<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0211-5735</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Esp. Neuropsiq.]]></abbrev-journal-title>
<issn>0211-5735</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Neuropsiquiatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0211-57352024000200004</article-id>
<article-id pub-id-type="doi">10.4321/s0211-57352024000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Suicidio en pacientes con trastorno por uso de sustancias. Serie de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Suicide in patients with substance use disorder. A case series Study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bermúdez-Navas]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Segundo-Rivera]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo-Bances]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durántez]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Asistencial San Juan de Dios de Palencia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Asistencial Universitario de Palencia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Asistencial San ]uan de Dios de Palencia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Asistencial San ]uan de Dios de Palencia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Asistencial San Juan de Dios de Palencia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>44</volume>
<numero>146</numero>
<fpage>67</fpage>
<lpage>80</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0211-57352024000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0211-57352024000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0211-57352024000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El objetivo de este trabajo es la aproximación al perfil del paciente en tratamiento en centro ambulatorio de atención a drogodependientes que fallece por suicidio. Se revisaron las historias, tanto de la red de atención específica a las drogodependencias como del sistema público de salud de referencia (Sanidad de Castilla y León), y se recogió información sobre variables sociológicas, clínicas y sobre la utilización de recursos sanitários. El perfil encontrado fue: hombre (77% de los casos), menor de 45 años (77%), soltero o divorciado (92,4%), policonsumidor de drogas (69,3%), con problemas legales (84,7%), multiples intentos de tratamiento previos &#8212;ingresos en comunidad terapêutica (69,3%) pero sin completar el programa por alta voluntaria, incumplimiento o expulsion (88,9%)&#8212; y con patologia dual (77%). Sobre la utilización de recursos sanitarios, los pacientes fallecidos por suicidio, en una amplia proporción, nunca estuvieron hospitalizados en su área de salud (38,5%) o el último ingreso previo al suicidio fue en un servicio distinto de Psiquiatria o de cualquier unidad hospitalaria de desintoxicación (38,5%). Los sujetos a estudio habian acudido alguna vez al Servicio de Urgencias Hospitalarias (69,3%), registrándose como motivo de consulta más frecuente los traumatismos (46,2%), en contraste con el diagnóstico de intento de suicidio (15,4%), y habían solicitado alta voluntaria de Urgencias (55,6%). Estos datos sugieren un perfil de drogodependiente que fallece por suicidio consumado difícil de detectar, en el que la coordinación para la prevención del suicidio no solo debería establecerse entre la red de atención específica a las drogodependencias y los servicios de salud mental, sino también entre estos y otras especialidades mêdicas, así como con servicios sociales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The main objective of this work is to approach the profile of patients undergoing treatment in an outpatient drug addiction assistance unit who die by suicide. The medical records from both the specific drug dependency care network and the public health system (Castilla y León, Spain Health Service) were revised. Information on sociological, clinical variables, and the use of healthcare resources were collected. The patient profile found was: male (77% of all the cases), under 45 years old (77%), single or divorced (92.4%), poly-drug user (69.3%), with legal problems (84.7%), multiple previous treatment attempts &#8212;admissions to therapeutic communities (69.3%) but without completing the program due to voluntary discharge, non-compliance, or expulsion (88.9%)&#8212; and psychiatric comorbidities (77%). Regarding the use of healthcare resources, a significant proportion of patients who died by suicide had never been hospitalized in their health area (38.5%), the last admission prior to suicide was in a different service from psychiatry or any hospital detoxification unit (38.5%). The subjects studied had visited the Emergency Department Services at some point (69.3%), with trauma being the most frequent reason for consultation (46.2%), contrasting with the diagnosis of attempted suicide (15.4%), and had requested voluntary discharge from the Emergency Department (55.6%). These data suggest a profile of a drug-addict person who dies by suicide that is difficult to screen, where coordination for suicide prevention should not only be established between the specific drug dependency care network and mental health services, but also between these and other medical specialties, as well as with social services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[suicidio]]></kwd>
<kwd lng="es"><![CDATA[prevención del suicidio]]></kwd>
<kwd lng="es"><![CDATA[epidemiología del derecho]]></kwd>
<kwd lng="en"><![CDATA[suicide]]></kwd>
<kwd lng="en"><![CDATA[suicide prevention]]></kwd>
<kwd lng="en"><![CDATA[legal epidemiology]]></kwd>
</kwd-group>
</article-meta>
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