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Related Experiment Videos

Alcohol Involvement in Suicide and Self-Harm.

Celine Larkin1, Eve Griffin1, Paul Corcoran1,2

  • 11 National Suicide Research Foundation, Cork, Ireland.

Crisis
|November 30, 2017
PubMed
Summary

Alcohol consumption is common in suicidal behavior. Factors like younger age in suicides and male gender, older age, overdose, and out-of-hours presentation in self-harm cases are associated with alcohol use.

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Area of Science:

  • Public Health
  • Psychiatry
  • Toxicology

Background:

  • Alcohol misuse and consumption are established risk factors for suicidal behavior.
  • Understanding the role of alcohol in suicidal acts is crucial for prevention strategies.

Purpose of the Study:

  • To identify factors associated with alcohol consumption in completed suicide cases.
  • To identify factors associated with alcohol consumption in nonfatal self-harm presentations.

Main Methods:

  • Analysis of suicide cases (n=307) in Cork, Ireland (2008-2012) using the Suicide Support and Information System.
  • Analysis of emergency department self-harm presentations (n=8,145) in Ireland (2007-2013) from the National Self-Harm Registry.
  • Toxicology reports and case notes were reviewed for alcohol detection.
Keywords:
alcoholpsychological autopsyregistryself-harmsuicide

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Main Results:

  • Alcohol consumption was detected in 44% of suicide cases, significantly associated only with younger age.
  • Alcohol consumption was noted in 21% of self-harm presentations.
  • Factors associated with alcohol consumption in self-harm included male gender, older age, overdose as a method, non-admission to psychiatric care, and out-of-hours presentation.

Conclusions:

  • Alcohol consumption frequently precedes suicidal behavior.
  • Distinct factors differentiate alcohol-related suicidal acts and self-harm presentations.
  • Tailored clinical approaches may be necessary for individuals presenting with self-harm involving alcohol to mitigate further risk.