Tags

Type your tag names separated by a space and hit enter

Adolescent alcohol use, suicidal ideation, and suicide attempts.
J Adolesc Health. 2009 Apr; 44(4):335-41.JA

Abstract

PURPOSE

To examine the association between self-reported alcohol use and suicide attempts among adolescents who did and did not report suicidal ideation during the past year.

METHODS

Screening data from 31,953 students attending schools in the United States that implemented the Signs of Suicide (SOS) program in 2001-2002 were used in this analysis. Two types of alcohol use were investigated: heavy episodic drinking, and drinking while down. Self-reported suicide attempts were regressed on suicidal ideation and both measures of alcohol use, controlling for participants' levels of depressive symptoms, and demographic characteristics.

RESULTS

Logistic regression analyses indicated that both drinking while down and heavy episodic drinking were significantly associated with self-reported suicide attempts. Analyses examining the conditional association of alcohol use and suicidal ideation with self-reported suicide attempts revealed that drinking while down was associated with significantly greater risk of suicide attempt among those not reporting suicidal ideation in the past year. Heavy episodic drinking was associated with increased risk of suicide attempt equally among those who did and did not report suicidal ideation.

CONCLUSIONS

This study identified the use of alcohol while sad or depressed as a marker for suicidal behavior in adolescents who did not report ideating prior to an attempt, and hence, may not be detected by current strategies for assessing suicide risk. Findings from this study should provide further impetus for alcohol screening among clinicians beyond that motivated by concerns about alcohol and substance use.

Links

Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Schilling EA
Division of Behavioral Sciences and Community Health, University of Connecticut Health Center, Farmington, Connecticut, USA. eschilling@uchc.edu
Aseltine RH
No affiliation info available
Glanovsky JL
No affiliation info available
James A
No affiliation info available
Jacobs D
No affiliation info available

MeSH

Adaptation, PsychologicalAdolescentAdolescent BehaviorAlcohol DrinkingChildDepressive DisorderFemaleHumansLogistic ModelsMaleSuicideSuicide, AttemptedYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19306791

Citation

Schilling, Elizabeth A., et al. "Adolescent Alcohol Use, Suicidal Ideation, and Suicide Attempts." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 44, no. 4, 2009, pp. 335-41.
Schilling EA, Aseltine RH, Glanovsky JL, et al. Adolescent alcohol use, suicidal ideation, and suicide attempts. J Adolesc Health. 2009;44(4):335-41.
Schilling, E. A., Aseltine, R. H., Glanovsky, J. L., James, A., & Jacobs, D. (2009). Adolescent alcohol use, suicidal ideation, and suicide attempts. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 44(4), 335-41. https://doi.org/10.1016/j.jadohealth.2008.08.006
Schilling EA, et al. Adolescent Alcohol Use, Suicidal Ideation, and Suicide Attempts. J Adolesc Health. 2009;44(4):335-41. PubMed PMID: 19306791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adolescent alcohol use, suicidal ideation, and suicide attempts. AU - Schilling,Elizabeth A, AU - Aseltine,Robert H,Jr AU - Glanovsky,Jaime L, AU - James,Amy, AU - Jacobs,Douglas, Y1 - 2008/10/29/ PY - 2008/03/25/received PY - 2008/08/01/revised PY - 2008/08/07/accepted PY - 2009/3/25/entrez PY - 2009/3/25/pubmed PY - 2009/8/4/medline SP - 335 EP - 41 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 44 IS - 4 N2 - PURPOSE: To examine the association between self-reported alcohol use and suicide attempts among adolescents who did and did not report suicidal ideation during the past year. METHODS: Screening data from 31,953 students attending schools in the United States that implemented the Signs of Suicide (SOS) program in 2001-2002 were used in this analysis. Two types of alcohol use were investigated: heavy episodic drinking, and drinking while down. Self-reported suicide attempts were regressed on suicidal ideation and both measures of alcohol use, controlling for participants' levels of depressive symptoms, and demographic characteristics. RESULTS: Logistic regression analyses indicated that both drinking while down and heavy episodic drinking were significantly associated with self-reported suicide attempts. Analyses examining the conditional association of alcohol use and suicidal ideation with self-reported suicide attempts revealed that drinking while down was associated with significantly greater risk of suicide attempt among those not reporting suicidal ideation in the past year. Heavy episodic drinking was associated with increased risk of suicide attempt equally among those who did and did not report suicidal ideation. CONCLUSIONS: This study identified the use of alcohol while sad or depressed as a marker for suicidal behavior in adolescents who did not report ideating prior to an attempt, and hence, may not be detected by current strategies for assessing suicide risk. Findings from this study should provide further impetus for alcohol screening among clinicians beyond that motivated by concerns about alcohol and substance use. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/19306791/Adolescent_alcohol_use_suicidal_ideation_and_suicide_attempts_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(08)00337-6 DB - PRIME DP - Unbound Medicine ER -