Early Age of Alcohol Initiation and its Association with Suicidal Behaviors

Ahuja, Manik; Awasthi, Manul; Records, Kathie; Lamichhane, Rabindra Raj

doi:10.1080/10826084.2021.1922452

Cited by 9 publications

(12 citation statements)

References 36 publications

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“…It is worth noting, however, that age at registration could be an index of overall liability and/or genetic risk for AUD and other externalizing disorders [41][42][43][44]. Age of onset of substance use is also related to low education [42,45] and suicidal behavior [44,46]. Controlling for age at registration may thus account for various externalizing traits.…”

Section: Discussionmentioning

confidence: 99%

“…Results showed that individuals having the externalizing subtype of AUD were at higher risk for suicide attempt than individuals having the internalizing subtype (OR = 1.47, 95% CI = 1. 46 FGRS are standardized based on the general population (mean = 0); scores higher than 0 in this AUD population-based sample reflect higher genetic risk than the general population. AUD = alcohol use disorder; CI = confidence intervals; FGRS = family genetic risk score; OR = odds ratio.…”

Section: Externalizing Versus Internalizingmentioning

confidence: 99%

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Risk of suicidal behavior as a function of alcohol use disorder typologies: A Swedish population‐based study

Lannoy,

Ohlsson,

Kendler

et al. 2023

Addiction

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Background and aimsAlcohol use disorder (AUD) is one of the strongest predictors of suicidal behavior. Here, we measured risk of suicide attempt and death as a function of AUD typologies.DesignWe used AUD typologies from previous latent class analysis: (i) externalizing subtype (characterized by externalizing symptomatology and early age of onset; individuals in this group have lower education and higher familial/social difficulties); (ii) subtype described by minimal psychopathology; and (iii) internalizing subtype (characterized by internalizing symptomatology and later age of onset; individuals in this group have higher education). We used class membership to predict distal outcomes (attempt and death) and performed regressions to evaluate whether differences in suicidal behavior were explained by the group characteristics (sex, age of onset, number and type of AUD registrations, familial/genetic risk for AUD, externalizing and internalizing behaviors, socio‐economic indicators, marital status and childhood family status). We also evaluated the effect of suicide attempt prior to AUD.Setting and participantsBased on longitudinal Swedish registry data, we included 217 074 individuals with AUD born 1950–80.MeasurementsSuicide attempts were identified using medical registers and deaths using the mortality register.FindingsIndividuals with the externalizing subtype had higher risks of suicidal behavior than other groups [attempt: externalizing versus minimal psychopathology: odds ratio (OR) = 1.35, 95% confidence interval (CI) = 1.35, 1.35; externalizing versus internalizing: OR = 1.47, 95% CI = 1.46, 1.48; death: externalizing versus minimal psychopathology: OR = 1.57, 95% CI = 1.57, 1.58; externalizing versus internalizing: OR = 1.99, 95% CI = 1.93, 2.06]. Individuals with minimal psychopathology had higher risks than those with internalizing symptomatology (attempt: OR = 1.09, 95% CI = 1.08, 1.10, death: OR = 1.26, 95% CI = 1.23, 1.30). These differences were explained by age at registration and were related to the number of registrations, sex, education, family disruption and suicide attempt prior to AUD.ConclusionsAmong people in Sweden, considering alcohol use disorder (AUD) heterogeneity appears to be a meaningful way to evaluate suicide risk. The highest risk of suicide attempt and death occurs in the externalizing subtype of AUD, followed by the minimal psychopathology subtype, and then the internalizing subtype.

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Section: Discussionmentioning

confidence: 99%

Section: Externalizing Versus Internalizingmentioning

confidence: 99%

Risk of suicidal behavior as a function of alcohol use disorder typologies: A Swedish population‐based study

Lannoy,

Ohlsson,

Kendler

et al. 2023

Addiction

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“…The results of this study indicate that the consumption of alcoholic beverages for the first time by respondents who drink in a hazardous manner occurred around the age of 10–15 years old. The problem of an earlier alcohol initiation is indicated by the authors of many studies conducted in Poland [ 89 , 90 , 91 ] and around the world [ 5 , 92 , 93 , 94 ]. According to Grant and Dawson [ 95 ], starting alcohol consumption earlier (before the age of 15 years old) is associated with an increased risk of developing alcohol-related problems later in life.…”

