Substance use disorders and homicide death in veterans
The present study examined the association between a diagnosis of an alcohol use disorder or a drug use disorder and death by homicide over the course of 6 years. This was a cohort study that included all patients seen for medical treatment by the Veterans Health Administration during fiscal year (F...
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| Veröffentlicht in: | Journal of studies on alcohol and drugs 2012-01, Vol.73 (1), p.10-14 |
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| container_title | Journal of studies on alcohol and drugs |
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| creator | Chermack, Stephen T Bohnert, Amy S B Price, Amanda M Austin, Karen Ilgen, Mark A |
| description | The present study examined the association between a diagnosis of an alcohol use disorder or a drug use disorder and death by homicide over the course of 6 years.
This was a cohort study that included all patients seen for medical treatment by the Veterans Health Administration during fiscal year (FY) 2001. Treatment records were used to identify all patients with a diagnosis of a substance use disorder in FY01 (n = 3,942,932). The National Death Index data provided information on the timing and cause of death between FY02 and the end of 2007. Analyses examined the association between substance use disorders and the time to homicide, after controlling for age and gender.
Veterans Health Administration patients who were diagnosed with an alcohol use disorder were more likely to die by homicide than those without a substance use disorder (hazard ratio [HR] = 3.3, 95% CI [2.6,4.1]). This finding also was true for those with drug use disorders (HR = 4.3, 95% CI [3.4, 5.4]) and for those with both an alcohol use disorder and a drug use disorder (HR = 4.6, 95% CI [3.9, 5.4]), compared with those without a substance use disorder.
In this observational study of veterans, a diagnosis of a substance use disorder was significantly associated with death by homicide. Alcohol and drug treatment programs may have an important role to play in reducing the burden of homicide as a public health problem. |
| doi_str_mv | 10.15288/jsad.2012.73.10 |
| format | Article |
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This was a cohort study that included all patients seen for medical treatment by the Veterans Health Administration during fiscal year (FY) 2001. Treatment records were used to identify all patients with a diagnosis of a substance use disorder in FY01 (n = 3,942,932). The National Death Index data provided information on the timing and cause of death between FY02 and the end of 2007. Analyses examined the association between substance use disorders and the time to homicide, after controlling for age and gender.
Veterans Health Administration patients who were diagnosed with an alcohol use disorder were more likely to die by homicide than those without a substance use disorder (hazard ratio [HR] = 3.3, 95% CI [2.6,4.1]). This finding also was true for those with drug use disorders (HR = 4.3, 95% CI [3.4, 5.4]) and for those with both an alcohol use disorder and a drug use disorder (HR = 4.6, 95% CI [3.9, 5.4]), compared with those without a substance use disorder.
In this observational study of veterans, a diagnosis of a substance use disorder was significantly associated with death by homicide. Alcohol and drug treatment programs may have an important role to play in reducing the burden of homicide as a public health problem.</description><identifier>ISSN: 1937-1888</identifier><identifier>EISSN: 1938-4114</identifier><identifier>DOI: 10.15288/jsad.2012.73.10</identifier><identifier>PMID: 22152656</identifier><identifier>CODEN: JSALDP</identifier><language>eng</language><publisher>United States: Alcohol Research Documentation, Inc</publisher><subject>Adult ; Aged ; Alcohol related disorders ; Alcohol use ; Cohort Studies ; Death ; Diagnosis ; Drinking behavior ; Drug abuse ; Drug use ; Female ; Homicide ; Homicide - psychology ; Homicide - trends ; Humans ; Longitudinal Studies ; Male ; Medical diagnosis ; Middle Aged ; Murders & murder attempts ; Risk Factors ; Substance abuse ; Substance abuse disorders ; Substance abuse treatment ; Substance-Related Disorders - mortality ; Substance-Related Disorders - psychology ; United States - epidemiology ; United States Department of Veterans Affairs - trends ; Veterans ; Veterans - psychology</subject><ispartof>Journal of studies on alcohol and drugs, 2012-01, Vol.73 (1), p.10-14</ispartof><rights>Copyright Alcohol Research Documentation, Inc. Jan 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-6a5d0c89294c08b61fb674a083f34cd6b2d4be0ad034e21edb0dc835f347a2433</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27865,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22152656$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chermack, Stephen T</creatorcontrib><creatorcontrib>Bohnert, Amy S B</creatorcontrib><creatorcontrib>Price, Amanda M</creatorcontrib><creatorcontrib>Austin, Karen</creatorcontrib><creatorcontrib>Ilgen, Mark A</creatorcontrib><title>Substance use disorders and homicide death in veterans</title><title>Journal of studies on alcohol and drugs</title><addtitle>J Stud Alcohol Drugs</addtitle><description>The present study examined the association between a diagnosis of an alcohol use disorder or a drug use disorder and death by homicide over the course of 6 years.
