Impact of acute alcohol consumption on lethality of suicide methods

Park, C. Hyung Keun; Yoo, Seong Ho; Lee, Jaewon; Cho, Sung‐Joon; Shin, Min Sup; Kim, Eun Young; Kim, Se Hyun; Ham, Keunsoo; Ahn, Yong Min

doi:10.1016/j.comppsych.2017.02.012

Cited by 31 publications

(13 citation statements)

References 42 publications

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“…In addition, alcohol intoxication is associated with methods of increased lethality when attempting suicide, i.e. methods that have a higher risk of a fatal outcome [40]. However, this study adds to the literature by showing that even among people with other DUD, alcohol is an independent contributor to suicide risk.…”

Section: Summary Of Findingsmentioning

confidence: 68%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

et al. 2020

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Background: Substance use disorders are a major risk factor for suicide. However, less is known about specific risk factors for suicide in people with substance use disorders. Methods: This population cohort study assessed suicide among people treated for drug use disorders in Denmark 2000-2010, and described risk factors for completed suicide. Data from 27,942 individuals enrolled in treatment were linked to national registers and matched with controls without drug use disorder and with (n = 138,136) or without psychiatric history (n = 1574). Competing risk regression was used to identify risk factors of completed suicide. Results: There were 163 suicides among patients with a history of drug treatment (0.6% of patients). Increased risk was associated with younger age at enrolment (hazard ratio [HR] = 0.97, 95% confidence interval (CI): 0.95, 0.98), history of psychiatric care (HR = 1.96, CI 95%: 1.39, 2.77), opioid use (HR = 1.81, 95% CI: 1.23, 2.68), and alcohol use (HR = 1.56, 95% CI: 1.09, 2.23). Lower risk was associated with cannabis use (HR = 0.69, 95% CI: 0.50, 0.96). Compared with age-and gender-matched controls without a history of treatment for substance use disorders or recent psychiatric care, the standardized mortality ratio due to suicide was 7.13 for people with drug use disorder without a history of psychiatric care (95% CI: 5.81, 8.44), 13.48 for people with drug use disorder and psychiatric history (95% CI: 9.75, 17.22), and 13.61 for people with psychiatric history only (95% CI: 6.72, 20.50). Conclusions: Risk of suicide is increased among people with drug use disorders. Access to treatment for comorbid mental health problems for people with drug use disorders could potentially reduce risk of suicide.

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Section: Summary Of Findingsmentioning

confidence: 68%

Suicide among people treated for drug use disorders: a Danish national record-linkage study

et al. 2020

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“…According to the WHO, suicides are most often committed through deliberate consumption of pesticides, which applies mainly to rural areas and agricultural regions of the world. In highly developed countries, 50% of suicides are through hanging and 18% by firearms [52].…”

Section: Ethanol Effects On Auto-aggression Behaviourmentioning

confidence: 99%

Ethanol as a stimulus to risky and auto-aggressive behaviour

Lasota¹,

Pawłowski²,

Mirowska‐Guzel³

et al. 2021

Ann Agric Environ Med.

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According to the World Health Organization (WHO), ethyl alcohol occupies the third place among health risks for the general population, causing damage to health as well as social damage. Ethanol is also considered the greatest risk factor in injuries. Both alcohol and its main metabolite, acetaldehyde, are directly toxic to tissues and lead to several systemic pathologies. Alcohol abuse may also lead to mental health disorders. Although one-in-eight adult Poles abstains from drinking alkohol, 10-20% of adult Poles drink alcohol regularly. It is estimated that this group includes about 900,000 addicts, and over 2,000,000 people who drink alcohol at a risky or harmful level. It affects their occurrence and their consequences Drinkdriving is one of the problems most often raised, although alcohol is a documented risk factor in pedestrian accidents. It is also an important risk factor for suicidal behaviour with people under the influence of alcohol choosing more radical and effective methods of committing suicide, such as hanging or 'throwing themselves under a moving vehicle.' Only properly selected and consistently taken preventive actions can improve the tragic statistics related to ethanol stimulating risky and auto-aggressive behaviours. It is also necessary to improve the system for reporting such events because only reliable statistics enable proper assessment of the scale of the problem, and the effectiveness of these activities.

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“…First, because the CC group has an older population, proactive community outreach programs such as screening visits to senior citizens' community centers or senior care centers will be effective in early identifying community-dwelling suicidal people and hopefully in involving them in hospital care. A suicide prevention campaign for elderly individuals especially deserves urgent attention because owing to the physical weakness associated with old age (reflected in the higher frequency of medical illnesses in the CC group in our study), even a suicidal attempt of low lethality such as drug/chemical overdose or use of a sharp object ( 36 ) may prove lethal for them. Second, the CC group has a higher proportion of people living alone, which implies their limited social interaction.…”

Section: Discussionmentioning

confidence: 82%

Comparison of Baseline Characteristics between Community-based and Hospital-based Suicidal Ideators and Its Implications for Tailoring Strategies for Suicide Prevention: Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior

Park

Lee

et al. 2017

J Korean Med Sci

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In this cross-sectional study, we aimed to identify distinguishing factors between populations with suicidal ideation recruited from hospitals and communities to make an efficient allocation of limited anti-suicidal resources according to group differences. We analyzed the baseline data from 120 individuals in a community-based cohort (CC) and 137 individuals in a hospital-based cohort (HC) with suicidal ideation obtained from the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior (K-COMPASS) study. First, their sociodemographic factors, histories of medical and psychiatric illnesses, and suicidal behaviors were compared. Second, diagnosis by the Korean version of the Mini International Neuropsychiatric Interview, scores of psychometric scales were used to assess differences in clinical severity between the groups. The results revealed that the HC had more severe clinical features: more psychiatric diagnosis including current and recurrent major depressive episodes (odds ratio [OR], 4.054; P < 0.001 and OR, 11.432; P < 0.001, respectively), current suicide risk (OR, 4.817; P < 0.001), past manic episodes (OR, 9.500; P < 0.001), past hypomanic episodes (OR, 4.108; P = 0.008), current alcohol abuse (OR, 3.566; P = 0.020), and current mood disorder with psychotic features (OR, 20.342; P < 0.001) besides significantly higher scores in depression, anxiety, alcohol problems, impulsivity, and stress. By comparison, old age, single households, and low socioeconomic status were significantly associated with the CC. These findings indicate the necessity of more clinically oriented support for hospital visitors and more socioeconomic aid for community-dwellers with suicidality.

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Impact of acute alcohol consumption on lethality of suicide methods

Cited by 31 publications

References 42 publications

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Suicide among people treated for drug use disorders: a Danish national record-linkage study

Ethanol as a stimulus to risky and auto-aggressive behaviour

Comparison of Baseline Characteristics between Community-based and Hospital-based Suicidal Ideators and Its Implications for Tailoring Strategies for Suicide Prevention: Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior

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