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Non-suicidal self-injury in Chinese heroin-dependent patients receiving methadone maintenance treatment: Prevalence and associated factors.
Drug Alcohol Depend 2018; 189:161-165DA

Abstract

BACKGROUND

To date, there have been no studies examining non-suicidal self-injury (NSSI) in Chinese heroin-dependent patients (HDPs) receiving methadone maintenance treatment (MMT). This study determined the prevalence of NSSI and its methods in HDPs under MMT as well as factors significantly associated with NSSI.

METHOD

We recruited a cross-sectional sample of 652 HDPs from three MMT clinics in Wuhan, China. In total, 603 HDPs (92.5%) completed standardized questionnaires concerning demographic, clinical, and psychosocial data. The presence and methods of NSSI were assessed with two standardized questions.

RESULTS

The one-month prevalence of NSSI in Chinese HDPs receiving MMT was 13.8%. The most common three methods of NSSI were burning (59%), cutting (19.3%), and hitting (9.6%). Significant factors associated with NSSI in multiple logistic regression analysis were unemployment (OR [95%CI] = 2.54 [1.26, 5.10], P = 0.009), a short duration of MMT (OR [95%CI] = 1.04 [1.01, 1.09], P = 0.034), pain (OR [95%CI] = 2.31 [1.05, 5.35], P = 0.028), depression (OR [95%CI] = 4.32 [2.09, 9.00], P < 0.001), anxiety (OR [95%CI] = 3.74 [1.61, 8.70], P = 0.002), and loneliness (OR [95%CI] = 3.04 [1.27, 7.26], P = 0.012).

CONCLUSIONS

NSSI is common among Chinese HDPs of MMT clinics. Services for HDPs in MMT settings should include periodic screening for NSSI, adequate pain treatment, and appropriate psychosocial treatment for depression, anxiety, and loneliness.

Authors+Show Affiliations

Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, Hubei Province, China; Wuhan Mental Health Center (The Ninth Clinical School), Tongji Medical College of Huazhong University of Science and Technology, 89 Gongnongbing Rd., Wuhan, Hubei Province, China.Wuhan Mental Health Center (The Ninth Clinical School), Tongji Medical College of Huazhong University of Science and Technology, 89 Gongnongbing Rd., Wuhan, Hubei Province, China.Wuhan Mental Health Center (The Ninth Clinical School), Tongji Medical College of Huazhong University of Science and Technology, 89 Gongnongbing Rd., Wuhan, Hubei Province, China.Wuhan Mental Health Center (The Ninth Clinical School), Tongji Medical College of Huazhong University of Science and Technology, 89 Gongnongbing Rd., Wuhan, Hubei Province, China. Electronic address: yulongguowang@126.com.

Pub Type(s)

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

Language

eng

PubMed ID

29957566

Citation

Zhong, Bao-Liang, et al. "Non-suicidal Self-injury in Chinese Heroin-dependent Patients Receiving Methadone Maintenance Treatment: Prevalence and Associated Factors." Drug and Alcohol Dependence, vol. 189, 2018, pp. 161-165.
Zhong BL, Xu YM, Zhu JH, et al. Non-suicidal self-injury in Chinese heroin-dependent patients receiving methadone maintenance treatment: Prevalence and associated factors. Drug Alcohol Depend. 2018;189:161-165.
Zhong, B. L., Xu, Y. M., Zhu, J. H., & Liu, X. J. (2018). Non-suicidal self-injury in Chinese heroin-dependent patients receiving methadone maintenance treatment: Prevalence and associated factors. Drug and Alcohol Dependence, 189, pp. 161-165. doi:10.1016/j.drugalcdep.2018.05.006.
Zhong BL, et al. Non-suicidal Self-injury in Chinese Heroin-dependent Patients Receiving Methadone Maintenance Treatment: Prevalence and Associated Factors. Drug Alcohol Depend. 2018 08 1;189:161-165. PubMed PMID: 29957566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-suicidal self-injury in Chinese heroin-dependent patients receiving methadone maintenance treatment: Prevalence and associated factors. AU - Zhong,Bao-Liang, AU - Xu,Yan-Min, AU - Zhu,Jun-Hong, AU - Liu,Xiu-Jun, Y1 - 2018/06/19/ PY - 2018/04/01/received PY - 2018/05/09/revised PY - 2018/05/10/accepted PY - 2018/6/30/pubmed PY - 2018/10/12/medline PY - 2018/6/30/entrez KW - Epidemiology KW - Heroin dependence KW - Methadone KW - Non-suicidal self-injury SP - 161 EP - 165 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 189 N2 - BACKGROUND: To date, there have been no studies examining non-suicidal self-injury (NSSI) in Chinese heroin-dependent patients (HDPs) receiving methadone maintenance treatment (MMT). This study determined the prevalence of NSSI and its methods in HDPs under MMT as well as factors significantly associated with NSSI. METHOD: We recruited a cross-sectional sample of 652 HDPs from three MMT clinics in Wuhan, China. In total, 603 HDPs (92.5%) completed standardized questionnaires concerning demographic, clinical, and psychosocial data. The presence and methods of NSSI were assessed with two standardized questions. RESULTS: The one-month prevalence of NSSI in Chinese HDPs receiving MMT was 13.8%. The most common three methods of NSSI were burning (59%), cutting (19.3%), and hitting (9.6%). Significant factors associated with NSSI in multiple logistic regression analysis were unemployment (OR [95%CI] = 2.54 [1.26, 5.10], P = 0.009), a short duration of MMT (OR [95%CI] = 1.04 [1.01, 1.09], P = 0.034), pain (OR [95%CI] = 2.31 [1.05, 5.35], P = 0.028), depression (OR [95%CI] = 4.32 [2.09, 9.00], P < 0.001), anxiety (OR [95%CI] = 3.74 [1.61, 8.70], P = 0.002), and loneliness (OR [95%CI] = 3.04 [1.27, 7.26], P = 0.012). CONCLUSIONS: NSSI is common among Chinese HDPs of MMT clinics. Services for HDPs in MMT settings should include periodic screening for NSSI, adequate pain treatment, and appropriate psychosocial treatment for depression, anxiety, and loneliness. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/29957566/Non_suicidal_self_injury_in_Chinese_heroin_dependent_patients_receiving_methadone_maintenance_treatment:_Prevalence_and_associated_factors_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(18)30321-1 DB - PRIME DP - Unbound Medicine ER -