Depressive Symptoms Moderate the Association Between the Recent History of Alcohol Use Severity and Suicide Attempt History Among Adults in a Pretrial Jail Diversion Program

Mitchell S. M., GÖRĞÜLÜ T., Dhingra K., Crean H. F., Swogger M. T.

CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION, cilt.44, sa.2, ss.146-153, 2023 (SSCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1027/0227-5910/a000847
  • Dergi Adı: CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, IBZ Online, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.146-153
  • Anahtar Kelimeler: alcohol use, depression, drug use, pretrial setting, suicide attempt
  • Anadolu Üniversitesi Adresli: Hayır

Özet

Background: Justice-involved individuals are at elevated risk for suicidal behavior; however, research examining risk for suicidal behavior in pretrial jail diversion programs (pretrial diversion) is limited. Aims: We aimed to test (1) associations between depressive symptoms and alcohol and drug use, and suicide attempt history (SAH), and (2) interactions between depressive symptoms and alcohol and drug use in relation to SAH among adults in an urban pretrial jail diversion program. Method: The design was cross-sectional, including self-report assessments and file reviews of historical information. Adults (N = 274; M-age = 33.72; 73.7% men; 52.6% non-Hispanic Black) completed assessments within two weeks of beginning the pretrial program. Results: Depressive symptoms were positively associated with SAH after adjusting for other covariates. The significant depressive symptoms by alcohol use interaction indicated that adults with low to average depressive symptoms evidenced a similar likelihood of SAH to those with high depressive symptoms when they also had elevated alcohol use scores. Limitations: We used cross-sectional self-report data. Conclusion: It may be important to conduct suicide risk assessments for justice-involved people who use alcohol even when depressive symptoms are low.