Acute alcohol use in Australian coronial suicide cases, 2010–2015
•Between 2010 and 2015, 26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL.•Suicides that involve alcohol are more likely to occur in December.•Suicides that involve alcohol are most common in working-age males. Acute use of alcohol is a robust risk factor for suicide, reported in approx...
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description | •Between 2010 and 2015, 26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL.•Suicides that involve alcohol are more likely to occur in December.•Suicides that involve alcohol are most common in working-age males.
Acute use of alcohol is a robust risk factor for suicide, reported in approximately one- to two-fifths of suicide cases. Comparisons of risk factors between suicides with and without prior acute alcohol consumption have not been investigated in Australia. This study addresses the gap by examining individual factors (age, sex, employment status, method of suicide) and environmental factors (month of death, jurisdiction) between alcohol and non-alcohol suicide.
Data for all suicide deaths (aged 15 and over) in Australia were obtained from the National Coronial Information System (NCIS). Blood alcohol concentrations (BAC) were extracted from coronial reports, along with demographic information. Alcohol consumption prior to suicide was assumed if BAC ≥ 0.05 g/100 mL. We compared case characteristics between alcohol related and non-alcohol related suicides using logistic regression.
26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL. Alcohol use prior to suicide was associated with male gender (adjusted odds ratio [AOR]: 1.14, 95% confidence interval [95%CI]: 1.03, 1.26), being aged between 35−44 years (AOR: 1.26, 95%CI: 1.08, 1.46) and hangings (AOR: 1.53, 95%CI: 1.08, 1.46). Mean suicides per month over the timeframe demonstrated significant seasonality. Mean counts per month for alcohol related suicides peaked in December, compared to a peak in September for non-alcohol related suicides.
This study highlights differences between alcohol related and non-alcohol related suicides including sex, age, method of death, time of year and location within Australia. Targeting alcohol related suicide should be a key priority in comprehensive suicide prevention strategies. |
doi_str_mv | 10.1016/j.drugalcdep.2020.108066 |
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Acute use of alcohol is a robust risk factor for suicide, reported in approximately one- to two-fifths of suicide cases. Comparisons of risk factors between suicides with and without prior acute alcohol consumption have not been investigated in Australia. This study addresses the gap by examining individual factors (age, sex, employment status, method of suicide) and environmental factors (month of death, jurisdiction) between alcohol and non-alcohol suicide.
Data for all suicide deaths (aged 15 and over) in Australia were obtained from the National Coronial Information System (NCIS). Blood alcohol concentrations (BAC) were extracted from coronial reports, along with demographic information. Alcohol consumption prior to suicide was assumed if BAC ≥ 0.05 g/100 mL. We compared case characteristics between alcohol related and non-alcohol related suicides using logistic regression.
26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL. Alcohol use prior to suicide was associated with male gender (adjusted odds ratio [AOR]: 1.14, 95% confidence interval [95%CI]: 1.03, 1.26), being aged between 35−44 years (AOR: 1.26, 95%CI: 1.08, 1.46) and hangings (AOR: 1.53, 95%CI: 1.08, 1.46). Mean suicides per month over the timeframe demonstrated significant seasonality. Mean counts per month for alcohol related suicides peaked in December, compared to a peak in September for non-alcohol related suicides.
This study highlights differences between alcohol related and non-alcohol related suicides including sex, age, method of death, time of year and location within Australia. Targeting alcohol related suicide should be a key priority in comprehensive suicide prevention strategies.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2020.108066</identifier><identifier>PMID: 32473536</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Acute alcohol use ; Adolescent ; Adult ; Age Factors ; Aged ; Alcohol ; Alcohol Drinking - blood ; Alcohol Drinking - epidemiology ; Alcohol Drinking - psychology ; Alcohol Drinking - trends ; Alcohol use ; Alcoholic beverages ; Alcohols ; Australia - epidemiology ; Blood Alcohol Content ; Blood alcohol level ; Blood levels ; Confidence intervals ; Coronial data ; Death & dying ; Employment status ; Environmental aspects ; Environmental factors ; Fatalities ; Female ; Gender ; Humans ; Intoxication ; Jurisdiction ; Male ; Middle Aged ; Prevention programs ; Risk analysis ; Risk Factors ; Seasonal variations ; Seasons ; Sex ; Sex Factors ; Statistical analysis ; Suicide ; Suicide - psychology ; Suicide - trends ; Suicide prevention ; Suicides & suicide attempts ; Young Adult</subject><ispartof>Drug and alcohol dependence, 2020-07, Vol.212, p.108066, Article 108066</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 1, 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-1904f6f8520abd1b9c9401c3e6ba5910870e5f8325ec233a544cadacf24ff73d3</citedby><cites>FETCH-LOGICAL-c402t-1904f6f8520abd1b9c9401c3e6ba5910870e5f8325ec233a544cadacf24ff73d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2020.108066$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,30998,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32473536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chong, D.G.</creatorcontrib><creatorcontrib>Buckley, N.A.</creatorcontrib><creatorcontrib>Schumann, J.L.</creatorcontrib><creatorcontrib>Chitty, K.M</creatorcontrib><title>Acute alcohol use in Australian coronial suicide cases, 2010–2015</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•Between 2010 and 2015, 26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL.•Suicides that involve alcohol are more likely to occur in December.•Suicides that involve alcohol are most common in working-age males.
