Use of alcohol before suicide in the United States.
paper
Cited
Public
- Authors
- Kaplan, Mark S; Huguet, Nathalie; McFarland, Bentson H; Caetano, Raul; Conner, Kenneth R; Giesbrecht, Norman; Nolte, Kurt B
- Year
- 2014
- Journal
- Annals of epidemiology
- PMID
- 24953567
- DOI
- 10.1016/j.annepidem.2014.05.008
- PMCID
- PMC4119510
PURPOSE: Few studies have compared acute use of alcohol in suicide decedents with that in a nonsuicide group. This study provides the first national analysis of acute use of alcohol before suicide compared with an estimate of acute use of alcohol in a living sample. METHODS: Pooled 2003-2011 National Violent Death Reporting System data were used to estimate the prevalence of postmortem blood alcohol content positivity (blood alcohol content >0.0 g/dL) and intoxication (blood alcohol content ≥0.08 g/dL). Population estimates of comparable use of alcohol (within the past 48 hours) were based on the National Epidemiologic Survey on Alcohol and Related Conditions. RESULTS: Compared with the living sample, male and female suicide decedents showed, respectively, a 1.83-fold (95% confidence interval [CI], 1.73-1.93) and 2.40-fold (95% CI, 2.24-2.57) increased risk of alcohol ingestion before their death after age, race/ethnicity, and chronic alcohol problems were controlled. Furthermore, male and female decedents exhibited, respectively, a 6.18-fold (95% CI, 5.57-6.86) and a 10.04-fold (95% CI, 8.67-11.64) increased risk of being intoxicated before their death after confounders were considered. CONCLUSIONS: The findings underscore the crucial need to include among the essential components of suicide prevention policies programs that minimize the use of alcohol, particularly drinking to intoxication.
Study population in the National Violent Death Reporting System (NVDRS), 2003–2011 BAC = blood alcohol concentration; BAC+ = BAC positivity (BAC > 0.0 g/dl)
LLM interpretation
This is a flow diagram illustrating the study population of suicide decedents ($N = 82,519$) from the NVDRS between 2003 and 2011. The population is divided by sex into males ($N = 64,660$; 78%) and females ($N = 17,845$; 21%). For each group, the chart tracks the number of individuals who underwent blood alcohol concentration (BAC) testing and the subset that tested positive (BAC+), showing a higher positivity rate in males (36%) compared to females (28%).
1–20 of 20
| Name | Type |
|---|---|
| abstainers | phenotype |
| Acute alcohol misuse local | phenotype |
| Acute alcohol-related suicides local | phenotype |
| acute withdrawal | phenotype |
| age | phenotype |
| Age ≥60 years local | phenotype |
| alcohol | phenotype |
| alcohol abuse | phenotype |
| Alcohol consumption prior to event local | phenotype |
| alcohol dependence | phenotype |
| Alcohol Problems | phenotype |
| Alcohol-related suicides local | phenotype |
| Alcohol Use | phenotype |
| Alcohol Use Disorder | phenotype |
| Alcohol use prior to suicide local | phenotype |
| American Indian/Alaska Native local | phenotype |
| AP | drug |
| APs local | phenotype |
| Asian/Pacific Islander | phenotype |
| BAC | phenotype |
| BAC+ local | phenotype |
| BAC- local | phenotype |
| BAC >0.08 g/dl local | phenotype |
| BAC ≥ 0.08 g/dl local | phenotype |
| BAC testing local | phenotype |
| Black | phenotype |
| blood alcohol concentration | phenotype |
| Blood Alcohol Concentration (BAC) local | drug |
| CDC | cohort |
| centralized medical examiner system local | cohort |
| Deceased men local | cohort |
| Decedents under age 21 local | cohort |
| depression | phenotype |
| ethanol consumption | phenotype |
| Female decedents local | cohort |
| Firearms local | drug |
| Health care providers local | cohort |
| heavy drinking | phenotype |
| Hispanic | phenotype |
| illicit drugs | phenotype |
| Living respondents local | cohort |
