ALCOHOL DEPENDENCE AND SUICIDE

该奖项将允许主要研究员，博士。 康纳，发展自杀风险识别研究的专业知识， 酗酒者他将通过合作研究发展专业知识， 罗切斯特大学研究中心的研究培训， 预防自杀（CSPS）和酗酒研究中的教育和培训 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 继续开展方案研究，查明 酗酒者自杀，将这些知识应用于发展中的社区， 基于临床的风险评估和预防战略， 降低酗酒者的自杀发病率和死亡率。他选择 关注酗酒、自杀及其关联，因为它们的深刻意义 公共卫生意义。酒精使用障碍是最常见的 50岁以下的自杀者中有精神病诊断， 了解酗酒者自杀的危险因素。拟议研究 是对60名18-49岁酒精依赖自杀者的病例对照研究 与60个社区对照组和60个诊所对照组相比， 性别种族和年龄匹配的依赖性。病例将来自人群 在门罗3年内， 县，纽约州（罗切斯特）和六个周围的农村县确定的 门罗县法医有关病例和对照的信息将 使用可比较的线人访谈方法收集，结构化 问卷调查和记录审查。这项研究将测试一个自杀模型， 酒精中毒有四个焦点：攻击，抑郁，依恋破坏， 酒精和药物滥用的严重程度。多元逻辑回归是 主要分析策略，分别分析自杀的比较 受害者和诊所控制和社区控制分别。

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.