Alcohol use disorders increase the risk of completed suicide — Irrespective of other psychiatric disorders. A longitudinal cohort study

Flensborg‐Madsen, Trine; Knop, Joachim; Mortensen, Erik Lykke; Becker, Ulrik; Sher, Leo; Grønbæk, Morten

doi:10.1016/j.psychres.2008.01.008

Cited by 132 publications

(91 citation statements)

References 26 publications

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“…Thus, the longitudinal association observed in the literature between adolescent alcohol use and adult crime in general (Ellickson et al, 2003) does not seem to be a causal one for nonviolent offenses. We also do not fi nd frequent adolescent drinking to be related to self-directed violence (i.e., suicide attempts or completions), which differs somewhat from others who have found a link (Flensborg-Madsen et al, 2009). However, few used as careful a consideration of confounding effects or had the long period between adolescent drinking and the followup age.…”

Section: Discussioncontrasting

confidence: 96%

Association Between Adolescent Drinking and Adult Violence: Evidence From a Longitudinal Study of Urban African Americans

Green¹,

Doherty²,

Zebrak³

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study examined the relationship between adolescent alcohol use and adult violence from a developmental perspective, specifi cally whether frequent adolescent drinking predicts adult violence once shared risk factors are taken into account through propensity score matching. The research considered multiple types of violence, including assault, robbery, and suicidal behavior, as well as other types of offending. It tested whether educational attainment and adult alcohol use and problems contribute to the adolescent drinking-adult violence relationship. Method: Data came from a longitudinal epidemiological study of a community cohort of urban African Americans followed from age 6 to 42 (N = 702; 51% female). Frequent adolescent drinking was operationalized as 20 times or more by age 16. Data on violent arrests and offenses were collected throughout adulthood from self-reports and offi cial criminal records. Matching variables came from childhood and adolescence and included such shared risk factors as childhood externalizing behaviors, school achievement, and family functioning. Results: Adjusted logistic regression analyses on the sample matched on childhood and adolescent risk factors showed that frequent adolescent drinking was associated with an increased risk of violence in young adulthood (in particular assault) but not with other types of crime, self-directed violence, or violence in midlife. Findings varied by gender. Heavy episodic drinking in adulthood seemed to account for some of the association between frequent adolescent drinking and adult assault. Conclusions:The results of this study suggest that preventing frequent adolescent drinking could potentially decrease adult assault. This study adds to the growing body of literature suggesting long-term negative consequences of adolescent alcohol use. (J. Stud. Alcohol Drugs, 72, 701-710, 2011)

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Section: Discussioncontrasting

confidence: 96%

Association Between Adolescent Drinking and Adult Violence: Evidence From a Longitudinal Study of Urban African Americans

Green¹,

Doherty²,

Zebrak³

et al. 2011

J. Stud. Alcohol Drugs

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“…7,10 It remains to be established whether or not suicide is associated with CP because patients with alcohol as an etiology may have a significantly higher suicide rate. 31 The incidence of pancreatic cancer in this CP population (3.8%) was almost equal to the findings in the multicenter study by Lowenfels et al 32 in 1993 (56 of 2015; 2.8%), of which the present data were a part, and higher than that observed by Pedrazzoli et al 33 (1.2%) and Talamini et al 25 (1.9%). Pancreatic cancer is also a more frequent cause of death in CP patients compared with the Danish background population (1.5%; source: Danish National Health Service, public statistics, 2006).…”

Section: Mortality Prognostic Factors and Causes Of Deathsupporting

confidence: 62%

Danish Patients With Chronic Pancreatitis Have a Four-Fold Higher Mortality Rate Than the Danish Population

Nøjgaard

Bendtsen

Becker

et al. 2010

Clinical Gastroenterology and Hepatology

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“…The finding that heavy alcohol use was not an independent predictor for suicide in our study is inconsistent with previous reports, in which alcohol use disorder was associated with increased risk for suicide [90][91][92][93] . In a previous study from China, a history of alcohol use disorder was only significantly associated with an increased risk for suicide in male, rural residents, and those with age < 40 years old [32] .…”

Section: Issn 2372-5923contrasting

confidence: 99%

Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

Liu

Sun

et al. 2015

国际公共卫生杂志

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Objective: Suicide is a major public health problem in China, particularly in rural areas. This study aimed to examine the rate and the risk factors for suicide in a rural area of China. Methods: The mortality data of two counties in Shandong Province from January 1st, 2004 to December 31st 2005 were used. Death information was collected via face-to-face interview with informant(s). Psychological autopsy was conducted on 137 completed suicides and 137 matched controls died from other illnesses. Chisquare/Fisher exact and multiple logistic regression were used for bivariate analyses and predictor analyses, respectively. Results: The suicide rate was 20.90 per 100,000 persons per year with almost equal rates of males and females. Among those with the age over 40 years old, the suicide rate in males was significantly higher than that in females. The peak of suicide fell in the age group of 70-79 years for males and the age group of ≥ 80 years for females. The most commonly used method for suicide was pesticide ingestion (76.7%). Poor interpersonal relationship (OR=12.79), childhood adversities (OR=7.26), a history of mental illness (OR=5.95), adverse life event(s) within 1 year prior to death (OR=3.19), and unstable extravert personality traits (OR=6.12) were independent risk factors for suicide. Male gender positively interacted with majority of these risk factors, especially with a history of mental illness (OR=17.89). Advanced age positively interacted with all independent risk factors, with a history of mental illness having the largest OR of 1.51 as every 10 year of age advancement. In bivariate analyses, a history of previous suicide attempt (OR=13.06), a family history of suicide (OR=7.08), and unstable introvert personality trait (OR=1.83) were also associated with increased risk for suicide; and stable extravert personality trait (OR=0.21) was associated with decreased risk for suicide. Conclusions: In this rural population of mainland China, the risk for suicide was almost equal in both males and females with the elderly having the highest risk. The positive interactions of advanced age and male gender with independent risk factors suggest that suicide prevention strategies targeting specific groups with different risk factors are essential.

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Alcohol use disorders increase the risk of completed suicide — Irrespective of other psychiatric disorders. A longitudinal cohort study

Cited by 132 publications

References 26 publications

Association Between Adolescent Drinking and Adult Violence: Evidence From a Longitudinal Study of Urban African Americans

Association Between Adolescent Drinking and Adult Violence: Evidence From a Longitudinal Study of Urban African Americans

Danish Patients With Chronic Pancreatitis Have a Four-Fold Higher Mortality Rate Than the Danish Population

Prevalence and risk factors of suicide in a rural area of Shandong province in mainland China: a case control study

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