We hypothesized that the elevated risks for suicide and homicide linked to MLDA exposure might persist into adulthood. In the full population, we do not find this to be the case. We found important differences, however, between men and women in the association between MLDA and risk of death from either cause. Specifically, we observed a significant MLDA x sex interaction in the prediction of both suicide and homicide that corresponded to a 12% elevation in suicide risk and a 15% elevation in homicide risk for women exposed to MLDA < 21.
