Evaluating personality traits and suicidal ideation in substance-dependent patients on methadone maintenance therapy in addiction treatment centers in Rasht

Somayeh Shokrgozar, Robabeh Soleimani, Hasan Esfandyari, Setareh Aram, Elahe Abdollahi Department of Psychiatry, Kavosh Cognitive Behaviour Sciences and Addiction Research Center, School of Medicine, Shafa Hospital, Guilan University of Medical Science, Rasht, Iran


Introduction: Opium dependence and abuse are a topic of interest for clinicians due to its negative social consequences and risk of suicide. Suicide itself is correlated with some personality traits. This study is aimed to assess the relationship between suicidal thought and personality traits in opium dependent patients who are currently on methadone maintenance therapy. Materials and Methods: Ninety opium-dependent men on methadone maintenance therapy were randomly selected from addiction treatment centers in Rasht and entered this cross‑sectional study. Beck scale for suicidal ideation (BSSI), big five inventory (BFI), beck depression inventory (BDI-II), and demographic questionnaire were used for evaluation. Data were analyzed by SPSS 22. Results: Mean ages of patients were 45.6 ± 21.37 years. 58.9% were married. 40% were minimally depressed, 36.7% were mildly depressed, and 23.3% were moderately depressed. There was a correlation between BDI and BSSI scores (r = 0.613, P = 0.001). Spearman correlation coefficient showed a positive correlation between BFI and BSSI scores, regarding occupational states and methadone dosage. Conclusion: Regarding the high prevalence of suicidal attempt among addicted patients, assessing personality traits and social factors in patients on agonist therapy is necessary to find appropriate solutions to reduce or prevent suicide.

Key words: Depression, methadone, opioid-related disorders, personality traits, suicide

Introduction Opium dependence and abuse are a specific topic for clinicians because of negative social consequences and risk of suicide. In recent decades, rate of suicide a major health problem among young people has increased.[1] Several theories have been proposed regarding suicide and substance abuse. Due to one of these theories, substance abuse increases suicide rate through increasing impulsivity.[2] Others believe that there are some common root factors with each of them causing addiction and suicide, separately.[3] Research proposed a relationship between suicidal behavior and substance abuse among young adults.[4] Suicidal behavior is a main problem among opium-dependent patients who are seeking treatment. In a study in England, about one-third of patients had suicidal thought before entering treatment programs.[5] Research has shown that personality traits, lifestyle, social relationships, attitudes, ideas, and maladaptive behaviors formed during developmental process have a major role in developing substance abuse and dependence.[6] Some studies regarding personality traits in those who attempted suicide showed that personality traits, especially neurotic tendencies,

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