Predictors and Correlates of Suicide Attempts Over 5 Years in 1,237 Alcohol-Dependent Men and Women
OBJECTIVE: In previous studies, factors related to a history of suicide attempts in persons with alcohol dependence have included sociodemographic variables, a more severe course of alcoholism, additional substance use disorders, and psychiatric comorbidity. This 5-year prospective study evaluated a...
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| Veröffentlicht in: | The American journal of psychiatry 2003-01, Vol.160 (1), p.56-63 |
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| container_title | The American journal of psychiatry |
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| creator | Preuss, Ulrich W. Schuckit, Marc A. Smith, Tom L. Danko, George P. Bucholz, Kathleen K. Hesselbrock, Michie N. Hesselbrock, Victor Kramer, John R. |
| description | OBJECTIVE: In previous studies, factors related to a history of suicide attempts in persons with alcohol dependence have included sociodemographic variables, a more severe course of alcoholism, additional substance use disorders, and psychiatric comorbidity. This 5-year prospective study evaluated attributes associated with suicide attempts in a group of treatment-seeking persons with alcohol dependence. Psychiatric comorbidity was examined in terms of a distinction between substance-induced and independent psychiatric disorders. METHOD: Semistructured interviews were conducted with 1,237 alcohol-dependent subjects from the Collaborative Study on the Genetics of Alcoholism both at an initial evaluation and at a 5-year follow-up. Clinically relevant information was gathered at baseline, and suicidal behavior, aspects of alcohol dependence, and drug use were evaluated at the follow-up interview. RESULTS: Alcohol-dependent subjects (N=56) with suicide attempts during the follow-up period were more likely than subjects with no suicide attempts (N=1,181) to have made prior attempts. Other factors related to future suicide attempts in univariate analyses included younger age, being separated or divorced, other drug dependence, substance-induced psychiatric disorders, and indicators of a more severe course of alcoholism. Gender did not predict future attempts. CONCLUSIONS: A 5-year prospective evaluation of attributes associated with suicide attempts among alcohol-dependent persons identified factors that contributed to a small but significant proportion of the variance for future suicidal behavior. |
| doi_str_mv | 10.1176/appi.ajp.160.1.56 |
| format | Article |
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This 5-year prospective study evaluated attributes associated with suicide attempts in a group of treatment-seeking persons with alcohol dependence. Psychiatric comorbidity was examined in terms of a distinction between substance-induced and independent psychiatric disorders. METHOD: Semistructured interviews were conducted with 1,237 alcohol-dependent subjects from the Collaborative Study on the Genetics of Alcoholism both at an initial evaluation and at a 5-year follow-up. Clinically relevant information was gathered at baseline, and suicidal behavior, aspects of alcohol dependence, and drug use were evaluated at the follow-up interview. RESULTS: Alcohol-dependent subjects (N=56) with suicide attempts during the follow-up period were more likely than subjects with no suicide attempts (N=1,181) to have made prior attempts. Other factors related to future suicide attempts in univariate analyses included younger age, being separated or divorced, other drug dependence, substance-induced psychiatric disorders, and indicators of a more severe course of alcoholism. Gender did not predict future attempts. CONCLUSIONS: A 5-year prospective evaluation of attributes associated with suicide attempts among alcohol-dependent persons identified factors that contributed to a small but significant proportion of the variance for future suicidal behavior.