Adolescent Alcohol Use, Suicidal Ideation, and Suicide Attempts
Adolescent Alcohol Use, Suicidal Ideation, and Suicide Attempts
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DOI：
10.1016/j.jadohealth.2008.08.006
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发表时间：
2009-04-01
影响因子：
7.6
通讯作者：
Jacobs, Douglas
中科院分区：
文献类型：
--
作者：
Schilling, Elizabeth A.;Aseltine, Robert H., Jr.;Jacobs, Douglas
目的：调查在过去一年中报告和未报告自杀意念的青少年自我报告的饮酒与自杀企图之间的关联。方法：本次分析使用了 2001-2002 年实施自杀迹象 (SOS) 计划的 31,953 名美国学校学生的筛选数据。研究人员对两种类型的饮酒进行了调查：间歇性大量饮酒和情绪低落时饮酒。自我报告的自杀企图根据自杀意念和酒精使用量进行回归，控制参与者的抑郁症状水平和人口统计学特征。结果：逻辑回归分析表明，情绪低落时饮酒和间歇性大量饮酒都与自我报告的自杀企图显着相关。检查饮酒和自杀意念与自我报告的自杀企图之间的条件关联的分析表明，在没有报告自杀意念的人中，情绪低落时饮酒与自杀企图的风险显着增加相关。过去的一年。对于报告自杀意念和未报告自杀意念的人来说，偶尔大量饮酒与自杀未遂风险增加相关。结论：这项研究发现，在自杀意念之前未报告自杀意念的青少年中，在悲伤或抑郁时饮酒是自杀行为的一个标志，因此，目前的自杀风险评估策略可能无法检测到。除了出于对酒精和药物使用的担忧之外，这项研究的结果应该进一步推动临床医生进行酒精筛查。 (C) 2009 年青少年医学学会。所有战斗保留。
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. (C) 2009 Society for Adolescent Medicine. All fights reserved.