PMID- 28965653
OWN - NLM
STAT- MEDLINE
DCOM- 20180522
LR  - 20180522
IS  - 1873-6823 (Electronic)
IS  - 0741-8329 (Linking)
VI  - 64
DP  - 2017 Nov
TI  - Alcohol-use disorders and suicide: Results from a psychological autopsy study in 
      Australia.
PG  - 29-35
LID - S0741-8329(16)30302-0 [pii]
LID - 10.1016/j.alcohol.2017.05.005 [doi]
AB  - INTRODUCTION: People who die by suicide have a higher risk of an alcohol-use 
      disorder (AUD) at the time of death. The present study aims to compare 1) suicide 
      cases with and without AUD, and 2) suicide and sudden-death controls with AUD. 
      METHODS: The psychological autopsy method was utilized to investigate suicide and 
      sudden death in Australia (QLD and NSW). Initial information was gathered from 
      coroners' offices. Potential informants were approached and semi-structured 
      interviews were conducted. Univariate and multivariate logistic regression were 
      applied. RESULTS: People with AUD who died by suicide were significantly more 
      likely to have another substance-use disorder, history of suicide attempt, recent 
      serious arguments with spouse/partner and other family members, been unfaithful 
      to partner/spouse, be victims of a crime, and were less likely to be from a 
      non-English speaking background. They were also younger and had higher levels of 
      aggression compared to non-AUD suicides. AUD suicides were more likely to have 
      mood disorders, previous suicide attempt, expressing hopelessness, higher scores 
      in aggression towards self, romantic relationship breakup, and serious arguments 
      with other family members than AUD sudden deaths. Aggressive behavior, having 
      another substance-use disorder, and history of serious arguments with family 
      members remained significant in the final model comparing suicides with and 
      without AUD. CONCLUSION: Our findings support that aggressive behavior, 
      comorbidity with other psychiatric disorders as predisposing factors, and recent 
      interpersonal conflicts such as breakup and family conflicts can trigger suicide 
      in people with AUD. There is a need for proper diagnosis, risk assessment, and 
      treatment in suicidal people with AUD.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Kolves, Kairi
AU  - Kolves K
AD  - Australian Institute for Suicide Research and Prevention, National Centre of 
      Excellence in Suicide Prevention, World Health Organization Collaborating Centre 
      for Research and Training in Suicide Prevention, Griffith University, Queensland, 
      Australia. Electronic address: k.kolves@griffith.edu.au.
FAU - Draper, Brian M
AU  - Draper BM
AD  - School of Psychiatry, University of New South Wales, Sydney, Australia; Academic 
      Department for Old Age Psychiatry, Prince of Wales Hospital, Randwick, Australia.
FAU - Snowdon, John
AU  - Snowdon J
AD  - Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, 
      Australia.
FAU - De Leo, Diego
AU  - De Leo D
AD  - Australian Institute for Suicide Research and Prevention, National Centre of 
      Excellence in Suicide Prevention, World Health Organization Collaborating Centre 
      for Research and Training in Suicide Prevention, Griffith University, Queensland, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20170824
PL  - United States
TA  - Alcohol
JT  - Alcohol (Fayetteville, N.Y.)
JID - 8502311
SB  - IM
MH  - Adult
MH  - Aggression/*psychology
MH  - Alcoholism/diagnosis/*epidemiology/*psychology
MH  - Australia/epidemiology
MH  - Autopsy
MH  - Case-Control Studies
MH  - Female
MH  - Humans
MH  - Interpersonal Relations
MH  - Male
MH  - Mental Disorders/diagnosis/*epidemiology/*psychology
MH  - Middle Aged
MH  - Pilot Projects
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Suicide/*psychology
MH  - Suicide, Attempted/psychology
OTO - NOTNLM
OT  - Alcohol-use disorders
OT  - Suicide
EDAT- 2017/10/03 06:00
MHDA- 2018/05/23 06:00
CRDT- 2017/10/03 06:00
PHST- 2016/10/17 00:00 [received]
PHST- 2017/05/08 00:00 [revised]
PHST- 2017/05/08 00:00 [accepted]
PHST- 2017/10/03 06:00 [entrez]
PHST- 2017/10/03 06:00 [pubmed]
PHST- 2018/05/23 06:00 [medline]
AID - S0741-8329(16)30302-0 [pii]
AID - 10.1016/j.alcohol.2017.05.005 [doi]
PST - ppublish
SO  - Alcohol. 2017 Nov;64:29-35. doi: 10.1016/j.alcohol.2017.05.005. Epub 2017 Aug 24.