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/appi.ajp.160.1.56</identifier><identifier>PMID: 12505802</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcoholism ; Alcoholism - epidemiology ; Alcoholism - genetics ; Alcoholism - psychology ; Biological and medical sciences ; Comorbidity ; Follow-Up Studies ; Genetic Predisposition to Disease ; Humans ; Male ; Medical sciences ; Mental Disorders - epidemiology ; Mental Disorders - genetics ; Mental Disorders - mortality ; Mental Disorders - psychology ; Middle Aged ; Predictions ; Prospective Studies ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regression Analysis ; Risk Assessment ; Risk Factors ; Socioeconomic Factors ; Substance-Related Disorders - mortality ; Substance-Related Disorders - psychology ; Suicide ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts</subject><ispartof>The American journal of psychiatry, 2003-01, Vol.160 (1), p.56-63</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Jan 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a393t-eb68e38aac08ede70ce509747da76398f09df962092350b4be4751d760f34b733</citedby><cites>FETCH-LOGICAL-a393t-eb68e38aac08ede70ce509747da76398f09df962092350b4be4751d760f34b733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ajp.160.1.56$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ajp.160.1.56$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,4024,21626,21627,21628,27923,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14458617$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12505802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Preuss, Ulrich W.</creatorcontrib><creatorcontrib>Schuckit, Marc A.</creatorcontrib><creatorcontrib>Smith, Tom L.</creatorcontrib><creatorcontrib>Danko, George P.</creatorcontrib><creatorcontrib>Bucholz, Kathleen K.</creatorcontrib><creatorcontrib>Hesselbrock, Michie N.</creatorcontrib><creatorcontrib>Hesselbrock, Victor</creatorcontrib><creatorcontrib>Kramer, John R.</creatorcontrib><title>Predictors and Correlates of Suicide Attempts Over 5 Years in 1,237 Alcohol-Dependent Men and Women</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: In previous studies, factors related to a history of suicide attempts in persons with alcohol dependence have included sociodemographic variables, a more severe course of alcoholism, additional substance use disorders, and psychiatric comorbidity. This 5-year prospective study evaluated attributes associated with suicide attempts in a group of treatment-seeking persons with alcohol dependence. Psychiatric comorbidity was examined in terms of a distinction between substance-induced and independent psychiatric disorders. METHOD: Semistructured interviews were conducted with 1,237 alcohol-dependent subjects from the Collaborative Study on the Genetics of Alcoholism both at an initial evaluation and at a 5-year follow-up. Clinically relevant information was gathered at baseline, and suicidal behavior, aspects of alcohol dependence, and drug use were evaluated at the follow-up interview. RESULTS: Alcohol-dependent subjects (N=56) with suicide attempts during the follow-up period were more likely than subjects with no suicide attempts (N=1,181) to have made prior attempts. Other factors related to future suicide attempts in univariate analyses included younger age, being separated or divorced, other drug dependence, substance-induced psychiatric disorders, and indicators of a more severe course of alcoholism. Gender did not predict future attempts. CONCLUSIONS: A 5-year prospective evaluation of attributes associated with suicide attempts among alcohol-dependent persons identified factors that contributed to a small but significant proportion of the variance for future suicidal behavior.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcoholism</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - genetics</subject><subject>Alcoholism - psychology</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Follow-Up Studies</subject><subject>Genetic Predisposition to Disease</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - genetics</subject><subject>Mental Disorders - mortality</subject><subject>Mental Disorders - psychology</subject><subject>Middle Aged</subject><subject>Predictions</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Substance-Related Disorders - mortality</subject><subject>Substance-Related Disorders - psychology</subject><subject>Suicide</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFq3DAQhkVoSLZpH6CXIAq51c5IsiT7uGzTppCSQhvSnoQsjYkXr-VK3kDfPsrukpx6GjR88__iI-QDg5IxrS7tNPWlXU8lU3lTSnVEFkwKWWjO6zdkAQC8aKT4fUreprTOTxCan5BTxiXIGviCuB8Rfe_mEBO1o6erECMOdsZEQ0d_bnvXe6TLecbNNCd6-4iRSvoHbeb7kbJPXGi6HFx4CEPxGSccPY4z_Y7jLu4-bHB8R447OyR8f5hn5O7L1a_VdXFz-_XbanlTWNGIucBW1Shqax3U6FGDQwmNrrS3Womm7qDxXaM4NFxIaKsWKy2Z1wo6UbVaiDPycZ87xfB3i2k267CNY640nAOTDUiZIbaHXAwpRezMFPuNjf8MA_Ns1TxbNdmqyVYNM1Llm_ND8LbdoH-9OGjMwMUBsMnZoYt2dH165apK1orpzJV7btfx8rv_Nz8B1K-PFA</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Preuss, Ulrich W.</creator><creator>Schuckit, Marc A.</creator><creator>Smith, Tom L.</creator><creator>Danko, George P.</creator><creator>Bucholz, Kathleen K.</creator><creator>Hesselbrock, Michie N.</creator><creator>Hesselbrock, Victor</creator><creator>Kramer, John R.