Understanding the multidimensional nature of drug use and abuse: The role of consumption, risk factors, and protective factors.

1992 ◽  
pp. 255-297 ◽  
Author(s):  
Michael D. Newcomb
Keyword(s):  
Risk Factors ◽  
Drug Use ◽  
Protective Factors ◽  
Consumption Risk

Protective Factors and Suicidality in Members of Arab Kindred

Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Sami Hamdan ◽  
Nadine Melhem ◽  
Israel Orbach ◽  
Ilana Farbstein ◽  
Mohammad El-Haib ◽  
...  
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Suicidal Behavior ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Suicidal Risk ◽  
Arab Population ◽  
Psychiatric Interview ◽  
History Of

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

scholarly journals Developmental approaches to substance use and abuse

1999 ◽  
Vol 11 (4) ◽  
pp. 655-656 ◽  
Author(s):  
DANTE CICCHETTI ◽  
SUNIYA S. LUTHAR
Keyword(s):  
Drug Use ◽  
Protective Factors ◽  
Developmental Psychopathology ◽  
Developmental Stages ◽  
Risk And Protective Factors ◽  
Institute Of Medicine ◽  
Drug Use Disorders ◽  
Adolescents And Adults

In 1996 the Institute of Medicine (IOM, 1996) issued a report on pathways to addiction. Although focused on the use of illegal drugs, the recommendations of the committee are equally applicable to more socially condoned, but still addictive, substances such as alcohol. The IOM (1996) report articulated the types of research that would be needed to expand the understanding of the etiology of drug use disorders, including the following: (a) multidisciplinary research to investigate the combined effects of biological, psychosocial, and contextual factors as they relate to the development of drug use, abuse, and dependence; (b) studies of sufficient duration to enable follow-up of participants in determining the role of risk and protective factors related to the transition from drug use to abuse to dependence; (c) research investigating the role of family factors in the etiology of drug use and abuse; (d) examination of psychopathology as a precursor to drug use and abuse in adolescents and adults; (e) studies of risk and protective factors related to drug use and abuse, especially during discrete developmental stages; and (f) investigation of childhood risk and protective factors that are associated with drug abuse and dependence. In reflecting on these comprehensive goals, striking similarities emerge with respect to these research foci and the field of developmental psychopathology (Cicchetti & Cohen, 1995; Cicchetti & Toth, 1991). Specifically, the principles that guide inquiries conceptualized within a developmental psychopathology framework can be applied toward the conduct of studies designed to address the agenda generated by the IOM (1996) report on substance abuse.

scholarly journals Adolescent and Youth Suicide: Risk Factors and Approaches to Prevention

2021 ◽  
Vol 2021 (1) ◽  
pp. 127-136
Author(s):  
Svetlana Markova ◽  
Catherine Nikitskaya
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
School Psychologists ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
Detailed Examination ◽  
Current Approach ◽  
Staff Members ◽  
Suicide Risk Factors

The aim of this article is to explore current approach to suicide prevention at school. The article provides information about statistics and the importance of the problem. It addresses risk and protective factors of suicide and its causes. In addition, it provides a detailed examination of the role of school in suicide prevention. The article contains information regarding specific interventions for staff members, administration and school psychologists. It discusses existing tools and programs the school has access to in order to prevent suicidal behaviors and ideations among students.

scholarly journals Social-Ecological Predictors of Opioid Use Among Adolescents With Histories of Substance Use Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Lindsey M. Nichols ◽  
Jonathan A. Pedroza ◽  
Christopher M. Fleming ◽  
Kaitlin M. O’Brien ◽  
Emily E. Tanner-Smith
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Protective Factors ◽  
Parental Monitoring ◽  
Risk And Protective Factors ◽  
Opioid Misuse ◽  
Opioid Use ◽  
Perceived Availability ◽  
Social Ecological

