@article{ref1,
title="Predicting suicide ideation for substance users: the role of self-esteem, abstinence, and attendance at 12-step meetings",
journal="Addiction research and theory",
year="2004",
author="Wilke, Dina J.",
volume="12",
number="3",
pages="231-240",
abstract="This study tested if a three-way interaction between gender, abstinence, and self-esteem could predict the occurrence of suicidal thoughts in a sample of drug users who are one year post-treatment. It was expected that those who resolved their drug and alcohol problems and had higher self-esteem would have a lower risk of suicide ideation than those who had resolved their drug and alcohol problems (e.g. were abstinent) and had lower self-esteem, and that this effect would be stronger for women than men. Using a 3-step hierarchical logistic regression, results indicated a significant 2-way interaction between self-esteem and abstinence in the predicted direction, and no effect for gender. However, it was also found that those who had lower levels of self-esteem, regardless of abstinence or continued use, had virtually identical odds of suicidal ideation. Further, increased frequency of attendance at AA/NA meetings also predicted a higher risk of suicide ideation. This suggests that careful assessment of depression symptoms or suicidal ideation for drug users seeking assistance be completed before automatically urging attendance at 12-step meetings. Implications for clinical work with clients are presented.<p /><p>Language: en</p>",
language="en",
issn="1606-6359",
doi="10.1080/16066350310001653121",
url="http://dx.doi.org/10.1080/16066350310001653121"
}