Department of Psychology, University of Tennessee-Knoxville, Knoxville, Tennessee, USA.
Department of Psychiatry and Behavioral Neurobiology, University of Alabama-Birmingham, Birmingham, Alabama, USA.
Death Stud. 2020;44(9):540-546. doi: 10.1080/07481187.2019.1586798. Epub 2019 Apr 2.
Distal risk factors of alcohol use may increase suicidal ideation in the presence of proximal risk factors, such as depressive symptoms. We tested whether depressive symptoms and age at onset of alcohol use interact to predict suicidal ideation in 500 individuals (67% men; 68% Black/African American) under criminal justice supervision. Regression analysis revealed that age of onset negatively associated with suicidal ideation only at average and high levels of depressive symptoms while controlling for suicide attempt history. Clinicians may consider individuals with an early age of onset of alcohol use and current depressive symptoms at risk for suicidal ideation.
在存在近端风险因素（如抑郁症状）的情况下，酒精使用的远端风险因素可能会增加自杀意念。我们在 500 名（67%为男性；68%为黑人/非裔美国人）受到刑事司法监管的个体中测试了抑郁症状和酒精使用起始年龄是否相互作用，以预测自杀意念。回归分析显示，在控制自杀企图史的情况下，仅在抑郁症状处于平均水平和较高水平时，起始年龄与自杀意念呈负相关。临床医生可能会考虑将酒精使用起始年龄较早且目前存在抑郁症状的个体视为有自杀意念的风险人群。