| Living sample local | cohort |
| medication | drug |
| Monthly drinkers local | phenotype |
| National Survey on Drug Use and Health | cohort |
| NESARC | cohort |
| NESARC participants | cohort |
| NESARC respondents local | cohort |
| Non-monthly drinkers local | phenotype |
| NSDUH | cohort |
| NVDRS local | cohort |
| NVDRS decedents local | cohort |
| NVDRS sample local | cohort |
| NVDRS suicide decedents local | cohort |
| Poison local | drug |
| respondents | cohort |
| Self-reported alcohol consumption | phenotype |
| sex | phenotype |
| suicide | phenotype |
| Suicide decedent local | phenotype |
| Suicide decedents local | cohort |
| Suicides local | phenotype |
| Toxicological testing local | phenotype |
| U.S. men local | cohort |
| U.S. women local | cohort |
| violent deaths local | phenotype |
| White | phenotype |
| YPLL local | phenotype |
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In this knowledge base
| Title | Year | PMID |
|---|---|---|
| A reexamination of medical marijuana policies in relation to suicide risk. | 2015 | 25979644 |
| Early onset alcohol use and self-harm: a discordant twin analysis. | 2015 | 26463647 |
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Blood Alcohol Concentration in Finnish Suicide Deaths and Associated Risk Factors, 2016-2024. | Pokornyi T et al. | — | 2026 | → |
| Correlates of suicide attempts in young people in India - a case-control study of persons admitted to a hospital in Pune. | Balaji M et al. | — | 2026 | → |
| Acute Alcohol Use and Suicide. | Yim M et al. | — | 2025 | → |
| Assessing Links Between Alcohol Exposure and Firearm Violence: A Scoping Review Update. | Matthay EC et al. | — | 2025 | → |
| Cannabis Policies, Cannabis, and Opioids in Suicide and Undetermined Intent Death. | Lira MC et al. | — | 2025 | → |
| Comparing substance-involved suicide and unintentional deaths from 2011 to 2021 in Missouri, United States. | Stetsiv K et al. | — | 2025 | → |
| Evaluation and Management of Alcohol-Intoxicated Patients With Suicide Risk in the Emergency Department: A Scoping Review. | Amin P et al. | — | 2025 | → |
| Evaluation of the risk relationship between average alcohol volume consumed and suicide in the USA: an analysis of mortality linked cohort data. | Lange S et al. | — | 2025 | → |
| Geographic disparities and predictors of suicide mortality risk in Florida: spatial scan statistics and negative binomial modeling. | Onyuth H et al. | — | 2025 | → |
| Posttraumatic Stress Symptoms Relate to Acquired Suicide Capability Through Dissociation and Alcohol Use in the National Guard. | O'Brien EJ et al. | — | 2025 | → |
| The Heterogeneous Effects of College Education on Outcomes Related to Deaths of Despair. | Bulczak G et al. | — | 2025 | → |
| A dose-response meta-analysis on the relationship between average amount of alcohol consumed and death by suicide. | Lange S et al. | — | 2024 | → |
| International trends in male youth suicide and suicidal behaviour. | Rice T et al. | — | 2024 | → |
| Suicidal ideation in the context of alcohol use among college students: differences across sexual orientation and gender identity. | Kellerman JK et al. | — | 2024 | → |
| Acute use of alcohol before suicide in Kazakhstan: A population-wide study. | Yeskendir A et al. | — | 2023 | → |
| Alcohol use in the older adult US population: Trends, causes, and consequences. | Keyes KM | — | 2023 | → |
| A narrative review of the use of alcohol during the Covid-19 pandemic; effects and implications. | Bantounou MA | — | 2023 | → |
| Effects of restricting alcohol sales on fatal violence: Evidence from Sunday sales bans. | Nicosia N et al. | — | 2023 | → |
| Ethanol and illicit drugs acute use and abuse as risk factors for suicide: A case-control study based on forensic autopsies in the Basque Country, Spain. | Morentin B et al. | — | 2023 | → |
