Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China

Abstract Background Methamphetamine is one of the most abused drugs worldwide. Methamphetamine use disorders (MAUD) not only affect the physical and mental health of addicts but also increase the risk of suicide. Although the suicide rate of MAUD patients is high, there is little research on the cli...

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Main Authors: Wei Wang, Chen Li, Guangsheng Sun, Cunxi Qiu, Zeyu Mao, Zhiyi Wu, Junyi Fan, Yuhan Jin, Kunpeng Liu, Peng Sun, Lin Zhang
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22926-7
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author Wei Wang
Chen Li
Guangsheng Sun
Cunxi Qiu
Zeyu Mao
Zhiyi Wu
Junyi Fan
Yuhan Jin
Kunpeng Liu
Peng Sun
Lin Zhang
author_facet Wei Wang
Chen Li
Guangsheng Sun
Cunxi Qiu
Zeyu Mao
Zhiyi Wu
Junyi Fan
Yuhan Jin
Kunpeng Liu
Peng Sun
Lin Zhang
author_sort Wei Wang
collection DOAJ
description Abstract Background Methamphetamine is one of the most abused drugs worldwide. Methamphetamine use disorders (MAUD) not only affect the physical and mental health of addicts but also increase the risk of suicide. Although the suicide rate of MAUD patients is high, there is little research on the clinical characteristics and risk factors of suicide risk in MAUD patients. So, it is necessary to investigate the related risk factors of suicidal ideation of MAUD. Methods Using response-driven sampling (RDS), a total of 10,225 MAUDs were randomly selected from April to May 2023 in Guangdong, China. MAUD was evaluated by the Beck Scale for Suicide Ideation (BSSI) and divided into a case (n = 1228) and a control group (n = 8997). Multivariate generalized linear mixed model analysis was used to analyze the risk factors of suicidal ideation among MAUDs. Results The result of multivariate generalized linear mixed model analysis showed that the dosage of each use of MA (OR = 5.52, 95%CI = 4.93~6.17), age (OR = 1.11, 95%CI = 1.03~1.20), childhood physical abuse(OR = 3.43, 95%CI = 3.17~3.71), childhood emotional neglect(OR = 2.77, 95%CI = 2.60~2.94), introverted and extroverted personality(OR = 2.85, 95%CI = 2.64~3.08), and neurotic personality(OR = 1.15, 95%CI = 1.02~1.30) were the risk factors of suicidal ideation among MAUDs in Guangdong, China. Conclusion Suicidal ideation among MAUDs is influenced by family, society, stress, and other factors, so it is necessary to take comprehensive intervention measures.
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spelling doaj-art-276f599cbd7e43208971ceeb4869352c2025-08-20T01:47:32ZengBMCBMC Public Health1471-24582025-05-0125111210.1186/s12889-025-22926-7Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, ChinaWei Wang0Chen Li1Guangsheng Sun2Cunxi Qiu3Zeyu Mao4Zhiyi Wu5Junyi Fan6Yuhan Jin7Kunpeng Liu8Peng Sun9Lin Zhang10Department of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaDepartment of Drug Prohibition and Public Security, Criminal Investigation Police University of ChinaAbstract Background Methamphetamine is one of the most abused drugs worldwide. Methamphetamine use disorders (MAUD) not only affect the physical and mental health of addicts but also increase the risk of suicide. Although the suicide rate of MAUD patients is high, there is little research on the clinical characteristics and risk factors of suicide risk in MAUD patients. So, it is necessary to investigate the related risk factors of suicidal ideation of MAUD. Methods Using response-driven sampling (RDS), a total of 10,225 MAUDs were randomly selected from April to May 2023 in Guangdong, China. MAUD was evaluated by the Beck Scale for Suicide Ideation (BSSI) and divided into a case (n = 1228) and a control group (n = 8997). Multivariate generalized linear mixed model analysis was used to analyze the risk factors of suicidal ideation among MAUDs. Results The result of multivariate generalized linear mixed model analysis showed that the dosage of each use of MA (OR = 5.52, 95%CI = 4.93~6.17), age (OR = 1.11, 95%CI = 1.03~1.20), childhood physical abuse(OR = 3.43, 95%CI = 3.17~3.71), childhood emotional neglect(OR = 2.77, 95%CI = 2.60~2.94), introverted and extroverted personality(OR = 2.85, 95%CI = 2.64~3.08), and neurotic personality(OR = 1.15, 95%CI = 1.02~1.30) were the risk factors of suicidal ideation among MAUDs in Guangdong, China. Conclusion Suicidal ideation among MAUDs is influenced by family, society, stress, and other factors, so it is necessary to take comprehensive intervention measures.https://doi.org/10.1186/s12889-025-22926-7Methamphetamine use disordersSuicidal ideationRisk factors
spellingShingle Wei Wang
Chen Li
Guangsheng Sun
Cunxi Qiu
Zeyu Mao
Zhiyi Wu
Junyi Fan
Yuhan Jin
Kunpeng Liu
Peng Sun
Lin Zhang
Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
BMC Public Health
Methamphetamine use disorders
Suicidal ideation
Risk factors
title Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
title_full Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
title_fullStr Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
title_full_unstemmed Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
title_short Beyond addiction: exploring the factors behind suicidal thoughts among methamphetamine users in Guangdong, China
title_sort beyond addiction exploring the factors behind suicidal thoughts among methamphetamine users in guangdong china
topic Methamphetamine use disorders
Suicidal ideation
Risk factors
url https://doi.org/10.1186/s12889-025-22926-7
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