Acute use of alcohol and methods of suicide in a US national sample.
Acute use of alcohol and methods of suicide in a US national sample.
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DOI：
10.2105/ajph.2013.301352
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发表时间：
2014-01
影响因子：
12.7
通讯作者：
Kaplan MS
中科院分区：
文献类型：
--
作者：
Conner KR;Huguet N;Caetano R;Giesbrecht N;McFarland BH;Nolte KB;Kaplan MS
我们探讨了年龄、性别和种族/民族与饮酒和枪支、上吊或窒息以及中毒自杀方法的差异。我们分析了 2005-2010 年国家暴力死亡报告系统数据库中 37,993 名 18 岁及以上自杀者的数据。多项逻辑回归检查了方法与血液酒精含量定义的饮酒之间的关联。双向互动测试了年龄、性别和种族/民族对饮酒与自杀方法之间关联的影响。使用三种主要自杀方式的死者中存在酒精：枪支（35.0%）、上吊（36.8%）和投毒（32.7%）。双向互动测试表明，在成年早期和中期，个人在使用枪支或上吊时更有可能饮酒（与中毒相比），但在老年时期，情况正好相反，饮酒更有可能中毒。互动测试还表明，亚洲人和太平洋岛民最有可能在中毒时使用酒精，而黑人在绞刑时最不可能使用酒精。结果表明，自杀前饮酒受到多种因素的影响，包括年龄、种族/民族和自杀方法。
We explored age, gender, and racial/ethnic differences with alcohol use and firearms, hanging or asphyxiation, and poisoning methods of suicide. We analyzed data for 37 993 suicide decedents aged 18 years and older from the 2005–2010 National Violent Death Reporting System database. Multinomial logistic regressions examined associations of method with alcohol use defined by blood alcohol content. Two-way interactions tested the effects of age, gender, and race/ethnicity on the associations between alcohol use and method of suicide. Alcohol was present among decedents who used the 3 leading methods of suicide: firearm (35.0%), hanging (36.8%), and poisoning (32.7%). Two-way interaction tests suggested that in young and middle adulthood, individuals were more likely to drink alcohol when they used a firearm or hanging (compared with poisoning), but in older adulthood, the reverse was true, with alcohol use more likely with poisoning. Interaction tests also suggested that Asians and Pacific Islanders were most likely to use alcohol in poisonings and that Blacks were least likely to use alcohol in hangings. The results suggested that alcohol use before suicide was influenced by several factors, including age, race/ethnicity, and suicide method.