ALCOHOL DEPENDENCE AND SUICIDE

这一奖项将使首席调查员Dr。 康纳，在自杀风险识别方面发展专门知识 酗酒者。他将通过合作研究和开发专业知识 在罗切斯特大学研究和研究中心的研究培训 预防自杀(CSP)与酒精中毒研究的教育和培训 在纽约州布法罗的成瘾研究所(RIA)。他还将 获得公共卫生硕士学位。获奖后，他的目标是 继续进行方案研究，以确定以下风险因素 在酗酒者中自杀，将这一知识应用于发展社区和 以临床为基础的风险评估和预防战略，以及长期的 以降低酗酒者的自杀率和死亡率。他选择了 关注酗酒、自杀及其关联，因为它们的深刻 对公共卫生的意义。酒精使用障碍是最常见的 50岁以下自杀受害者的精神诊断，但很少是 了解酗酒者自杀的危险因素。拟议的研究 是一项对60名18-49岁酒精依赖自杀者的病例对照研究 与60名社区对照组和60名饮酒诊所对照组相比 在性别、种族和年龄方面匹配的依赖。病例将来自人群 在门罗3年内发现的所有这个年龄段的自杀者中 县，纽约州(罗切斯特)和周边六个农村县 门罗县验尸官。有关病例和控制措施的信息将是 使用类似的线人访谈方法收集，结构化 问卷调查，并记录复习。这项研究将测试一个自杀模型 酒精中毒有四个焦点：攻击性、抑郁症、依恋障碍和 酒精和药物滥用的严重性。多元Logistic回归是 主要分析策略，与自杀比较的单独分析 受害者和诊所控制组和社区控制组。

This award will allow the Principal Investigator, Dr. Conner, to develop expertise in the study of suicide risk-identification in alcoholics. He will develop expertise through collaborative research and research training at the University of Rochester Center for the Study and Prevention of Suicide (CSPS) and education and training in alcoholism research at the Research Institute on Addictions (RIA) in Buffalo, NY. He will also earn a Master's in Public Health degree. Following the award, his goal is to continue programmatic research on the identification of risk factors for suicide in alcoholics, to apply this knowledge in developing community and clinic-based risk-assessment and prevention strategies, and in the long-term to reduce suicide morbidity and mortality in alcoholics. He has chosen to focus on alcoholism, suicide and their association because of their profound public health significance. Alcohol use disorders are the most common psychiatric diagnosis among suicide victims under age 50 but very little is known about the risk factors for suicide in alcoholics. The proposed research is a case-control study of 60 alcohol-dependent suicide victims age 18-49 compared with 60 community controls and 60 clinic controls with alcohol dependence matched for gender, race and age. Cases will be from the population of all suicides in this age group identified over a 3 year period in Monroe County, NY (Rochester) and six surrounding rural counties identified by the Monroe County Medical Examiner. Information about cases and controls will be gathered using comparable methods of informant interviews, structured questionnaires, and record review. The study will test a model for suicide in alcoholism with four foci: aggression, depression, attachment disruption, and alcohol and drug misuse severity. Multiple logistic regression is the principal analytic strategy, with separate analyses for comparisons of suicide victims and clinic controls and community controls respectively.