| Exposure to alcohol outlets and risk of suicidal behavior in a Swedish cohort of young adults. | Edwards AC et al. | — | 2023 | → |
| Gender Differences in Risks of Suicide and Suicidal Behaviors in the USA: A Narrative Review. | Carretta RF et al. | — | 2023 | → |
| Millennials, the Most Afflicted Generation: Suicide Trends Within Dallas County From 2019 to 2021. | Holden BA et al. | — | 2023 | → |
| The Impact of Helping Children with Distance Learning During COVID-19 on U.S. Parents' Alcohol Consumption. | Grossman ER et al. | — | 2023 | → |
| Using iterative random forest to find geospatial environmental and Sociodemographic predictors of suicide attempts. | Pavicic M et al. | — | 2023 | → |
| Alcohol consumption and alcohol home delivery laws during the COVID-19 pandemic. | Grossman ER et al. | — | 2022 | → |
| Alcohol use and the gender-specific risk of suicidal behavior: a systematic review and meta-analysis protocol. | Lange S et al. | — | 2022 | → |
| Growing alcohol use preceding death by suicide among women compared with men: age-specific temporal trends, 2003-18. | Lange S et al. | — | 2022 | → |
| Alcohol and other drugs in suicide in Canada: opportunities to support prevention through enhanced monitoring. | Orpana H et al. | — | 2021 | → |
| Alcohol policies, firearm policies, and suicide in the United States: a lagged cross-sectional study. | Coleman SM et al. | — | 2021 | → |
| Alcohol testing and alcohol involvement among violent deaths by state, 2014-2016. | Greene N et al. | — | 2021 | → |
| Comorbid alcohol-related problems and suicidality disproportionately impact men and emerging adults among individuals with depressive symptoms. | Kelly LM et al. | — | 2021 | → |
| Variability in antemortem and postmortem blood alcohol concentration levels among fatally injured adults. | Greene N et al. | — | 2021 | → |
| Assessing psychiatric safety in suicidal emergency department patients. | Brenner JM et al. | — | 2020 | → |
| Drinking patterns, alcohol-related harm and views on policies: results from a pilot of the International Alcohol Control Study in Canada. | van der Maas M et al. | — | 2020 | → |
| Emergency Department patients with suicide risk: Differences in care by acute alcohol use. | Urban C et al. | — | 2020 | → |
| The role of childhood adversities, FKBP5, BDNF, NRN1, and generalized self-efficacy in suicide attempts in alcohol-dependent patients. | Berent D et al. | — | 2020 | → |
| Adolescent criminality: multiple adverse health outcomes and mortality pattern in Swedish men. | Stenbacka M et al. | — | 2019 | → |
| Educational attainment reduces the risk of suicide attempt among individuals with and without psychiatric disorders independent of cognition: a multivariable Mendelian randomization study with more than 815,000 participants | Rosoff DB et al. | — | 2019 | — |
| Gender differences and similarities in aggression, suicidal behaviour, and psychiatric comorbidity in borderline personality disorder. | Sher L et al. | — | 2019 | → |
| Mass-Gathering Medical Care Provided by a Collegiate-Based First Response Service at an Annual College Music Festival and Campus-Wide Celebration. | Friedman NMG et al. | — | 2019 | → |
| Unnatural Death among Treatment Seeking Substance Users in Singapore: A Retrospective Study. | Pv A et al. | — | 2019 | → |
| A comprehensive model of predictors of suicide attempt in heavy drinkers: Results from a national 3-year longitudinal study. | Hoertel N et al. | — | 2018 | → |
| Gender Differences in Binge Drinking. | Wilsnack RW et al. | — | 2018 | → |
| Lifestyle Interventions and Prevention of Suicide. | Berardelli I et al. | — | 2018 | → |
| Postmortem blood alcohol content among late-middle aged and older suicide decedents: Associations with suicide precipitating/risk factors, means, and other drug toxicology. | Choi NG et al. | — | 2018 | → |