Adolescent opioid misuse is a public health crisis, particularly among clinical populations of youth with substance misuse histories. Given the negative and often lethal consequences associated with opioid misuse among adolescents, it is essential to identify the risk and protective factors underlying early opioid misuse to inform targeted prevention efforts. Understanding the role of parental risk and protective factors is particularly paramount during the developmental stage of adolescence. Using a social-ecological framework, this study explored the associations between individual, peer, family, community, and school-level risk and protective factors and opioid use among adolescents with histories of substance use disorders (SUDs). Further, we explored the potential moderating role of poor parental monitoring in the associations between the aforementioned risk and protective factors and adolescent opioid use. Participants included 294 adolescents (Mage = 16 years; 45% female) who were recently discharged from substance use treatment, and their parents (n = 323). Results indicated that lifetime opioid use was significantly more likely among adolescents endorsing antisocial traits and those whose parents reported histories of substance abuse. Additionally, adolescents reporting more perceived availability of substances were significantly more likely to report lifetime opioid use compared to those reporting lower perceived availability of substances. Results did not indicate any significant moderation effects of parental monitoring on any associations between risk factors and lifetime opioid use. Findings generally did not support social-ecological indicators of opioid use in this high-risk population of adolescents, signaling that the social-ecological variables tested may not be salient risk factors among adolescents with SUD histories. We discuss these findings in terms of continuing care options for adolescents with SUD histories that target adolescents’ antisocial traits, perceived availability of substances, and parent histories of substance abuse, including practical implications for working with families of adolescents with SUD histories.

Where is the social in the biopsychosocial model of suicide prevention?

2021 ◽  
pp. 002076402110272
Author(s):  
José Eduardo Rodríguez-Otero ◽  
Xiana Campos-Mouriño ◽  
David Meilán-Fernández ◽  
Sarai Pintos-Bailón ◽  
Graciela Cabo-Escribano
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicidal Behavior ◽  
Biopsychosocial Model ◽  
Risk And Protective Factors ◽  
Prevention Strategies ◽  
Theoretical Frameworks ◽  
Prevention Policies

Background: Each year, around 800,000 people die by suicide. The prevalence of suicidal behaviors is much higher when suicidal attempts and persistent self-injurious ideation are included. Therefore, suicide is a public health concern. Research has been sensitive to this problem, deepening the study of risk factors and the development of theoretical frameworks of suicidal behavior, with the aim of generating effective suicide prevention policies around the biopsychosocial model. Aim: We aimed to explore the role of relational, community, and social factors in current suicide prevention strategies. Method: Studies of risk and protective factors for suicidal behavior and the consequent development of theoretical frameworks were reviewed to verify if this knowledge was really used in suicide prevention policies. Results: Studies of risk and protective factors focus mainly on the individual, while theoretical frameworks emphasize the role of the relational, community, and social. Suicide prevention strategies more closely follow individual models derived from studies of risk factors. Conclusions: Suicide prevention strategies should broaden their individual narrative to include relational, community, and social interventions as anti-suicide measures.

The Influence of Neighborhood Risk Factors on Parolee Recidivism in Philadelphia, Pennsylvania

2018 ◽  
Vol 98 (3) ◽  
pp. 255-276 ◽  
Author(s):  
Kimberly Houser ◽  
Eric S. McCord ◽  
Jason Nicholson
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Neighborhood Context ◽  
Walking Distance ◽  
Land Uses ◽  
Individual Level ◽  
Neighborhood Risk ◽  
Limited Support ◽  
The City

Recidivism research has largely addressed individual-level attributes, neglecting the role of the neighborhood context. Following a sample of 4,851 parolees returning to the City of Philadelphia in 2007 and 2008, the current study examines the role of the neighborhood context and nonresidential land uses (both risk and protective factors) in reincarceration and time to reincarceration. Although our findings suggest limited support for the neighborhood context in explaining reincarceration, we found that the presence of beer bars and liquor outlets within walking distance of a parolee’s home increased their likelihood of reincarceration and reduced their time in the community.

scholarly journals T81. MULTIPLE DRUG USE IN SCHIZOPHRENIA - THE ROLE OF EARLY ENVIRONMENTAL RISK ACCUMULATION AND GENETIC PREDISPOSITION