Acute use of alcohol is a robust risk factor for suicide, reported in approximately one- to two-fifths of suicide cases. Comparisons of risk factors between suicides with and without prior acute alcohol consumption have not been investigated in Australia. This study addresses the gap by examining individual factors (age, sex, employment status, method of suicide) and environmental factors (month of death, jurisdiction) between alcohol and non-alcohol suicide.
Data for all suicide deaths (aged 15 and over) in Australia were obtained from the National Coronial Information System (NCIS). Blood alcohol concentrations (BAC) were extracted from coronial reports, along with demographic information. Alcohol consumption prior to suicide was assumed if BAC ≥ 0.05 g/100 mL. We compared case characteristics between alcohol related and non-alcohol related suicides using logistic regression.
26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL. Alcohol use prior to suicide was associated with male gender (adjusted odds ratio [AOR]: 1.14, 95% confidence interval [95%CI]: 1.03, 1.26), being aged between 35−44 years (AOR: 1.26, 95%CI: 1.08, 1.46) and hangings (AOR: 1.53, 95%CI: 1.08, 1.46). Mean suicides per month over the timeframe demonstrated significant seasonality. Mean counts per month for alcohol related suicides peaked in December, compared to a peak in September for non-alcohol related suicides.
This study highlights differences between alcohol related and non-alcohol related suicides including sex, age, method of death, time of year and location within Australia. Targeting alcohol related suicide should be a key priority in comprehensive suicide prevention strategies.</description><subject>Acute alcohol use</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Alcohol</subject><subject>Alcohol Drinking - blood</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol Drinking - trends</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcohols</subject><subject>Australia - epidemiology</subject><subject>Blood Alcohol Content</subject><subject>Blood alcohol level</subject><subject>Blood levels</subject><subject>Confidence intervals</subject><subject>Coronial data</subject><subject>Death & dying</subject><subject>Employment status</subject><subject>Environmental aspects</subject><subject>Environmental factors</subject><subject>Fatalities</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Intoxication</subject><subject>Jurisdiction</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevention programs</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Seasonal variations</subject><subject>Seasons</subject><subject>Sex</subject><subject>Sex Factors</subject><subject>Statistical analysis</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Suicide - trends</subject><subject>Suicide prevention</subject><subject>Suicides & suicide attempts</subject><subject>Young Adult</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkMtKBDEQRYMoOj5-QQJu7bHy7O7lOPgCwY2uQyap1gxt95h0C-78B__QLzHD-FhamwvFrXupQwhlMGXA9Nly6uP4aFvncTXlwNfrCrTeIhNWlXUBIPU2mYAodVGVTO-R_ZSWkEfXsEv2BJelUEJPyHzmxgFpjuqf-paOCWno6GxMQ7RtsB11fey7YFuaxuCCR-pswnRKOTD4fP_Iog7JTmPbhEffekAeLi_u59fF7d3VzXx2WzgJfChYDbLRTaU42IVni9rVEpgTqBdW1fmBElA1leAKHRfCKimd9dY1XDZNKbw4ICeb3FXsX0ZMg1n2Y-xypeFSSK50pUR2VRuXi31KERuziuHZxjfDwKzpmaX5o2fW9MyGXj49_i4YF8_ofw9_cGXD-caA-c3XgNEkF7Bz6ENENxjfh_9bvgAyb4PZ</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Chong, D.G.</creator><creator>Buckley, N.A.</creator><creator>Schumann, J.L.</creator><creator>Chitty, K.M</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><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>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20200701</creationdate><title>Acute alcohol use in Australian coronial suicide cases, 2010–2015</title><author>Chong, D.G. ; Buckley, N.A. ; Schumann, J.L. ; Chitty, K.