Alcohol as an Acute Risk Factor for Recent Suicide Attempts: A Case-Crossover Analysis

Bagge, Courtney L.; Lee, Han-Joo; Schumacher, Julie A.; Gratz, Kim L.; Krull, Jennifer L.; Holloman, Garland H.

doi:10.15288/jsad.2013.74.552

Cited by 75 publications

(88 citation statements)

References 18 publications

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“…Patients were approached after initial medical/ psychological evaluations, and the 2.5-hour study assessment session occurred close to discharge. Participants completed a battery of self-report questionnaires and were interviewed using the semi-structured Timeline Followback Interview for Suicide Attempts (TLFB-SA; see Bagge et al, 2013aBagge et al, , 2013bBagge et al, , 2013c.…”

Section: Methodsmentioning

confidence: 99%

“…This measure (see Bagge et al, 2013aBagge et al, , 2013bBagge et al, , 2013c) uses a TLFB methodology (Sobell & Sobell, 1992) focusing on precursors of suicide attempts. For the current study, this interview was used to gather retrospective information on the timing of proximal suicide premeditation during the 48 hours before the attempt.…”

Section: Timeline Followback Interview For Suicide Attemptsmentioning

confidence: 99%

“…An empirical review of published studies finds that a median of 40% of suicide attempts by adults were preceded by ingestion of alcohol ). Controlled studies demonstrate that acute alcohol use confers marked risk for suicide attempt (e.g., Bagge et al, 2013b;Borges & Rosovsky, 1996;Borges et al, 2004;Powell et al, 2001) and that risk is intensified at high drinking levels (Bagge et al, 2013b;Borges & Rosovsky, 1996).…”

mentioning

confidence: 99%

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Alcohol Use to Facilitate a Suicide Attempt: An Event-Based Examination

Bagge

Conner

Reed

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The current study is based on the hypothesis that alcohol-involved suicide attempts are characterized by lower premeditation and intent, but only when the use of alcohol is not motivated by the desire to facilitate the attempt. Test of this idea was conducted by comparing proximal suicide premeditation and intent of suicide attempts among three groups: individuals who (a) drank to facilitate the attempt (e.g., to "numb fears" about attempting), (b) drank for nonfacilitative motives, and (c) did not use alcohol before the attempt. Method: Participants included 324 (62% female) recent suicide attempters presenting to a Level 1 trauma hospital. The Timeline Followback Interview for Suicide Attempts and a novel Suicide Facilitative Drinking Motives Scale were used to assess facilitative motives for drinking and characteristics of the attempt. Results: One third of participants drank before the attempt, and most (73%) who used alcohol did not do so to facilitate the attempt. As hypothesized, attempts carried out by this group had shorter proximal suicide premeditation and lower suicide intent compared with the other study groups; in contrast, individuals who drank to facilitate the attempt were similar to non-alcohol users on these indices. Conclusions: Alcohol-involved suicide attempts are heterogeneous. Motives for drinking are a key source of heterogeneity insofar as fundamental characteristics of attempts (proximal premeditation, intent) differ as a function of drinking motivation. Clinical implications include that individuals making suicide attempts with facilitative motives for drinking cannot be assumed to be at lowered risk upon a drop in blood alcohol level. (J. Stud. Alcohol Drugs, 76, 474-481, 2015)

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Section: Methodsmentioning

confidence: 99%

Section: Timeline Followback Interview For Suicide Attemptsmentioning

confidence: 99%

mentioning

confidence: 99%

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Alcohol Use to Facilitate a Suicide Attempt: An Event-Based Examination

Bagge

Conner

Reed

et al. 2015

J. Stud. Alcohol Drugs

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“…Alcohol and controlled substance abuse are important predictors of future risk for violence, including firearm violence, whether directed at others (3,25,29,34,38) or at oneself (8,14,16,32,33) and whether or not mental illness is also present (21,26). There is widespread support-among the general public (11), firearm owners (11), firearm retailers (67), and experts in the field (1, 22)-for policies that would prohibit the purchase and possession of firearms by persons with multiple criminal convictions related to alcohol abuse.…”

Section: Figure 11mentioning

confidence: 99%

The Epidemiology of Firearm Violence in the Twenty-First Century United States

Wintemute

2015

Annu. Rev. Public Health

243

148

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This brief review summarizes the basic epidemiology of firearm violence, a large and costly public health problem in the United States for which the mortality rate has remained unchanged for more than a decade. It presents findings for the present in light of recent trends. Risk for firearm violence varies substantially across demographic subsets of the population and between states in patterns that are quite different for suicide and homicide. Suicide is far more common than homicide and its rate is increasing; the homicide rate is decreasing. As with other important health problems, most cases of fatal firearm violence arise from large but low-risk subsets of the population; risk and burden of illness are not distributed symmetrically. Compared with other industrialized nations, the United States has uniquely high mortality rates from firearm violence.

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“…Alcohol-related cancers were defined as cancer of the oral cavity, pharynx, larynx, esophagus, colorectum, liver, and female breast [14]. Tobacco smoking-related cancers were defined as cancer of the oral cavity, pharynx, larynx, esophagus, lung, pancreas, kidney, and urine bladder [15]. All histological types were included.…”

Section: Study Outcomesmentioning

confidence: 99%