Acute alcohol intoxication and suicide

A gender-stratified analysis of the National Violent Death Reporting System

Mark S. Kaplan, Bentson H. McFarland, Nathalie Huguet, Kenneth Conner, Raul Caetano, Norman Giesbrecht, Kurt B. Nolte

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Objectives Although it is well known that people with alcohol dependence are at a markedly elevated risk for suicide, much less is known about the role of acute alcohol use in suicidal behaviours. The primary aims of this epidemiological study were to assess the prevalence and factors associated with acute alcohol intoxication among 57 813 suicide decedents in 16 states. Methods Data from the restricted National Violent Death Reporting System 2003e2009 for male and female suicide decedents aged 18 years and older were analysed by multiple logistic regression to compare decedents with and without acute alcohol intoxication (defined as blood alcohol concentration (BAC) ≥0.08 g/dl). Results Among men, those who were younger, American Indian/Alaska Native, Hispanic, veterans, of lower educational attainment, deceased from a self-inflicted firearm injury or hanging/suffocation and residing in rural areas were more likely to have been intoxicated at the time of death. Among women, the factors associated with a BAC ≥0.08 g/dl were younger age, being American Indian/Alaska Native, and using a firearm, hanging/suffocation or falling as method of death. Conclusions In both men and women, alcohol intoxication was associated with violent methods of suicide and declined markedly with age, suggesting that addressing risks associated with acute alcohol use may be of the greatest aid in the prevention of violent suicides among young and middle age adults.

Original languageEnglish (US)
Pages (from-to)38-43
Number of pages6
JournalInjury Prevention
Volume19
Issue number1
DOIs
StatePublished - May 2012

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Alcoholic Intoxication
Suicide
North American Indians
Asphyxia
Firearms
Accidental Falls
Alcohols
Veterans
Hispanic Americans
Alcoholism
Epidemiologic Studies
Logistic Models
Wounds and Injuries

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Kaplan, M. S., McFarland, B. H., Huguet, N., Conner, K., Caetano, R., Giesbrecht, N., & Nolte, K. B. (2012). Acute alcohol intoxication and suicide: A gender-stratified analysis of the National Violent Death Reporting System. Injury Prevention, 19(1), 38-43. https://doi.org/10.1136/injuryprev-2012-040317

Acute alcohol intoxication and suicide : A gender-stratified analysis of the National Violent Death Reporting System. / Kaplan, Mark S.; McFarland, Bentson H.; Huguet, Nathalie; Conner, Kenneth; Caetano, Raul; Giesbrecht, Norman; Nolte, Kurt B.

In: Injury Prevention, Vol. 19, No. 1, 05.2012, p. 38-43.

Research output: Contribution to journalArticle

Kaplan, MS, McFarland, BH, Huguet, N, Conner, K, Caetano, R, Giesbrecht, N & Nolte, KB 2012, 'Acute alcohol intoxication and suicide: A gender-stratified analysis of the National Violent Death Reporting System', Injury Prevention, vol. 19, no. 1, pp. 38-43. https://doi.org/10.1136/injuryprev-2012-040317
Kaplan, Mark S. ; McFarland, Bentson H. ; Huguet, Nathalie ; Conner, Kenneth ; Caetano, Raul ; Giesbrecht, Norman ; Nolte, Kurt B. / Acute alcohol intoxication and suicide : A gender-stratified analysis of the National Violent Death Reporting System. In: Injury Prevention. 2012 ; Vol. 19, No. 1. pp. 38-43.
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