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Alcohol and Suicide Risk: Examining the Role of Meaning-Making.

Marek S Kopacz1,2, Craig J Bryan3, Todd M Bishop1,4

  • 1a U.S. Department of Veterans Affairs , VISN 2 Center of Excellence for Suicide Prevention , Canandaigua , New York , USA.

Journal of Dual Diagnosis
|November 20, 2018
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Meaning-making did not protect active-duty service members from the link between alcohol misuse and suicide risk. Further research is needed to understand these complex relationships in high-risk populations.

Keywords:
Armyalcoholmeaning-makingmental healthsubstance abusesuicide

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Meaning-making is theorized to offer protective benefits against alcohol misuse and suicidal behaviors.
  • Understanding this relationship is crucial for developing interventions for high-risk groups.

Purpose of the Study:

  • To investigate if meaning-making mitigates the association between alcohol misuse and suicide risk severity.
  • The study focused on active-duty service members presenting with high-risk suicidality.

Main Methods:

  • A sample of 97 active-duty service members with high-risk suicidality was assessed.
  • Data collection included measures of suicidal behaviors, meaning in life, and alcohol consumption.
  • Statistical analyses involved chi-squared tests, correlation, and logistic regression.

Main Results:

  • A significant association was found between daily alcohol consumption and a history of suicide attempts (OR=1.60).
  • Alcohol consumption remained a significant predictor of suicide risk even after accounting for meaning-making variables.
  • No significant interaction effects between meaning-making and alcohol consumption were observed.

Conclusions:

  • Meaning-making did not attenuate the relationship between alcohol misuse and suicide risk severity in this high-risk service member sample.
  • Additional research is necessary to elucidate the interplay between meaning-making, alcohol misuse, and suicidal behavior.