Alcohol, Adolescence, and Suicidality

描述(由申请人提供)：自杀意念和行为与酗酒密切相关，两者都代表着青少年和年轻人的严重公共健康问题。然而，关于酗酒的具体方面(例如，饮酒、大量饮酒、后果)是否与自杀的各个方面(例如，想法、计划、企图)或企图的特征(例如，医疗护理)有不同的关系，知之甚少。 这项拟议的研究利用15岁至18岁青少年的多个国家数据集，检查了酒精参与在自杀方面的预测中的作用。酒精参与的程度被假设与自杀、人口统计控制、其他药物使用、个人差异(如抑郁症)、家庭和同龄人环境以及生活压力等方面有关。根据现有的文献，这些关系预计对于年龄较小的青少年来说会比年长的青少年更强。其他潜在的调节因素(例如，抑郁和行为问题)，以及对酒精和自杀的共同影响，将跨性别、年龄和种族进行检查。结果将有助于澄清自杀预测的发育差异，并为高危青年的早期识别和预防工作提供信息。

DESCRIPTION (provided by applicant): Suicidal ideation and behavior are strongly related to alcohol involvement, and both represent serious public health problems for adolescents and young adults. However, little is known regarding whether specific facets of alcohol involvement (e.g., consumption, heavy consumption, consequences) are differentially related to aspects of suicidality (e.g., ideation, plan, attempt), or characteristics of attempt (e.g., medical attention). Using multiple national datasets of adolescents between the ages of 15 and 18, the proposed research examines the role of alcohol involvement in the prediction of aspects of suicidality. Levels of alcohol involvement are hypothesized to be related to aspects of suicidality, controlling for demographic, other drug use, individual differences (e.g., depression), family and peer environment, and life stress. Based on extant literature, these relations are expected to be stronger for younger than older adolescents. Other potential moderators (e.g., depression and conduct problems), as well as the common influences on alcohol and suicidality, will be examined across gender, age, and race. Results will help clarify developmental differences in the prediction of suicidality and inform early identification and preventive efforts among at-risk youth.