Home > Alcohol Involvement in suicide and self-harm.

Larkin, Celine and Griffin, Eve and Corcoran, Paul and McAuliffe, Carmel and Perry, Ivan J and Arensman, Ella (2017) Alcohol Involvement in suicide and self-harm. Crisis , 38 , (6) , pp. 413-422.

BACKGROUND: Alcohol misuse and alcohol consumption are significant risk factors for suicidal behavior.

AIMS: This study sought to identify factors associated with alcohol consumption in cases of suicide and nonfatal self-harm presentations.

METHOD: Suicide cases in Cork, Ireland, from September 2008 to June 2012 were identified through the Suicide Support and Information System. Emergency department presentations of self-harm in the years 2007-2013 were obtained from the National Self-Harm Registry Ireland.

RESULTS: Alcohol consumption was detected in the toxicology of 44% out of 307 suicide cases. Only younger age was significantly associated with having consumed alcohol among suicides. Alcohol consumption was noted in the case notes in 21% out of 8,145 self-harm presentations. Logistic regression analyses indicated that variables associated with having consumed alcohol in a self-harm presentation included male gender, older age, overdose as a method, not being admitted to a psychiatric ward, and presenting out-of-hours.

LIMITATIONS: Data was limited to routinely collected variables by the two different monitoring systems.

CONCLUSION: Alcohol consumption commonly precedes suicidal behavior, and several factors differentiated alcohol-related suicidal acts. Self-harm cases, in particular, differ in profile when alcohol is consumed and may require a tailored clinical approach to minimize risk of further nonfatal or fatal self-harm.


Item Type:Article
Date:2017
Page Range:pp. 413-422
Publisher:Hogrefe & Huber
Volume:38
Number:6
EndNote:View
Related URLs:
Subjects:A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use
B Drugs and alcohol substances > Alcohol
F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour > suicidal behaviour / suicide
J Health care, prevention and rehabilitation > Risk and protective factors > risk factors
VA Geographic area > Europe > Ireland > Cork

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