Characterizing Alcohol Use Disorders and Suicidal Ideation in Young Women

Abstract

ABSTRACT. Objective: Alcohol use disorders (AUDs) and suicidal ideation (SI) co-occur, yet few studies have investigated the risk and protective factors that infl uence their comorbidity. Method: Data from 3,787 twin women ages 18-27 years were analyzed. AUD was defi ned as a lifetime history of alcohol abuse or dependence as defi ned in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. SI was coded as a lifetime report of any SI, and all subjects were queried about SI. Subjects were divided into those with neither AUD nor SI (AUD−SI−), those with AUD but no SI (AUD+SI−), those with SI but no AUD (AUD−SI+), and those with comorbid AUD and SI (AUD+SI+). Association with multiple measures of psychopathology, negative life events, personality, and family history was assessed using multinomial logistic regression. Results: Women with AUD were at 3.1 (95% confi dence interval [2.5, 3.8]) odds of also reporting a lifetime history of SI. Psychopathology and negative life events were consistently high in the AUD+SI+ group. AUD+SI+ women also were more likely to report drinking to cope. Substance use was more common in the AUD+SI− versus the AUD−SI+ women, whereas major depressive disorder, social phobia, and panic attacks were more commonly reported by the AUD−SI+ versus the AUD+SI− women. Conclusions: The comorbidity between AUD and SI is characterized in young women by co-occurring psychopathology, drinking to cope, and negative life events. (J. Stud.

Emergency Department Visits for Self-Inflicted Injuries in Adolescents

“…We also found that the specific comorbid conditions of obesity and alcoholism were associated with increased risk of an SII, results that align with other research on selfharm behavior in adolescents. 14,15 We found that risk of SII was lower in African American adolescents than in white adolescents, which differs from previous research. Cooper et al found that rates of self-harm in patients presenting to EDs in 3 English cities were highest in young black females, 20 whereas Ting et al found that blacks in the United States had higher population rates of ED visits for attempted suicide and SII compared with whites.…”

“…It is possible that adolescents with SII visits were more likely to be diagnosed with alcoholism or obesity if these conditions were thought to be causally linked with the self-harm behavior. However, other studies have found associations between alcoholism or obesity and SII, 14,15 providing support for our findings.…”

“…We chose to focus on the specific comorbid conditions of obesity and alcoholism, as we had an a priori hypothesis that these would be the most likely of the 24 NTDB categorized conditions to increase risk of self-harm in adolescents based on existing literature. [13][14][15][16] Insurance status, based on the payment method listed in the NTDB database, was categorized as private (private/ commercial, Blue Cross/Blue Shield), public (Medicaid, Medicare, other government), self-pay, or other (not billed, workers compensation, no fault automobile, unknown). Patients were considered to have died of their injuries if they were dead on arrival, died in the ED, or died after being admitted to the hospital.…”

Alcohol-Related Risk of Suicidal Ideation, Suicide Attempt, and Completed Suicide: A Meta-Analysis

“…Of the 168 references considered potentially eligible after screening, 137 studies were excluded because they were not original article (i.e., letter, commentary, review) or did not meet the inclusion criteria ( Fig 1 ). Eventually, 31 studies included in the meta-analysis, including 9 cohort studies [ 23 – 31 ] and 10 case-control studies [ 32 – 41 ] and 12 cross-sectional studies [ 42 – 53 ]. All included studies were published in English.…”

Mulheres em tratamento especializado para uso de substâncias psicoativas: estudo de coorte

“…The presence of suicidal ideation was a predictive variable for longer treatment adherence time, and women reporting this condition had a 2.7-times higher chance of remaining in treatment than those who denied such a condition. The high prevalence of suicidal ideation found among women in this study may be related to the number of women who associated MDE and MDI with alcohol, whose dependence has been related to a greater chance of presenting suicidal ideation than those who are not dependent on this substance (25) . Suicidal ideation as a predictor of treatment adherence is a fact that has not been found in other published studies involving this population, and therefore has not aroused research interest until now.…”