Robitaille Julien, Rehm Jürgen, Kaplan Mark S, Kilian Carolin, Llamosas-Falcón Laura, Lange Shannon
Julien Robitaille, Jürgen Rehm, Carolin Kilian, Laura Llamosas-Falcón, and Shannon Lange are with the Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Mark S. Kaplan is with the Luskin School of Public Affairs, University of California, Los Angeles.
Am J Public Health. 2025 Mar;115(3):364-368. doi: 10.2105/AJPH.2024.307910. Epub 2024 Dec 19.
To estimate the alcohol-attributable fraction (AAF) for suicide in the United States. Using restricted-access data from the National Violent Death Reporting System for 2021, we estimated the sex-specific AAF for suicide, among those 15 years of age and older, by sociodemographic characteristics and suicide means. An alcohol-attributable suicide was defined as that for which the decedent had a blood alcohol concentration of 0.10 grams per deciliter or higher. In 2021, the AAF for suicide for males (20.2%) was significantly higher than that for females (17.8%; < .001). The AAF for suicide was higher for both males and females who used a firearm as the means of suicide (23.4% and 22.8%, respectively) compared with their counterparts who used other means (16.5% and 15.9%, respectively). Despite some variation, AAFs for suicide were consistently high, with about 1 in 5 suicides being attributable to alcohol use. Therefore, suicide prevention initiatives in the United States should also target excessive alcohol use. (. 2025;115(3):364-368. https://doi.org/10.2105/AJPH.2024.307910).
为估算美国自杀事件中酒精所致比例（AAF）。利用2021年国家暴力死亡报告系统的受限访问数据，我们按社会人口学特征和自杀方式，估算了15岁及以上人群中按性别划分的自杀AAF。酒精所致自杀定义为死者血液酒精浓度达到或高于每分升0.10克的自杀事件。2021年，男性自杀的AAF（20.2%）显著高于女性（17.8%；P＜0.001）。与使用其他方式自杀的男性（16.5%）和女性（15.9%）相比，使用枪支作为自杀方式的男性和女性自杀的AAF更高（分别为23.4%和22.8%）。尽管存在一些差异，但自杀的AAF一直很高，约五分之一的自杀事件可归因于饮酒。因此，美国的自杀预防举措也应针对过度饮酒问题。（《美国公共卫生杂志》.2025年；115(3):364 - 368.https://doi.org/10.2105/AJPH.2024.307910）