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S262-S263
Author(s):  
Agnes Steixner-Kumar ◽  
Jan Seidel ◽  
Vinicius Daguano Gastaldi ◽  
Martin Begemann ◽  
Hannelore Ehrenreich
Keyword(s):  
Risk Factors ◽  
Drug Use ◽  
General Population ◽  
Environmental Risk ◽  
Early Life ◽  
Environmental Risk Factors ◽  
Multiple Drug ◽  
Genetic Approach ◽  
Metabolite Transport

Abstract Background Drug (ab)use and substance use disorders are frequently observed in patients with psychiatric illness, but the underlying causes remain widely unknown. A number of environmental risk factors have been proposed to affect the use of one or multiple drugs in the general population and adolescents. Whereas most previous studies focused on the influence of single risk factors on the use of one or a few selected drugs, the effect of accumulated environmental risk in early life on multiple drug use remains to be studied. Similarly, evidence on genetic susceptibility to the (ab)use of a single drug, e.g. nicotine, alcohol, cocaine, is abundant, while the role of genetic predisposition for multiple drug use - in particular during early life - is yet to be explored. Thus, the current work aims to study the role of environmental as well as genetic risk factors for multiple drug abuse (‘polytoxicomania’) in a large sample of schizophrenic/schizoaffective patients. Methods Information from ~2000 schizophrenia/schizoaffective patients on (preadult) multiple drug use (&gt; 2 drugs) and environmental risk factors was extracted from the Göttingen Research Association for Schizophrenia (GRAS) data collection – currently the largest data base of deeply phenotyped patients with schizophrenia/schizoaffective disorder or other neuropsychiatric diseases. In addition, genetic data from these patients and 2111 healthy blood donors were used in a novel genetic approach that employs multiple genome-wide association studies (GWAS) to identify genetic associations with preadult multiple drug use. Genotyping was performed on a semi-custom Axiom MyDesign Genotyping Array (Affymetrix, Santa Clara, CA, USA), based on a CEU (Caucasian residents of European ancestry from UT, USA) marker backbone. Results The accumulation of environmental risk factors, i.e. sexual abuse, physical abuse, migration, urbanicity, together with alcohol and cannabis consumption as secondary risk factors, in early life (&lt; 18 years) were strongly associated with lifetime multiple drug use (p = 3.48 x 10^-44, extreme group comparison odds ratio (OR) = 31.8). When the sample was split into preadult and adult multiple drug users, there was a remarkable association of the number of preadult environmental risk factors with preadult multiple drug use (p = 1.12 x 10^-25, OR = 243.6). Furthermore, preadult environmental risk accumulation strongly predicted onset of multiple drug use in adulthood (&gt; 18 years; p = 6.27 x 10^-18, OR = 19.4). The application of the novel genetic approach yielded 35 single-nucleotide variants (SNPs) that potentially confer susceptibility to preadult multiple drug use. Out of these, 14 were located in gene-coding regions. Interestingly, 9 of these genes are implicated in neuronal development/function or metabolite transport/transformation. Additional gene-based analyses identified another 4 genes relevant for metabolite transport/transformation as well as 4 genes that play a role in hypoxia signaling. Discussion The present results show that an accumulation of environmental risk factors during early life (&lt; 18 years) is a strong predictor of multiple drug use during adolescence and later life. These findings suggest that exposure to accumulated environmental risk during early life is not only associated with violent aggression – as previously reported by our lab – but is also an important predictor of multiple drug use. Moreover, we present first evidence of a genetic susceptibility to preadult multiple drug use, which will benefit from future replication in suitable samples of patients with mental illness or the general population.

scholarly journals Mental health among UK inner city non-heterosexuals: the role of risk factors, protective factors and place – CORRIGENDUM

2016 ◽  
Vol 28 (1) ◽  
pp. 131-135 ◽  
Author(s):  
C. Woodhead ◽  
B. Gazard ◽  
M. Hotopf ◽  
Q. Rahman ◽  
K. A. Rimes ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Inner City ◽  
Protective Factors
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