TY - JOUR PY - 2010// TI - The role of alcohol use disorder and alcohol consumption in suicide attempts-A secondary analysis of 1921 suicide attempts JO - European psychiatry A1 - Boenisch, S. A1 - Bramesfeld, Anke A1 - Mergl, Roland A1 - Havers, Inga A1 - Althaus, David A1 - Lehfeld, Hartmut A1 - Niklewski, Gunter A1 - Hegerl, Ulrich SP - 414 EP - 420 VL - 25 IS - 7 N2 - BACKGROUND: It is not known how characteristics of suicide attempts vary with different forms of alcohol involvement. The aim of this study is to clarify the role of alcohol use disorder and acute alcohol consumption in suicide attempts. METHODS: Data on 1921 suicide attempts was gathered in a major German city over a 5-year period. Suicide attempts were categorised according to a diagnosis of alcohol use disorder and acute alcohol consumption at the time of the attempt. Group comparisons and multinomial logistic regression were used for statistical analysis. RESULTS: In 331 suicide attempts (17%) an alcohol use disorder was diagnosed. Six hundred and twenty-two suicide attempts (32%) were committed with acute alcohol consumption. Suicide attempts by individuals with alcohol use disorder were more often committed by men, older individuals and as a recurrent attempt, independently of alcohol consumption at the time of the attempt. When alcohol was consumed in suicide attempts by individuals with alcohol use disorder, low-risk methods were used most often. CONCLUSIONS: Individuals with a diagnosis of alcohol use disorder are a high-risk group for multiple suicide attempts and should be a target group for suicide prevention. Screening for suicidality should be a regular part of the clinical assessment in individuals with alcohol use disorder.

Language: en

LA - en SN - 0924-9338 UR - http://dx.doi.org/10.1016/j.eurpsy.2009.11.007 ID - ref1 ER -