The Association of Alcohol Use Disorders with Suicidal Ideation and Suicide Attempts in a Population-Based Sample with Mood Symptoms

被引：19
作者：
Sung, Yoon-kyu [1 ,2 ,3 ]
La Flair, Lareina N. [4 ]
Mojtabai, Ramin [4 ,5 ]
Lee, Li-Ching [1 ,4 ]
Spivak, Stanislav [5 ]
Crum, Rosa M. [1 ,4 ,5 ,6 ]
机构：
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[2] Johns Hopkins Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD 21205 USA
[3] Johns Hopkins Med Inst, Ctr Aging & Hlth, Baltimore, MD 21205 USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA
[5] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA
[6] Johns Hopkins Med Inst, Welch Ctr Prevent Epidemiol & Clin Res, 2024 East Monument St,Suite 2-500, Baltimore, MD 21205 USA
来源：
ARCHIVES OF SUICIDE RESEARCH | 2016年 / 20卷 / 02期
关键词：
mood disorders; alcohol use disorders; NESARC; suicidal ideation; consumption; alcohol dependence; NATIONAL EPIDEMIOLOGIC SURVEY; PSYCHIATRIC DIAGNOSTIC MODULES; IV AUDADIS-IV; SUBSTANCE USE; RISK-FACTORS; ABUSE; DEPRESSION; DEPENDENCE; COMORBIDITY; RELIABILITY;
D O I：
10.1080/13811118.2015.1004489
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Using population-based data, we examined associations between alcohol use disorders (AUD) and suicidality, assessing effect modification by mood disorders, and mediation by drinking level. Suicidality was assessed among current drinkers with 2-weeks of low mood (n=9,173) in the National Epidemiologic Survey on Alcohol and Related Conditions. Independent of mood disorder, alcohol dependence, was associated with suicidal ideation (adjusted odds ratio [AOR]=1.64; 95% confidence interval [CI]=1.25-2.14), and suicide attempts (AOR=2.02; CI=1.43-2.85) relative to those without AUD. Findings indicate partial mediation by consumption. Associations between AUD and suicidality among those with low mood are not explained by comorbid mood disorder, but are partially mediated by drinking level. Future studies should evaluate transitions in suicidality with change in consumption.
引用
收藏
页码：219 / 232
页数：14
相关论文
共 34 条
  • [1] [Anonymous], 2013, Diagnostic and statistical manual of mental disorders
  • [2] [Anonymous], 1994, AM PSYCHIATR ASSOC
  • [3] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS
    BARON, RM
    KENNY, DA
    [J]. JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) : 1173 - 1182
  • [4] Alcohol and depression
    Boden, Joseph M.
    Fergusson, David M.
    [J]. ADDICTION, 2011, 106 (05) : 906 - 914
  • [5] Exploring the correlates of suicide attempts among individuals with major depressive disorder: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions
    Bolton, James M.
    Belik, Shay-Lee
    Enns, Murray W.
    Cox, Brian J.
    Sareen, Jitender
    [J]. JOURNAL OF CLINICAL PSYCHIATRY, 2008, 69 (07) : 1139 - 1149
  • [6] A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder
    Bolton, James M.
    Pagura, Jina
    Enns, Murray W.
    Grant, Bridget
    Sareen, Jitender
    [J]. JOURNAL OF PSYCHIATRIC RESEARCH, 2010, 44 (13) : 817 - 826
  • [7] Borges G, 2000, AM J EPIDEMIOL, V151, P781
  • [8] Longitudinal predictors of first time depression treatment utilization among adults with depressive disorders
    Burnett-Zeigler, Inger
    Zivin, Kara
    Islam, Khairul
    Ilgen, Mark A.
    [J]. SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2012, 47 (10) : 1617 - 1625
  • [9] A longitudinal population-based study exploring treatment utilization and suicidal ideation and behavior in major depressive disorder
    Chartrand, Hayley
    Robinson, Jennifer
    Bolton, James M.
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2012, 141 (2-3) : 237 - 245
  • [10] An examination of psychiatric comorbidities as a function of gender and substance type within an inpatient substance use treatment program
    Chen, Kevin W.
    Banducci, Annie N.
    Guller, Leila
    Macatee, Richard J.
    Lavelle, Anna
    Daughters, Stacey B.
    Lejuez, C. W.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2011, 118 (2-3) : 92 - 99
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