Section: Discussionmentioning

confidence: 99%

“…Although the consumption of alcoholic beverages is increasing more and more among the elderly, young adults are much more likely to engage in heavy binge drinking than people from other age groups [ 3 , 4 ]. The first exposure to ethanol is observed in increasingly younger age groups [ 5 ], and early alcohol initiation is associated with an increased risk of alcohol abuse later in life, as well as an increased risk of alcohol-related injuries [ 4 , 5 , 6 ]. Moreover, it has been shown that with age, the amount and intensity of alcohol consumption decrease [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Prevalence of Alcoholic Beverage Consumption and Knowledge of the Impact of Alcohol on Health in a Group of Polish Young Adults Aged 18–35: A Cross-Sectional Study

Wysokińska

Kołota

2022

IJERPH

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Alcoholic beverages are widely consumed worldwide, especially by young adults. Their excessive consumption is associated with numerous health, social and financial damages. The level of knowledge of young adults about the health effects of consuming alcoholic beverages is low, and research in this area is conducted on small, unrepresentative groups. This cross-sectional study aimed to assess the prevalence of alcoholic beverage consumption and the level of knowledge about the impact of ethyl alcohol on health in a group of people aged 18–35. The survey results indicate that the majority of respondents regularly consume alcoholic beverages (94.6%), and they are at a low risk of excessive consumption (p < 0.0001). The most frequently chosen alcoholic beverage in the studied group was beer, and the least chosen one was vodka. The main motive for reaching for alcoholic beverages was the desire to improve mood. Respondents did not indicate significant changes in alcohol consumption during the COVID-19 pandemic, but participants in the high-risk group more often indicated an increase in alcohol consumption (p = 0.0025). The analysis of the level of knowledge showed that the participants in the study had an average or low level of knowledge about the effects of ethanol on health, with no significant relationships between the study groups. The obtained results indicate a strong need for the continuous education of young people on the effects of the excessive consumption of alcoholic beverages on the body, with particular emphasis on the consequences of using alcohol as a mood-enhancing agent.

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“…More importantly, early alcohol use initiation increases the risk of suicide attempts (Swahn et al, 2010). Additionally, early alcohol use initiation has been linked to suicidal ideation and suicide attempts in both youth and adults (Ahuja et al, 2021; Swahn et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Differentiating the association between age of alcohol use initiation and conditional suicidal behaviors among adolescents

Wang,

Zhong,

Chen

et al. 2024

Asia-Pacific Psychiatry

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IntroductionSuicide and early alcohol use initiation are public health concerns. Previous studies have explored the associations between age of alcohol use initiation and suicidal behaviors, which progresses from ideation to action. Distinguishing between the various associations can help gain a deeper understanding of suicidal behaviors and aid in developing social suicide prevention strategies.MethodsThe study utilized the Youth Risk Behavior Survey to investigate this association. A total of 17 209 students were finally included in the study. Conditional suicidal behaviors included no suicidal behavior (NS), suicidal ideation without a plan or attempt (SINPA), suicide plan without an attempt (SPNA) and suicide attempt (SA).ResultsAmong 17 209 students, the prevalence of suicidal ideation, suicide plan, and suicide attempt were 21.4%, 17.3%, and 11.1%, respectively. Moreover, 15.2% of the students used alcohol before age 13, whereas 31.7% of students used alcohol at age 13 or older. Compared to NS, students using alcohol showed significant associations with SA (OR = 2.34, p < .001; OR = 1.29, p < .01), SPNA (OR = 1.68, p < .001; OR = 1.19, p < .05) and SINPA (OR = 1.55, p < .001; OR = 1.40, p < .001). Comparing with SINPA and SNPA, students using alcohol before age 13 were associated with SA (OR = 1.61, p < .001; OR = 1.46, p < .001), whereas those using alcohol at or after the age 13 were not associated with SA (OR = 0.98, p > .05; OR = 1.09, p > .05).DiscussionThis study demonstrated that early alcohol use initiation was significantly associated with suicide attempts among students with suicidal ideations or plans.

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Early Age of Alcohol Initiation and its Association with Suicidal Behaviors

Cited by 9 publications

References 36 publications

Risk of suicidal behavior as a function of alcohol use disorder typologies: A Swedish population‐based study

Risk of suicidal behavior as a function of alcohol use disorder typologies: A Swedish population‐based study

Assessment of the Prevalence of Alcoholic Beverage Consumption and Knowledge of the Impact of Alcohol on Health in a Group of Polish Young Adults Aged 18–35: A Cross-Sectional Study

Differentiating the association between age of alcohol use initiation and conditional suicidal behaviors among adolescents

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