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

Addict Behav. 2009 Feb;34(2):180-6. doi: 10.1016/j.addbeh.2008.10.004. Epub 2008 Oct 10.

Abstract

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.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aggression / psychology*
  • Depression / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Socioeconomic Factors
  • Spouse Abuse / psychology*
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / therapy
  • Suicide / psychology*
  • Young Adult