Psychological autopsy studies: The role of alcohol use in adolescent and young adult suicides

Giner, Lucas; Carballo, Juan J.; Guija, Julio A.; Sperling, Dahlia; Oquendo, María A.; García-Parajuá, P.; Sher, Leo; Giner, J.

doi:10.1515/ijamh.2007.19.1.99

Cited by 13 publications

(7 citation statements)

References 7 publications

(8 reference statements)

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“…Also substance misuse not fulfilling the diagnostic criteria of substance use disorders has been reportedly associated with adolescent suicides [18]. In a recent review Giner et al [56] found that the role of alcohol use in adolescent and young adult suicides was high (from 21.4% to 43.7%). Schizophrenic psychoses and personality disorders have been diagnosed more commonly in young adult than adolescent suicides, while disruptive disorders and adjustment disorders have been more prevalent among younger victims.…”

Section: Findings In Psychological Autopsy Studiesmentioning

confidence: 99%

Adolescent Suicide: Epidemiology, Psychological Theories, Risk Factors, and Prevention

Pelkonen¹,

Karlsson²,

Marttunen³

2011

CPR

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Suicide is one of the most common causes of death among young people worldwide. Adolescence is a developmentally important phase of age due to the growing risk for suicide and prevalence of psychiatric disorders, as well as due to growing possibilities for prevention and treatments. Research findings in theoretical considerations, in psychological autopsy studies as well as in selected follow-up studies of clinical populations and suicide attempters analyzing risk factors for youth suicides are reviewed emphasizing the most recent data. As youth suicides are rare, research on risk factors for youth suicidal ideation, deliberate self-harm behavior and attempted suicide are also briefly reviewed. Family-related adversity, precipitating interpersonal problems, and particularly psychiatric disorders constitute risk factors for adolescent suicide. Mood disorders, substance abuse and prior suicide attempts are strongly related with youth suicides. However, recent psychological autopsy studies in China have found substantially lower rates of psychiatric disorders among suicide victims compared with those in the Western countries. Recognition and effective treatment of psychiatric disorders, e.g. depression are essential in preventing adolescent suicides. As only seldom young suicide victims have received psychiatric care, broad prevention strategies are needed in health care and social services. Education of physicians to recognize youth at risk, and restricting access to lethal means are recommended to prevent suicides. For high-risk youth providing continuity of care is important. Recent treatment studies among suicidal adolescents have reported promising results on safety planning and increased therapeutic contact early in treatment.

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Section: Findings In Psychological Autopsy Studiesmentioning

confidence: 99%

Adolescent Suicide: Epidemiology, Psychological Theories, Risk Factors, and Prevention

Pelkonen¹,

Karlsson²,

Marttunen³

2011

CPR

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“…Regarding personal factors in predicting adolescent suicide, various studies suggest that depression (Brent et al, 1994; Connell & Meyer, 1991; Kessler & Walters, 1998), self‐esteem (Wilburn & Smith, 2005), gender (Goldacre & Hawton, 1985), academic performance (Martin, Richardson, Bergen, Roeger, & Allison, 2005), and dropping out of school (Thompson & Eggert, 1999) are associated with suicidal behaviors. Different studies have also verified the correlation between adolescent suicides and variations regarding adolescent abuse of alcohol and drugs (Giner et al, 2007). Meanwhile, parents' alcohol and drug abuse also have an important relationship with adolescent suicidal behaviors (Pfeffer, Normandin, & Kakuma, 1998).…”

mentioning

confidence: 98%

Suicide and Its Association with Individual, Family, Peer, and School Factors in an Adolescent Population in Southern Taiwan

Tang¹,

Ko²,

Yen³

et al. 2009

Suicide & Life Threat Behav

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A representative sample of 10,233 adolescent students was recruited to examine the rate of suicidal attempt and its correlates in the adolescents living in southern Taiwan. Five questions from the Kiddie Schedule for Affective Disorders and Schizophrenia (Kiddie-SADS-E) were used to inquire about the participants' suicidality. The associations between suicidal attempt and multidimensional factors were examined by using logistic regression analysis: 9.1% of the participants reported a suicidal attempt in the preceding year. Female gender, low self-esteem, weekly alcohol use, illicit drugs use, depression, high family conflict, low maternal education level, poor family function, low connectedness to school, low rank, poor feeling in peer group, and drop out from school were associated with adolescent suicidal attempt. The rate of suicidal attempt was found to be high in Taiwanese adolescents, and multidimensional factors were correlated to adolescent suicidal attempt.

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“…Alcohol consumption is one of the most significant proximal risk factors for suicidal behaviour 2 . When alcohol is consumed in the minutes or hours before the attempt, henceforth described as ‘acute alcohol consumption’, suicide attempts are more likely to become suicides 3 . An international review reported anywhere between 10% and 69% of suicide cases contain a positive blood alcohol concentration (BAC) at time of death 4 …”

mentioning

confidence: 99%

“…We hypothesise that areas with higher proportions of alcohol‐related suicide will be areas previously shown to have higher rates of suicides. Currently, there is little research investigating the spatial variation in the number of alcohol‐related suicides in Australia, however, research has previously demonstrated variations in consumption of alcohol 10 and suicide, 7,8 and that alcohol is a risk factor for suicide 11 . The study uses geospatial data analysis and visualisation techniques on suicide data (between 2010 and 2015) obtained from the National Coronial Information System (NCIS).…”

mentioning

confidence: 99%

Alcohol‐related suicide across Australia: a geospatial analysis

Hurzeler

Buckley

Noghrehchi

et al. 2021

Australian and New Zealand Journal of Public Health

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Background: The acute effects of alcohol consumption are a major risk factor for suicide. Positive blood alcohol concentrations are present in almost one‐third of all suicides at time of death. These suicides are defined as alcohol‐related suicides. This cross‐sectional study examines the geospatial distribution/clustering of high proportions of alcohol‐related suicides and reports on socioeconomic and demographic risk factors. Methods: National Coronial Information System (NCIS) data were used to calculate proportions of suicides with alcohol present at the time of death for each level 3 statistical areas (SA3) in Australia. A density analysis and hotspot cluster analysis were used to visualise and establish statistically significant clustering of areas with higher (hotspots) and lower (coldspots) proportions. Subsequently, socioeconomic and demographic risk factors for alcohol use and suicide were reported on for hot and cold spots. Results: Significant clustering of areas with higher proportions of alcohol‐related suicide occurred in northern Western Australia, the Northern Territory and Queensland, as well as inland New South Wales and inland Queensland. Clustering of SA3s with significantly lower proportions occurred in major city and inner regional Sydney and Melbourne. Conclusion and implications for public health: Results from this study identify areas in which prevention strategies should target alcohol use and can be used to inform prevention strategy design. Additionally, hotspots and coldspots identified in this study can be used for further analysis to better understand contextual risk factors for alcohol‐related suicide.

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Psychological autopsy studies: The role of alcohol use in adolescent and young adult suicides

Cited by 13 publications

References 7 publications

Adolescent Suicide: Epidemiology, Psychological Theories, Risk Factors, and Prevention

Adolescent Suicide: Epidemiology, Psychological Theories, Risk Factors, and Prevention

Suicide and Its Association with Individual, Family, Peer, and School Factors in an Adolescent Population in Southern Taiwan

Alcohol‐related suicide across Australia: a geospatial analysis

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