Abstract
This study assesses the individual contribution of youth symptoms of antisocial personality disorder (before the age of 15) in past-month suicidal behavior in adults with substance use disorders. Youth antisocial symptoms and suicidal behavior were assessed using the Mini International Neuropsychiatric Interview. Indicators of youth antisocial symptoms were significantly associated with suicide outcomes; lack of remorse (OR = 2.68 CI 95% 1.37, 5.25), and sexual assault with planning, and destruction of property to attempt (OR = 4.22 CI 95% 1.29, 15.08). Our results suggest that specific antisocial indicators during adolescence could be associated with suicide in adulthood, even after controlling for major depressive disorder. Further implications for the research of antisocial symptoms and suicide behavior from a developmental perspective are discussed.
Acknowledgments
The authors express their gratitude to the following institutions for their support in this study: Florida Node Alliance Miller School of Medicine, National Institute on Drug Abuse–Clinical Trials Network (NIDA-CTN), Consejo Nacional Contra las Adicciones (CONADIC-México), Instituto para la Atención y Prevención de las Adicciones en la Ciudad de México Instituto, Mexiquense Contra las Adicciones, Consejo Estatal Contra las Adicciones de Puebla, Consejo Estatal Contra las Adicciones de Hidalgo, Consejo Estatal Contra las Adicciones de Querétaro. We also wish to thank David Sheehan for allowing the use of the Spanish-language adaptation of the fifth version of the Mini International Neuropsychiatric Interview in Spanish.
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Notes on contributors
Luis Villalobos-Gallegos
Luis Villalobos-Gallegos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM). Unidad de Ensayos Clínicos en Adicciones y Salud Mental, Ciudad de México, México.
Sonia Pérez-Matus
Sonia Pérez-Matus, Instituto Nacional de Salud Pública (INSP). Centro Colaborador de la OPS/OMS para la Investigación de Lesiones y Violencia del INSP, Cuernavaca, Morelos.
Rosario Valdez-Santiago
Rosario Valdez-Santiago, Sonia Pérez-Matus, Instituto Nacional de Salud Pública (INSP). Centro Colaborador de la OPS/OMS para la Investigación de Lesiones y Violencia del INSP, Cuernavaca, Morelos.
Rodrigo Marín-Navarrete
Rodrigo Marín-Navarrete, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM). Unidad de Ensayos Clínicos en Adicciones y Salud Mental, Ciudad de México, México.