Department of Health of Univesity of Brasilia, Federal District, Brazil.
Department of Public Health of the Federal District, Federal District, Brazil.
Drug Alcohol Depend. 2021 Apr 1;221:108613. doi: 10.1016/j.drugalcdep.2021.108613. Epub 2021 Feb 16.
Suicide is a worldwide phenomenon, as well as a challenge for public health, and alcoholic beverage abuse is one of the most important risk factors. However, the association between possible factors related to alcoholic beverage consumption in suicide victims has rarely been investigated.
To evaluate the factors associated with abusive alcoholic beverage consumption among people who died from suicide in the Brazilian Federal District (BFD).
A population-based and cross-sectional study with suicide victims in the BFD between 2016 and 2017. Information was collected about sociodemographic characteristics, autopsy appraisal, and drug use. A trained team evaluated all cases to define factors associated with abusive alcoholic beverage consumption. This outcome was measured using the Blood Alcohol Concentration. Poisson regression analysis was applied to calculate the Prevalence Ratios and respective populational confidence intervals.
The findings of the present study were collected from a database containing information related to 278 suicide victims. Being male and having cocaine identified in the toxicological test were the factors that showed a strong association with abusive alcohol beverage consumption in suicide victims. Other factors showed a slight association (PR < 1.5): having an education level with greater than 8 years of study, being black, having a professional occupation or being retired or pensioner, and having the presence of cannabis in the toxicological test.
Socioeconomic-demographic and behavioral factors proved to be positively associated with abusive alcoholic beverage consumption among suicide victims, suggesting the need for effective public health policy measures to combat this health problem.
自杀是一种全球性现象，也是公共卫生的一大挑战，而酗酒是最重要的风险因素之一。然而，关于自杀者酗酒的可能相关因素之间的关联很少被调查。
评估巴西联邦区（BFD）自杀死亡者中与酗酒相关的因素。
这是一项基于人群的、在 BFD 地区进行的、针对 2016 年至 2017 年自杀者的横断面研究。收集了社会人口统计学特征、尸检评估和药物使用情况等信息。一个训练有素的团队评估了所有案例，以确定与酗酒相关的因素。该结果使用血液酒精浓度进行衡量。应用泊松回归分析计算患病率比和相应的人群置信区间。
本研究的结果来自一个包含 278 名自杀受害者信息的数据库。在毒理学检测中发现的男性和可卡因是与自杀者酗酒相关的强关联因素。其他因素则显示出轻微的关联（PR < 1.5）：受过 8 年以上教育、为黑人、从事专业职业或退休或领养老金，以及毒理学检测中存在大麻。
社会经济人口统计学和行为因素与自杀者酗酒之间存在正相关关系，这表明需要采取有效的公共卫生政策措施来应对这一健康问题。