This was a cohort study that included all patients seen for medical treatment by the Veterans Health Administration during fiscal year (FY) 2001. Treatment records were used to identify all patients with a diagnosis of a substance use disorder in FY01 (n = 3,942,932). The National Death Index data provided information on the timing and cause of death between FY02 and the end of 2007. Analyses examined the association between substance use disorders and the time to homicide, after controlling for age and gender.
Veterans Health Administration patients who were diagnosed with an alcohol use disorder were more likely to die by homicide than those without a substance use disorder (hazard ratio [HR] = 3.3, 95% CI [2.6,4.1]). This finding also was true for those with drug use disorders (HR = 4.3, 95% CI [3.4, 5.4]) and for those with both an alcohol use disorder and a drug use disorder (HR = 4.6, 95% CI [3.9, 5.4]), compared with those without a substance use disorder.
In this observational study of veterans, a diagnosis of a substance use disorder was significantly associated with death by homicide. Alcohol and drug treatment programs may have an important role to play in reducing the burden of homicide as a public health problem.</description><subject>Adult</subject><subject>Aged</subject><subject>Alcohol related disorders</subject><subject>Alcohol use</subject><subject>Cohort Studies</subject><subject>Death</subject><subject>Diagnosis</subject><subject>Drinking behavior</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Female</subject><subject>Homicide</subject><subject>Homicide - psychology</subject><subject>Homicide - trends</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Murders & murder attempts</subject><subject>Risk Factors</subject><subject>Substance abuse</subject><subject>Substance abuse disorders</subject><subject>Substance abuse treatment</subject><subject>Substance-Related Disorders - mortality</subject><subject>Substance-Related Disorders - psychology</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs - trends</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><issn>1937-1888</issn><issn>1938-4114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkT1PwzAQhi0EoqWwM6GIBZaEO9tx7BFVfEmVGIA5cmxHTdUmxU6Q-Pe4HzAwwHSn8_M-g19CzhEyzKmUN4ugbUYBaVawDOGAjFExmXJEfrjdixSllCNyEsICIGeI7JiMKI1xkYsxES9DFXrdGpcMwSW2CZ23zodEtzaZd6vGNDaene7nSdMmH653XrfhlBzVehnc2X5OyNv93ev0MZ09PzxNb2ep4ZT2qdC5BSMVVdyArATWlSi4Bslqxo0VFbW8cqAtMO4oOluBNZLl8bXQlDM2IVc779p374MLfblqgnHLpW5dN4RSCU5F1Mv_SQoSOFP0fxJRcYpKRfL6TxIBQURnwSN6-QtddINv499EXy4KCmLjgx1kfBeCd3W59s1K-89oKreFlptCy02hZcHiNUYu9t6hWjn7E_hukH0BGO6ZfA</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Chermack, Stephen T</creator><creator>Bohnert, Amy S B</creator><creator>Price, Amanda M</creator><creator>Austin, Karen</creator><creator>Ilgen, Mark A</creator><general>Alcohol Research Documentation, Inc</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>K7.</scope><scope>K9.</scope><scope>7TQ</scope><scope>DHY</scope><scope>DON</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>201201</creationdate><title>Substance use disorders and homicide death in veterans</title><author>Chermack, Stephen T ; Bohnert, Amy S B ; Price, Amanda M ; Austin, Karen ; Ilgen, Mark A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-6a5d0c89294c08b61fb674a083f34cd6b2d4be0ad034e21edb0dc835f347a2433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol related disorders</topic><topic>Alcohol use</topic><topic>Cohort Studies</topic><topic>Death</topic><topic>Diagnosis</topic><topic>Drinking behavior</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Female</topic><topic>Homicide</topic><topic>Homicide - psychology</topic><topic>Homicide - trends</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Murders & murder attempts</topic><topic>Risk Factors</topic><topic>Substance abuse</topic><topic>Substance abuse disorders</topic><topic>Substance abuse treatment</topic><topic>Substance-Related Disorders - mortality</topic><topic>Substance-Related Disorders - psychology</topic><topic>United States - epidemiology</topic><topic>United States Department of Veterans Affairs - trends</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chermack, Stephen T</creatorcontrib><creatorcontrib>Bohnert, Amy S B</creatorcontrib><creatorcontrib>Price, Amanda M</creatorcontrib><creatorcontrib>Austin, Karen</creatorcontrib><creatorcontrib>Ilgen, Mark A</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>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of studies on alcohol and drugs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chermack, Stephen T</au><au>Bohnert, Amy S B</au><au>Price, Amanda M</au><au>Austin, Karen</au><au>Ilgen, Mark A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Substance use disorders and homicide death in veterans</atitle><jtitle>Journal of studies on alcohol and drugs</jtitle><addtitle>J Stud Alcohol Drugs</addtitle><date>2012-01</date><risdate>2012</risdate><volume>73</volume><issue>1</issue><spage>10</spage><epage>14</epage><pages>10-14</pages><issn>1937-1888</issn><eissn>1938-4114</eissn><coden>JSALDP</coden><abstract>The present study examined the association between a diagnosis of an alcohol use disorder or a drug use disorder and death by homicide over the course of 6 years.
This was a cohort study that included all patients seen for medical treatment by the Veterans Health Administration during fiscal year (FY) 2001. Treatment records were used to identify all patients with a diagnosis of a substance use disorder in FY01 (n = 3,942,932). The National Death Index data provided information on the timing and cause of death between FY02 and the end of 2007. Analyses examined the association between substance use disorders and the time to homicide, after controlling for age and gender.
Veterans Health Administration patients who were diagnosed with an alcohol use disorder were more likely to die by homicide than those without a substance use disorder (hazard ratio [HR] = 3.3, 95% CI [2.6,4.1]). This finding also was true for those with drug use disorders (HR = 4.3, 95% CI [3.4, 5.4]) and for those with both an alcohol use disorder and a drug use disorder (HR = 4.6, 95% CI [3.9, 5.4]), compared with those without a substance use disorder.
In this observational study of veterans, a diagnosis of a substance use disorder was significantly associated with death by homicide. Alcohol and drug treatment programs may have an important role to play in reducing the burden of homicide as a public health problem.</abstract><cop>United States</cop><pub>Alcohol Research Documentation, Inc</pub><pmid>22152656</pmid><doi>10.15288/jsad.2012.73.10</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Adult Aged Alcohol related disorders Alcohol use Cohort Studies Death Diagnosis Drinking behavior Drug abuse Drug use Female Homicide Homicide - psychology Homicide - trends Humans Longitudinal Studies Male Medical diagnosis Middle Aged Murders & murder attempts Risk Factors Substance abuse Substance abuse disorders Substance abuse treatment Substance-Related Disorders - mortality Substance-Related Disorders - psychology United States - epidemiology United States Department of Veterans Affairs - trends Veterans Veterans - psychology |
| title | Substance use disorders and homicide death in veterans |
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