Back to Journals » Substance Abuse and Rehabilitation » Volume 3 » Issue 1

Suicidal and self-injurious behavior among patients with alcohol and drug abuse

Authors Sharqi, Sherra, AlHabeeb, Qureshi N

Received 11 May 2011

Accepted for publication 23 May 2012

Published 24 July 2012 Volume 2012:3(1) Pages 91—99


Review by Single-blind

Peer reviewer comments 4

Abdullah Mohammed Al-Sharqi,1 Khaled Saad Sherra,2 Abdulhameed Abdullah Al-Habeeb,3 Naseem Akhtar Qureshi3,4

Private Clinic, Riyadh, Saudi Arabia; 2Psychiatric Department, Faculty of Medicine, Mansoura University, Egypt; 3General Administration for Mental Health and Social Services, 4General Directorate of Research and Studies, Ministry of Health, Riyadh, Saudi Arabia

Background: Self-injurious behavior, a major public health problem globally, is linked with alcohol and drug abuse. This cross-sectional study aimed to identify the prevalence and correlates of self-harming behavior in patients with alcohol or drug abuse problems.
Methods: This was a one-year study that recruited a convenience sample of 736 outpatients and inpatients identified with alcohol or drug abuse, and was conducted at Al-Amal mental health hospitals in three major cities. All consecutively selected patients were interviewed on five working days for data collection on a semistructured sociodemographic form using the Columbia Suicide Severity Rating Scale Risk Assessment version.
Results: In addition to the socioclinical profile revealed, 50.7% of respondents reported any suicidal ideation, while 6.9% reported self-injurious behavior without intent to die. Any suicidal and self-injurious behavior was reported by 13.1% of participants. A total of 71.3% of respondents reported any recent negative activating events. In addition to any treatment history, observed correlates were hopelessness (60.7%), perceived burden on family (29.5%), refusing a safety plan (26.1%), and sexual abuse (11%). Conversely, reasons for living (64.9%), fear of death or dying due to pain and suffering (64.3%), and spirituality (92%) were largely endorsed as protective factors. There were multiple significant odds ratios (P ≤ 0.01) revealed when independent socioclinical variables were compared with dependent variables in terms of suspected risk and protective factors. In an adjusted logistic regression model, none of the independent variables contributed significantly to any suicidal and self-injurious behavior, any suicidal ideation, or protection from them (P > 0.05).
Conclusion: Our preliminary results suggest that there are some socioclinical correlates of any suicide ideation, suicidal and self-injurious behavior, and protection from risky behavior, but which of them contributes significantly to the risk and protective dimensions is yet to be elucidated in prospective community-based studies with larger and more diverse samples.

Keywords: self-injurious behavior, suicidal ideation, risk factors, protective factors, alcohol, drug, abuse

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]


Other articles by this author:

Medical students’ knowledge, attitude, and practice of complementary and alternative medicine: a pre- and post-exposure survey in Majmaah University, Saudi Arabia

Al Mansour MA, Al-Bedah AMN, AlRukban MO, Elsubai IS, Mohamed EY, El Olemy AT, Khalil AAH, Khalil MKM, Alqaed MS, Almudaiheem A, Mahmoud WS, Medani KA, Qureshi NA

Advances in Medical Education and Practice 2015, 6:407-420

Published Date: 3 June 2015

Analysis of reported e-prescribing near misses in King Saud Medical City, Riyadh

Al-Zaagi IA, Aldhwaihi KA, Al-Dossari DS, Salem SO, Qureshi NA

Integrated Pharmacy Research and Practice 2013, 2:17-24

Published Date: 23 October 2013

Mental health system in Saudi Arabia: an overview

Qureshi NA, Al-Habeeb AA, Koenig HG

Neuropsychiatric Disease and Treatment 2013, 9:1121-1135

Published Date: 8 August 2013

Neuromodulation therapies and treatment-resistant depression

Al-Harbi KS, Qureshi NA

Medical Devices: Evidence and Research 2012, 5:53-65

Published Date: 13 July 2012

The Global Youth Tobacco Survey: 2001–2002 in Riyadh region, the Kingdom of Saudi Arabia

Al-Bedah AM, Qureshi NA

Substance Abuse and Rehabilitation 2011, 2:197-204

Published Date: 16 November 2011

Readers of this article also read:

Animal models of obsessive–compulsive disorder: utility and limitations

Alonso P, López-Solà C, Real E, Segalàs C, Menchón JM

Neuropsychiatric Disease and Treatment 2015, 11:1939-1955

Published Date: 4 August 2015

Methacrylic-based nanogels for the pH-sensitive delivery of 5-Fluorouracil in the colon

Ashwanikumar N, Kumar NA, Nair SA, Kumar GS

International Journal of Nanomedicine 2012, 7:5769-5779

Published Date: 15 November 2012

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

Privacy protection for patients with substance use problems

Hu LL, Sparenborg S, Tai B

Substance Abuse and Rehabilitation 2011, 2:227-233

Published Date: 7 December 2011