The relationship between alcohol abuse and suicide risk according to smoking status: A cross-sectional study
The relationship between alcohol abuse and suicide risk according to smoking status: A cross-sectional study
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DOI：
10.1016/j.jad.2018.09.077
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发表时间：
2019-02-01
影响因子：
6.6
通讯作者：
Jung, Myoungjee
中科院分区：
文献类型：
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作者：
Jung, Myoungjee
背景：考虑到自杀风险率的上升，我们调查了酗酒、吸烟和自杀风险之间的关系。方法：研究对象为2013 - 2015年韩国全国营养调查的21654名应答者（男性9729人，女性11925人）。使用逻辑回归和通径分析分析酒精、吸烟和自杀风险之间的关系。酒精使用障碍鉴定测试（AUDIT）测量了酒精消费水平。结果：在参与者中，1718人（男性：602人，女性：1116人）表现出与酒精和吸烟有关的自杀风险。男性自杀意念的比值比在报告吸烟的人群中最高，审计评分>= 20，为83.75(95%可信区间[CI] = 48.07-145.94)；目前吸烟的男性自杀意念最高，审计评分>= 20，为121.49 (CI = 48.92 ~ 301.67)；自杀企图在16-19岁吸烟和审计评分的男性中最高，为256.341 （CI = 77.12-852.05）。女性自杀意念的优势比在报告吸烟和审计评分>= 20的人群中最高，为21.92 (CI = 7.19-66.80)；目前吸烟的女性自杀意念最高，审计评分>= 20，为19.26 (CI = 4.52 ~ 82.17)；而那些报告过去吸烟和审计得分为8-15分的人的自杀企图最高，为104.64 （CI = 10.32- < 999.99）。通过路径分析，选择了6条路径。吸烟状况对自杀未遂有显著的正向影响（t = 146.50, p < 0.001）。审计得分对自杀未遂有显著的正向影响（t = 2503.74, p < 0.001）。局限性：结果必须在研究设计背景下解释。自杀倾向不能评估任何抑郁发作。该样本不包括自杀的人。由于自杀意念、计划和企图是有一定范围的，因此很难找到有效的、适当的、具有文化敏感性的、可在国际研究中比较的自杀风险筛查问题。这项研究中使用的数据是基于吸烟、饮酒和自杀风险的自我报告。结论：饮酒和吸烟相结合比单独饮酒和吸烟有更高的自杀风险。
Background: Considering the rising suicide risk rate, we investigated the associations between alcohol abuse, smoking, and suicide risk.Methods: Participants were 21,654 (male: 9,729, female: 11,925) responders of the National Nutrition Survey from 2013 to 2015 in Korea. Associations between alcohol, smoking, and suicide risk were analyzed using logistic regression and path analysis. The Alcohol Use Disorder Identification Test (AUDIT) measured alcohol consumption levels.Results: Among participants, 1,718 (male: 602, female: 1,116) presented a suicide risk related to alcohol and smoking. Men's odds ratio of suicide ideation was the highest among those reporting current smoking and AUDIT scores >= 20, at 83.75 (95% confidence interval [CI] = 48.07-145.94); that of suicide ideation was the highest for men reporting current smoking and AUDIT scores >= 20, at 121.49 (CI = 48.92-301.67); and that of suicide attempts was the highest for men reporting current smoking and AUDIT scores of 16-19, at 256.341 (CI = 77.12-852.05). Women's odds ratio of suicide ideation was the highest for those reporting current smoking and AUDIT scores >= 20, at 21.92 (CI = 7.19-66.80); that of suicide ideation was the highest for women reporting current smoking and AUDIT scores >= 20, at 19.26 (CI = 4.52-82.17); and that for suicide attempts was the highest for those reporting past smoking and AUDIT scores 8-15, at 104.64 (CI = 10.32- < 999.99). As a result of the path analysis, six paths were fully adopted. Smoking status had a statistically significant positive effect on attempted suicide (t = 146.50, p < .001). AUDIT scores were found to have a significant positive effect on attempted suicide (t = 2503.74, p < .001).Limitations: Results must be interpreted within the study design context. Suicidality does not assess any depressive episode. the sample did not include persons who had committed suicide. As suicidal ideation, plans, and attempts are on a spectrum it is difficult to find valid and appropriate, as well as culturally-sensitive, screening questions for suicidal risk that are comparable across international studies. The data used in this study were based on self-reports of smoking, drinking, and suicide risk.Conclusions: The combination of alcohol use and smoking was associated with greater suicide risk than were alcohol and smoking separately.