Université de Toulouse III, Toulouse, France.
Service de Psychiatrie et Psychologie, Psychiatrie Toulouse, CHU Toulouse, Toulouse, France.
Suicide Life Threat Behav. 2020 Feb;50(1):315-328. doi: 10.1111/sltb.12586. Epub 2019 Sep 18.
Very few studies have specifically addressed the role of the acute use of alcohol (AUA) in suicide attempts.
Our study compared the suicide intent scores of self-poisoning patients with and without AUA in order to examine the role of alcohol in attempted suicides.
We recruited 516 patients admitted to the emergency department for self-poisoning. We screened blood alcohol concentrations (BACs) to determine whether these were positive or negative in the two groups. We collected data about covariates such as psychiatric disorders and sociodemographic and suicide characteristics. We then compared suicide intent between the groups, adjusted according to the covariates.
The patients with AUA had lower scores for suicide intent, but this factor only reduced the self-reporting score, with the scores for objective circumstances and risk similar between the groups. There was a correlation between BACs and self-reported suicide intentionality, but this was not significant.
Acute use of alcohol patients presented with lower suicide intent, as particularly explained by the self-report scores, but there were no differences between the groups in terms of risk and/or the objective circumstances. The role of alcohol in the self-reporting of suicide attempts must be addressed in future studies.
很少有研究专门探讨急性酒精使用（AUA）在自杀企图中的作用。
我们的研究比较了有和没有 AUA 的自我中毒患者的自杀意图评分，以检验酒精在自杀企图中的作用。
我们招募了 516 名因自我中毒而入住急诊部的患者。我们筛查了血液酒精浓度（BAC），以确定两组中是否有阳性或阴性结果。我们收集了关于精神病障碍以及社会人口学和自杀特征等协变量的数据。然后，我们根据协变量比较了两组之间的自杀意图。
有 AUA 的患者的自杀意图评分较低，但该因素仅降低了自我报告评分，而两组的客观情况和风险评分相似。BAC 与自我报告的自杀意图之间存在相关性，但无统计学意义。
急性酒精使用患者的自杀意图较低，特别是自我报告评分较低，但两组在风险和/或客观情况方面没有差异。在未来的研究中，必须探讨酒精在自杀企图的自我报告中的作用。