</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20030101</creationdate><title>Predictors and Correlates of Suicide Attempts Over 5 Years in 1,237 Alcohol-Dependent Men and Women</title><author>Preuss, Ulrich W. ; Schuckit, Marc A. ; Smith, Tom L. ; Danko, George P. ; Bucholz, Kathleen K. ; Hesselbrock, Michie N. ; Hesselbrock, Victor ; Kramer, John R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a393t-eb68e38aac08ede70ce509747da76398f09df962092350b4be4751d760f34b733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcoholism</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - genetics</topic><topic>Alcoholism - psychology</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Follow-Up Studies</topic><topic>Genetic Predisposition to Disease</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - genetics</topic><topic>Mental Disorders - mortality</topic><topic>Mental Disorders - psychology</topic><topic>Middle Aged</topic><topic>Predictions</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Substance-Related Disorders - mortality</topic><topic>Substance-Related Disorders - psychology</topic><topic>Suicide</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Preuss, Ulrich W.</creatorcontrib><creatorcontrib>Schuckit, Marc A.</creatorcontrib><creatorcontrib>Smith, Tom L.</creatorcontrib><creatorcontrib>Danko, George P.</creatorcontrib><creatorcontrib>Bucholz, Kathleen K.</creatorcontrib><creatorcontrib>Hesselbrock, Michie N.</creatorcontrib><creatorcontrib>Hesselbrock, Victor</creatorcontrib><creatorcontrib>Kramer, John R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Preuss, Ulrich W.</au><au>Schuckit, Marc A.</au><au>Smith, Tom L.</au><au>Danko, George P.</au><au>Bucholz, Kathleen K.</au><au>Hesselbrock, Michie N.</au><au>Hesselbrock, Victor</au><au>Kramer, John R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors and Correlates of Suicide Attempts Over 5 Years in 1,237 Alcohol-Dependent Men and Women</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>160</volume><issue>1</issue><spage>56</spage><epage>63</epage><pages>56-63</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: In previous studies, factors related to a history of suicide attempts in persons with alcohol dependence have included sociodemographic variables, a more severe course of alcoholism, additional substance use disorders, and psychiatric comorbidity. This 5-year prospective study evaluated attributes associated with suicide attempts in a group of treatment-seeking persons with alcohol dependence. Psychiatric comorbidity was examined in terms of a distinction between substance-induced and independent psychiatric disorders. METHOD: Semistructured interviews were conducted with 1,237 alcohol-dependent subjects from the Collaborative Study on the Genetics of Alcoholism both at an initial evaluation and at a 5-year follow-up. Clinically relevant information was gathered at baseline, and suicidal behavior, aspects of alcohol dependence, and drug use were evaluated at the follow-up interview. RESULTS: Alcohol-dependent subjects (N=56) with suicide attempts during the follow-up period were more likely than subjects with no suicide attempts (N=1,181) to have made prior attempts. Other factors related to future suicide attempts in univariate analyses included younger age, being separated or divorced, other drug dependence, substance-induced psychiatric disorders, and indicators of a more severe course of alcoholism. Gender did not predict future attempts. CONCLUSIONS: A 5-year prospective evaluation of attributes associated with suicide attempts among alcohol-dependent persons identified factors that contributed to a small but significant proportion of the variance for future suicidal behavior.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>12505802</pmid><doi>10.1176/appi.ajp.160.1.56</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Alcoholism Alcoholism - epidemiology Alcoholism - genetics Alcoholism - psychology Biological and medical sciences Comorbidity Follow-Up Studies Genetic Predisposition to Disease Humans Male Medical sciences Mental Disorders - epidemiology Mental Disorders - genetics Mental Disorders - mortality Mental Disorders - psychology Middle Aged Predictions Prospective Studies Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Risk Assessment Risk Factors Socioeconomic Factors Substance-Related Disorders - mortality Substance-Related Disorders - psychology Suicide Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts |
| title | Predictors and Correlates of Suicide Attempts Over 5 Years in 1,237 Alcohol-Dependent Men and Women |
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