Dambrauskiene Kristina, Adomaitiene Virginija, Zalinkevicius Rimantas, Jariene Giedre, Vilkas Vigintas, Rybakova Ina, Dunderiene Loreta
Psychiatry Department of the Medical Academy, Lithuanian University of Health Sciences, Eiveniu str. 2, Kaunas, Lithuania.
Institute of Endocrinology of the Medical Academy, Lithuanian University of Health Sciences, Eiveniu str. 2, Kaunas, Lithuania.
Alcohol Alcohol. 2019 Jan 1;54(1):104-111. doi: 10.1093/alcalc/agy080.
Alcohol consumption is a well-established risk factor in suicidal behaviour, but there is still discussion about which factor might imply greater suicide risk-acute alcohol intoxication or being a problems drinkers. The aim of this study was to analyse the association between a suicide attempt and the drinking pattern and to evaluate the risk factors for suicide attempt among problem drinkers versus non-problem drinkers.
We found that problem drinking (CAGE ≥2) is an important issue in suicide attempts. Factors predicting suicide attempt among problem drinkers were male gender, younger age, being married or in a partnership status, low education and acute alcohol intoxication prior a suicide attempt.
A cohort study was performed including all cases of patients (n = 425) hospitalized in the Lithuanian University of Health Sciences after a suicide attempt. Participants completed a self-administered questionnaire that included questions on sociodemographic characteristics, the nature of the suicide attempt, the question of alcohol consumption prior to the suicide attempt and a CAGE questionnaire screening for problem drinking (CAGE ≥ 2).
Two-thirds (70.9%) of male and 43.2% of female suicide attempters were problem drinkers. Problem drinking versus non-problem drinking increased the risk of suicide attempt especially according to gender (3.2 times for male), age (1.08 times for younger age), marital status (among married or in a partnership-1.58 times), education level (among < 12 years-2.04 times) and acute alcohol intoxication prior a suicide attempt (8.15 times-among intoxicated).
Our results highlight that being a problem drinker as well as the use of alcohol at the time of the event is an important issue in suicide attempt,.
饮酒是自杀行为中一个公认的风险因素，但关于哪个因素可能意味着更高的自杀风险——急性酒精中毒还是酗酒者，仍存在争议。本研究的目的是分析自杀未遂与饮酒模式之间的关联，并评估酗酒者与非酗酒者中自杀未遂的风险因素。
我们发现酗酒（CAGE量表得分≥2）是自杀未遂中的一个重要问题。预测酗酒者自杀未遂的因素包括男性、较年轻、已婚或处于伴侣关系、低教育水平以及自杀未遂前的急性酒精中毒。
进行了一项队列研究，纳入了立陶宛健康科学大学因自杀未遂住院的所有患者病例（n = 425）。参与者完成了一份自我管理的问卷，其中包括关于社会人口学特征、自杀未遂的性质、自杀未遂前饮酒情况的问题以及用于筛查酗酒的CAGE问卷（CAGE量表得分≥2）。
三分之二（70.9%）的男性自杀未遂者和43.2%的女性自杀未遂者是酗酒者。酗酒与非酗酒相比增加了自杀未遂的风险，特别是根据性别（男性为3.2倍）、年龄（较年轻者为1.08倍）、婚姻状况（已婚或处于伴侣关系者为1.58倍）、教育水平（12年以下者为2.04倍）以及自杀未遂前的急性酒精中毒（醉酒者为8.15倍）。
我们的结果突出表明，酗酒以及事件发生时饮酒是自杀未遂中的一个重要问题。
