The aims of this study were to determinethe frequency of dual pathology and suicide risks in substance-using prisoners and to analyze the factors associated with their development. The sample consisted of 143 prisoners (95.8% male) confined in the prison of Villabona (Asturias, Spain). Descriptive and logistic regression analyses were used. Thirty-five percent of inmates were found to have a dual diagnosis and 60.6% of this subsample presented risk of suicide. We found that to have been a childhood victim of physical abuse increases the likelihood of developing substance use disorder, anxiety disorder and/or dual pathology. However, having been a victim of psychological abuse raises the risk of developing mood and psychotic disorders.
Los objetivos de este estudio fueron evaluar la frecuencia de patología dual y de riesgo de suicidio en personas consumidoras de sustancias internadas en prisión e investigar los factores asociados con su desarrollo. La muestra estuvo compuesta por 143 reclusos (95,8% varones) ingresados en el centro penitenciario de Villabona (Asturias). Se realizaron análisis descriptivos y de regresión logística. Un 35% de los internos presentaron patología dual, de los cuales el 60,6% presentó también riesgo de suicidio. Se observó asimismo que la presencia de malos tratos físicos en la infancia incrementa la probabilidad de desarrollar un trastorno por consumo de sustancias, de ansiedad y/o patología dual. Por el contrario, la exposición al maltrato psicológico eleva el riesgo de desarrollo de trastornos afectivos y psicóticos.
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