Merrill J, Milner G, Owens J, Vale A
West Midlands Poisons Unit, Dudley Road Hospital, Birmingham, UK.
Br J Addict. 1992 Jan;87(1):83-9. doi: 10.1111/j.1360-0443.1992.tb01903.x.
This study investigates the prevalence of excessive drinking and alcohol-related problems amongst suicide attempts. It also compares the characteristics of attempted suicide by alcohol consumption group. Drinking histories were taken on 250 consecutive attempted suicides admitted to the West Midlands Poisons Unit. Fifty-one per cent of the men and 31% of the women drank more than the weekly limits recommended by the Health Education Council. Of the men, 22.5% drank more than 50 units of alcohol a week and 9.5% of the women drank more than 35 units of alcohol a week. Alcohol-related problems (social problems, alcohol dependence or physical illness) were present in 34% of men and 15.5% of women. These results show a greater incidence of alcohol misuse than previous studies on attempted suicide. This is probably because detailed alcohol histories were taken on all patients. Alcohol misuse is best treated before major alcohol-related problems develop. Those responsible for assessing cases of attempted suicide should be adept at detecting alcohol misuse and instituting appropriate management.
本研究调查了自杀未遂者中过度饮酒及与酒精相关问题的患病率。同时,还比较了按饮酒量分组的自杀未遂者的特征。对连续入住西米德兰兹毒物科的250例自杀未遂者进行了饮酒史调查。51%的男性和31%的女性饮酒量超过了健康教育委员会建议的每周限量。在男性中,22.5%的人每周饮酒量超过50单位,9.5%的女性每周饮酒量超过35单位。34%的男性和15.5%的女性存在与酒精相关的问题(社会问题、酒精依赖或身体疾病)。这些结果表明,与之前关于自杀未遂的研究相比,酒精滥用的发生率更高。这可能是因为对所有患者都进行了详细的饮酒史调查。在严重的酒精相关问题出现之前,最好对酒精滥用进行治疗。负责评估自杀未遂病例的人员应善于发现酒精滥用情况并进行适当处理。