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Int J STD AIDS. 2016 May;27(6):476-85. doi: 10.1177/0956462415585668. Epub 2015 May 6.

Lifetime suicide attempt history, quality of life, and objective functioning among HIV/AIDS patients with alcohol and illicit substance use disorders.

Author information

1
University of Connecticut School of Medicine, Farmington, CT, USA.
2
University of Connecticut School of Medicine, Farmington, CT, USA npetry@uchc.edu.

Abstract

This cross-sectional study evaluated lifetime prevalence of suicide attempts in 170 HIV/AIDS patients with substance use disorders and the impact of suicide attempt history on subjective indices of quality of life and objective indices of cognitive and physical functioning. All patients met the diagnostic criteria for past-year cocaine or opioid use disorders and 27% of patients also had co-occurring alcohol use disorders. Compared to their counterparts without a history of a suicide attempt, patients with a history of a suicide attempt (n = 60, 35.3%) had significantly poorer emotional and cognitive quality of life scores (ps < .05), but not physical, social, or functional/global quality-of-life scores. Lifetime suicide attempt status was unrelated to objective indices of cognitive functioning, but there was a non-significant trend (p = .07) toward lower viral loads in those with a lifetime suicide attempt relative to those without. The findings indicate that suicide attempt histories are prevalent among HIV/AIDS patients with substance use disorders and relate to poorer perceived emotional and cognitive quality of life, but not objective functioning. HIV/AIDS patients with substance use disorders should be screened for lifetime histories of suicide attempts and offered assistance to improve perceived emotional and cognitive functioning.

KEYWORDS:

AIDS; HIV; alcohol; cognitive impairment; mental health; quality of life; substance abuse; suicide

PMID:
25953963
PMCID:
PMC5023430
DOI:
10.1177/0956462415585668
[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

Kimberly N. Walter and Nancy M. Petry declare no conflicts of interest.

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