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-1904f6f8520abd1b9c9401c3e6ba5910870e5f8325ec233a544cadacf24ff73d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute alcohol use</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Alcohol</topic><topic>Alcohol Drinking - blood</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol Drinking - trends</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Alcohols</topic><topic>Australia - epidemiology</topic><topic>Blood Alcohol Content</topic><topic>Blood alcohol level</topic><topic>Blood levels</topic><topic>Confidence intervals</topic><topic>Coronial data</topic><topic>Death & dying</topic><topic>Employment status</topic><topic>Environmental aspects</topic><topic>Environmental factors</topic><topic>Fatalities</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Intoxication</topic><topic>Jurisdiction</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevention programs</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Seasonal variations</topic><topic>Seasons</topic><topic>Sex</topic><topic>Sex Factors</topic><topic>Statistical analysis</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Suicide - trends</topic><topic>Suicide prevention</topic><topic>Suicides & suicide attempts</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chong, D.G.</creatorcontrib><creatorcontrib>Buckley, N.A.</creatorcontrib><creatorcontrib>Schumann, J.L.</creatorcontrib><creatorcontrib>Chitty, K.M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chong, D.G.</au><au>Buckley, N.A.</au><au>Schumann, J.L.</au><au>Chitty, K.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute alcohol use in Australian coronial suicide cases, 2010–2015</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>212</volume><spage>108066</spage><pages>108066-</pages><artnum>108066</artnum><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•Between 2010 and 2015, 26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL.•Suicides that involve alcohol are more likely to occur in December.•Suicides that involve alcohol are most common in working-age males.
Acute use of alcohol is a robust risk factor for suicide, reported in approximately one- to two-fifths of suicide cases. Comparisons of risk factors between suicides with and without prior acute alcohol consumption have not been investigated in Australia. This study addresses the gap by examining individual factors (age, sex, employment status, method of suicide) and environmental factors (month of death, jurisdiction) between alcohol and non-alcohol suicide.
Data for all suicide deaths (aged 15 and over) in Australia were obtained from the National Coronial Information System (NCIS). Blood alcohol concentrations (BAC) were extracted from coronial reports, along with demographic information. Alcohol consumption prior to suicide was assumed if BAC ≥ 0.05 g/100 mL. We compared case characteristics between alcohol related and non-alcohol related suicides using logistic regression.
26.7% of suicide deaths in Australia had a BAC ≥ 0.05 g/100 mL. Alcohol use prior to suicide was associated with male gender (adjusted odds ratio [AOR]: 1.14, 95% confidence interval [95%CI]: 1.03, 1.26), being aged between 35−44 years (AOR: 1.26, 95%CI: 1.08, 1.46) and hangings (AOR: 1.53, 95%CI: 1.08, 1.46). Mean suicides per month over the timeframe demonstrated significant seasonality. Mean counts per month for alcohol related suicides peaked in December, compared to a peak in September for non-alcohol related suicides.
This study highlights differences between alcohol related and non-alcohol related suicides including sex, age, method of death, time of year and location within Australia. Targeting alcohol related suicide should be a key priority in comprehensive suicide prevention strategies.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>32473536</pmid><doi>10.1016/j.drugalcdep.2020.108066</doi></addata></record> |
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subjects | Acute alcohol use Adolescent Adult Age Factors Aged Alcohol Alcohol Drinking - blood Alcohol Drinking - epidemiology Alcohol Drinking - psychology Alcohol Drinking - trends Alcohol use Alcoholic beverages Alcohols Australia - epidemiology Blood Alcohol Content Blood alcohol level Blood levels Confidence intervals Coronial data Death & dying Employment status Environmental aspects Environmental factors Fatalities Female Gender Humans Intoxication Jurisdiction Male Middle Aged Prevention programs Risk analysis Risk Factors Seasonal variations Seasons Sex Sex Factors Statistical analysis Suicide Suicide - psychology Suicide - trends Suicide prevention Suicides & suicide attempts Young Adult |
title | Acute alcohol use in Australian coronial suicide cases, 2010–2015 |
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