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Mortality among female alcoholics.

A Medhus

    Scandinavian Journal of Social Medicine
    |January 1, 1975
    PubMed
    Summary

    Female alcoholics face significantly higher mortality risks, particularly from accidents and suicide. Early compulsory treatment and a history of suicide attempts are key risk factors.

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    Area of Science:

    • Public Health
    • Addiction Medicine
    • Sociology

    Background:

    • Female alcoholics often experience low socioeconomic status and social disadvantages.
    • Previous studies highlight increased mortality risks associated with alcoholism.

    Purpose of the Study:

    • To investigate the mortality rates and causes of death among female alcoholics undergoing compulsory treatment.
    • To compare observed mortality with expected mortality based on general population data.

    Main Methods:

    • A cohort of 83 female alcoholics treated between 1961-1968 was followed until 1973.
    • Cause-specific and general mortality rates were calculated using age-specific risk tables.
    • Observed to expected mortality ratios were determined for various causes of death.

    Main Results:

    • Overall mortality was seven times higher than expected (7:1).
    • Mortality from accidents was 70 times higher, and from suicide 30 times higher.
    • Suicide decedents were younger at initial treatment; other cause decedents were older. Half of all suicide attempts involved violent methods.

    Conclusions:

    • Female alcoholics exhibit substantially elevated mortality risks, especially from external causes like accidents and suicide.
    • Age at initial treatment and a history of suicide attempts are critical factors influencing mortality outcomes.
    • Compulsory treatment settings may involve individuals with severe social disadvantages and high-risk behaviors.

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