Association of Solitary Binge Drinking and Suicidal Behavior Among Emerging Adult College Students
Association of Solitary Binge Drinking and Suicidal Behavior Among Emerging Adult College Students
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DOI：
10.1037/a0026916
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发表时间：
2012-09-01
影响因子：
3.4
通讯作者：
Gonzalez, Vivian M.
中科院分区：
文献类型：
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作者：
Gonzalez, Vivian M.
新兴的成年大学生谁狂饮在孤独的情况下（即，独自一人时）比那些只在社交场合酗酒的学生经历更大的抑郁和自杀意念，这表明他们可能有更大的自杀行为的风险。本研究探讨了以前的自杀企图，未来的自杀企图和自杀的最佳预测因素之一，最近的自杀意念与饮酒在孤独和社会背景的严重程度的关联。参与者是狂饮，新兴的成年（18- 25岁）大学生（N = 182）从两个研究大学饮酒者。Logistic回归分析显示，自杀企图史和自杀意念的严重程度与孤独狂饮者的可能性显著相关，而不仅仅是社交狂饮者。有过自杀企图的学生成为独自狂饮者的可能性几乎是其他学生的四倍。多元回归分析显示，自杀未遂史与孤独中饮酒的频率和数量显著相关，但与社会背景无关。自杀意念与每一个单独饮酒日的饮酒量显著相关，但一旦考虑到自杀企图史，单独饮酒的频率就不相关了。考虑到孤独酗酒和自杀企图史之间的关联，以及最近自杀意念的严重程度，这些学生似乎需要自杀预防工作，包括旨在减少酗酒的治疗工作。
Emerging adult college students who binge drink in solitary contexts (i.e., while alone) experience greater depression and suicidal ideation than do students who only binge drink in social contexts, suggesting that they may be at greater risk for suicidal behavior. This study examined the association of a previous suicide attempt, one of the best predictors of future suicide attempts and suicide, and severity of recent suicidal ideation with drinking in solitary and social contexts. Participants were binge drinking, emerging adult (18- to 25-year-old) college students (N = 182) drawn from two studies of college drinkers. A logistic regression analysis revealed that both suicide attempt history and severity of suicidal ideation were significantly associated with a greater likelihood of being a solitary binge drinker as opposed to only a social binge drinker. Students with a previous suicide attempt were nearly four times more likely to be solitary binge drinkers. Multiple regression analyses revealed that suicide attempt history was significantly associated with greater frequency and quantity of drinking in solitary, but not social contexts. Suicidal ideation was significantly associated with drinks per solitary drinking day, but not frequency of solitary drinking once suicide attempt history was accounted for. Given the associations found between solitary binge drinking and a history of suicide attempts, as well as greater severity of recent suicidal ideation, it appears that these students are in need of suicide prevention efforts, including treatment efforts aimed at reducing binge drinking.