populations. SN - 0376-8716 UR - https://www.unboundmedicine.com/medline/citation/15555815/Post_traumatic_stress_disorder_drug_dependence_and_suicidality_among_male_Vietnam_veterans_with_a_history_of_heavy_drug_use_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(04)00213-3 DB - PRIME DP - Unbound Medicine ER -