| Risk of suicide following an alcohol-related emergency hospital admission: An electronic cohort study of 2.8 million people. | Bowden B et al. | — | 2018 | → |
| [Suicidality in epilepsy: epidemiology and clinical risk factors]. | Zinchuk MS et al. | — | 2018 | → |
| Suicide attempts: epidemiologic trends towards geoprocessing. | Almeida TSO et al. | — | 2018 | → |
| Alcohol Use and Problem Drinking among Women Firefighters. | Haddock CK et al. | — | 2017 | → |
| Characteristics of completed suicide in different blood alcohol concentrations in Korea. | Lee JW et al. | — | 2017 | → |
| Economic Recession, Alcohol, and Suicide Rates: Comparative Effects of Poverty, Foreclosure, and Job Loss. | Kerr WC et al. | — | 2017 | → |
| Presence of Alcohol, Cocaine, and Other Drugs in Suicide and Motor Vehicle Crash Decedents Ages 18 to 54. | Conner KR et al. | — | 2017 | → |
| Relationship between prescribed psychotropic medications and co-ingested alcohol in intentional self-poisonings. | Chitty KM et al. | — | 2017 | → |
| Self-poisoning with baclofen in alcohol-dependent patients: national reports to French Poison Control Centers, 2008-2013. | Pelissier F et al. | — | 2017 | → |
| SSTR4, Childhood Adversity, Self-efficacy and Suicide Risk in Alcoholics. | Berent D et al. | — | 2017 | → |
| Themes and trends in intentional self-poisoning: Perspectives from critical care toxicology. | Rasimas JJ et al. | — | 2017 | → |
| The National Violent Death Reporting System: Use of the Restricted Access Database and Recommendations for the System's Improvement. | Kaplan MS et al. | — | 2017 | → |
| Depressive Symptoms and Suicidal Ideation in College Students: The Mediating and Moderating Roles of Hopelessness, Alcohol Problems, and Social Support. | Lamis DA et al. | — | 2016 | → |
| Heavy Alcohol Use Among Suicide Decedents: Differences in Risk Across Racial-Ethnic Groups. | Kaplan MS et al. | — | 2016 | → |
| Heavy Alcohol Use Among Suicide Decedents Relative to a Nonsuicide Comparison Group: Gender-Specific Effects of Economic Contraction. | Kaplan MS et al. | — | 2016 | → |
| Managing Suicidal Patients in the Emergency Department. | Betz ME et al. | — | 2016 | → |
| Manners of Death in Drug-Related Fatalities in Florida. | Lee D et al. | — | 2016 | → |
| Suicide attempts among alcohol-dependent pain patients before and after an inpatient hospitalization. | Ashrafioun L et al. | — | 2016 | → |
| The Relationship Between Controlled Substances and Violence. | McGinty EE et al. | — | 2016 | → |
| Usual alcohol consumption and suicide mortality among the Korean elderly in rural communities: Kangwha Cohort Study. | Yi SW et al. | — | 2016 | → |
| Acute alcohol use among suicide decedents in 14 US states: impacts of off-premise and on-premise alcohol outlet density. | Giesbrecht N et al. | — | 2015 | → |
| A reexamination of medical marijuana policies in relation to suicide risk. | Grucza RA et al. | — | 2015 | → |
| Early onset alcohol use and self-harm: a discordant twin analysis. | Few LR et al. | — | 2015 | → |
| Economic contraction, alcohol intoxication and suicide: analysis of the National Violent Death Reporting System. | Kaplan MS et al. | — | 2015 | → |
| Medical examiner and coroner reports: uses and limitations in the epidemiology and prevention of late-life suicide. | Cheung G et al. | — | 2015 | → |
| Precipitating Circumstances of Suicide and Alcohol Intoxication Among U.S. Ethnic Groups. | Caetano R et al. | — | 2015 | → |
| An investigation into the role of alcohol in self-harm in rural Sri Lanka: a protocol for a multimethod, qualitative study. | Sørensen JB et al. | — | 2014 | → |
| Factors associated with choice of high lethality methods in suicide attempters: a cross-sectional study. | Oh SH et al. | — | 2014 | → |