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Non-medical use of psychoactive drugs in relation to suicide tendencies among Chinese adolescents.
Addict Behav. 2015 Dec; 51:31-7.AB

Abstract

INTRODUCTION

To investigate the prevalence of non-medical use of psychoactive prescription drug (NMUPD) among adolescents and to explore the associations between non-medical psychoactive prescription drug use and depressive symptoms, poor sleep quality, deliberate self-harm, and suicide.

METHODS

A two-stage stratified cluster sample design produced a representative sample of 12-19-year-old students in grades 1-6 who attended public middle schools in Guangdong province. Prevalence estimates (SE) of non-medical psychoactive prescription drug use were calculated, and logistic regression was used to examine its association with depressive symptoms, poor sleep quality, deliberate self-harm, and suicide.

RESULTS

Overall, 7.5% of adolescents reported non-medical use of opioids, and 4.8% of adolescents reported non-medical use of sedatives. Lifetime, last-year, and last-month non-medical use of opioids and sedatives were positively associated with depressive symptoms, poor sleep quality, deliberate self-harm, suicidal ideation, and suicidal attempts among different gender and age-group adolescents. Those who reported last month non-medical use of opioids and sedatives had the greatest odds of reporting depressive symptoms, poor sleep quality, deliberate self-harm, suicidal ideation, and suicidal attempts. Males who were last month non-medical users of opioids or sedative had 8.9 or 10.7 times greater odds of reporting a suicidal attempt, and 8.8 or 9.8 times greater odds of reporting a suicidal attempt were observed among adolescents aged 16-19 who were last-month non-medical users of opioids or sedatives.

CONCLUSIONS

These findings provide evidence for improving adolescents' suicide prevention strategy by targeting supervision on high risk current non-medical users of psychoactive drug.

Authors+Show Affiliations

Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, China; School of Public Health, Guangzhou Medical University, China.Center for ADR Monitoring of Guangdong, China.Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, China.Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, China.Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, China.Center for ADR Monitoring of Guangdong, China.Center for ADR Monitoring of Guangdong, China.Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, China. Electronic address: lucy_sysu@163.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26210910

Citation

Juan, Wang, et al. "Non-medical Use of Psychoactive Drugs in Relation to Suicide Tendencies Among Chinese Adolescents." Addictive Behaviors, vol. 51, 2015, pp. 31-7.
Juan W, Jian-Xiong D, Lan G, et al. Non-medical use of psychoactive drugs in relation to suicide tendencies among Chinese adolescents. Addict Behav. 2015;51:31-7.
Juan, W., Jian-Xiong, D., Lan, G., Yuan, H., Xue, G., Jing-Hui, H., Guo-Liang, H., & Ci-Yong, L. (2015). Non-medical use of psychoactive drugs in relation to suicide tendencies among Chinese adolescents. Addictive Behaviors, 51, 31-7. https://doi.org/10.1016/j.addbeh.2015.07.003
Juan W, et al. Non-medical Use of Psychoactive Drugs in Relation to Suicide Tendencies Among Chinese Adolescents. Addict Behav. 2015;51:31-7. PubMed PMID: 26210910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-medical use of psychoactive drugs in relation to suicide tendencies among Chinese adolescents. AU - Juan,Wang, AU - Jian-Xiong,Deng, AU - Lan,Guo, AU - Yuan,He, AU - Xue,Gao, AU - Jing-Hui,Huang, AU - Guo-Liang,Huang, AU - Ci-Yong,Lu, Y1 - 2015/07/16/ PY - 2015/02/11/received PY - 2015/06/25/revised PY - 2015/07/14/accepted PY - 2015/7/27/entrez PY - 2015/7/27/pubmed PY - 2016/6/21/medline KW - Adolescent KW - Guangdong KW - Non-medical use of psychoactive prescription drug KW - Suicide SP - 31 EP - 7 JF - Addictive behaviors JO - Addict Behav VL - 51 N2 - INTRODUCTION: To investigate the prevalence of non-medical use of psychoactive prescription drug (NMUPD) among adolescents and to explore the associations between non-medical psychoactive prescription drug use and depressive symptoms, poor sleep quality, deliberate self-harm, and suicide. METHODS: A two-stage stratified cluster sample design produced a representative sample of 12-19-year-old students in grades 1-6 who attended public middle schools in Guangdong province. Prevalence estimates (SE) of non-medical psychoactive prescription drug use were calculated, and logistic regression was used to examine its association with depressive symptoms, poor sleep quality, deliberate self-harm, and suicide. RESULTS: Overall, 7.5% of adolescents reported non-medical use of opioids, and 4.8% of adolescents reported non-medical use of sedatives. Lifetime, last-year, and last-month non-medical use of opioids and sedatives were positively associated with depressive symptoms, poor sleep quality, deliberate self-harm, suicidal ideation, and suicidal attempts among different gender and age-group adolescents. Those who reported last month non-medical use of opioids and sedatives had the greatest odds of reporting depressive symptoms, poor sleep quality, deliberate self-harm, suicidal ideation, and suicidal attempts. Males who were last month non-medical users of opioids or sedative had 8.9 or 10.7 times greater odds of reporting a suicidal attempt, and 8.8 or 9.8 times greater odds of reporting a suicidal attempt were observed among adolescents aged 16-19 who were last-month non-medical users of opioids or sedatives. CONCLUSIONS: These findings provide evidence for improving adolescents' suicide prevention strategy by targeting supervision on high risk current non-medical users of psychoactive drug. SN - 1873-6327 UR - https://www.unboundmedicine.com/medline/citation/26210910/Non_medical_use_of_psychoactive_drugs_in_relation_to_suicide_tendencies_among_Chinese_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306-4603(15)00248-8 DB - PRIME DP - Unbound Medicine ER -