TY - JOUR PY - 2003// TI - Predictors and correlates of suicide attempts over 5 years in 1,237 alcohol-dependent men and women JO - American journal of psychiatry A1 - Preuss, U. W. A1 - Schuckit, Marc A. A1 - Smith, Toby L. A1 - Danko, G. P. A1 - Bucholz, Kathleen K. A1 - Hesselbrock, Michie N. A1 - Hesselbrock, Victor A1 - Kramer, J. R. SP - 56 EP - 63 VL - 160 IS - 1 N2 - OBJECTIVE: In previous studies, factors related to a history of suicide attempts in persons with alcohol dependence have included sociodemographic variables, a more severe course of alcoholism, additional substance use disorders, and psychiatric comorbidity. This 5-year prospective study evaluated attributes associated with suicide attempts in a group of treatment-seeking persons with alcohol dependence. Psychiatric comorbidity was examined in terms of a distinction between substance-induced and independent psychiatric disorders. METHOD: Semistructured interviews were conducted with 1,237 alcohol-dependent subjects from the Collaborative Study on the Genetics of Alcoholism both at an initial evaluation and at a 5-year follow-up. Clinically relevant information was gathered at baseline, and suicidal behavior, aspects of alcohol dependence, and drug use were evaluated at the follow-up interview. RESULTS: Alcohol-dependent subjects (N=56) with suicide attempts during the follow-up period were more likely than subjects with no suicide attempts (N=1,181) to have made prior attempts. Other factors related to future suicide attempts in univariate analyses included younger age, being separated or divorced, other drug dependence, substance-induced psychiatric disorders, and indicators of a more severe course of alcoholism. Gender did not predict future attempts. CONCLUSIONS: A 5-year prospective evaluation of attributes associated with suicide attempts among alcohol-dependent persons identified factors that contributed to a small but significant proportion of the variance for future suicidal behavior.

Language: en

LA - en SN - 0002-953X UR - http://dx.doi.org/ ID - ref1 ER -