Article Data

  • Views 1954
  • Dowloads 148

Original Research

Open Access

Association between alcohol consumption and severity of self-harm behaviors based on suicidal intent in patients admitted to the emergency department for self-harm

  • Dongjun Seo1
  • Jung Il Lee2
  • Duk Hee Lee3,*,†,
  • Hye Jin Kim1,*,†,

1Department of Emergency medicine, Sanggye Paik Hospital, Inje University College of Medicine, 01757 Seoul, Republic of Korea

2Department of Orthopedic Surgery, Korea University Guro Hospital 08308 Seoul, Republic of Korea

3Department of Emergency Medicine, College of medicine, Ewha Womans University, 07985 Seoul, Republic of Korea

DOI: 10.22514/sv.2023.010 Vol.19,Issue 3,May 2023 pp.173-181

Submitted: 07 April 2022 Accepted: 16 June 2022

Published: 08 May 2023

*Corresponding Author(s): Duk Hee Lee E-mail: ewhain78@gmail.com
*Corresponding Author(s): Hye Jin Kim E-mail: veauvoir@paik.ac.kr

† These authors contributed equally.

Abstract

This study aimed to investigate the association between alcohol consumption and the severity of self-harm behaviors based on the suicidal intents of patients admitted to the emergency department (ED) for self-harm. This was a retrospective study on patients admitted to the ED between March 2017 and December 2020 owing to self-harm behaviors and were grouped into a suicide attempt (SA) and non-suicidal self-harm (NSSH) group. A total of 642 (73.5%) and 232 (26.5%) patients were classified into SA and NSSH groups, respectively. In the SA group, 270 (42.1%) patients reported consuming alcohol, which was independently associated with ≥12 years of formal education and no history of psychiatric hospitalization. In the NSSH group, 87 (37.5%) patients reported consuming alcohol, which was associated with male sex, being married or unmarried but living together, ≥12 years of formal education, and no history of depression. Alcohol consumption could predict ED disposition in the SA group but not in the NSSH group. The impact of alcohol consumption varied according to suicidal intents among patients admitted to the ED for self-harm behavior. Regardless of suicidal intent, patients with a higher education level tended to drink alcohol when engaging in self-harm behaviors.


Keywords

Alcohol drinking; Emergency department; Self-harm behavior


Cite and Share

Dongjun Seo,Jung Il Lee,Duk Hee Lee,Hye Jin Kim. Association between alcohol consumption and severity of self-harm behaviors based on suicidal intent in patients admitted to the emergency department for self-harm. Signa Vitae. 2023. 19(3);173-181.

References

[1] Development OfEC-oa. Health status, Suicide rate 2018. Available at: https://data.oecd.org/healthstat/suicide-rates.htm (Accessed: 3 December 2021).

[2] Korea S. Cause of death statistics in 2018 Daejeon: Statistics Korea. 2019. Available at: https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=377606& pageNo=18&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt= (Accessed: 25 May 2019).

[3] Conner KR, Bagge CL, Goldston DB, Ilgen MA. Alcohol and suicidal behavior. American Journal of Preventive Medicine. 2014; 47: S204–S208.

[4] Cherpitel CJ, Borges GLG, Wilcox HC. Acute alcohol use and suicidal behavior: a review of the literature. Alcoholism: Clinical and Experimental Research. 2004; 28: 18S–28S.

[5] Borges G, Rosovsky H. Suicide attempts and alcohol consumption in an emergency room sample. Journal of Studies on Alcohol. 1996; 57: 543–548.

[6] Branas CC, Richmond TS, Ten Have TR, Wiebe DJ. Acute alcohol consumption, alcohol outlets, and gun suicide. Substance Use & Misuse. 2011; 46: 1592–1603.

[7] Powell KE, Kresnow M, Mercy JA, Potter LB, Swann AC, Frankowski RF, et al. Alcohol consumption and nearly lethal suicide attempts. Suicide and Life-Threatening Behavior. 2002; 32: 30–41.

[8] Conner KR, Huguet N, Caetano R, Giesbrecht N, McFarland BH, Nolte KB, et al. Acute use of alcohol and methods of suicide in a us national sample. American Journal of Public Health. 2014; 104: 171–178.

[9] Suokas J, Lönnqvist J. Suicide attempts in which alcohol is involved: a special group in general hospital emergency rooms. Acta Psychiatrica Scandinavica. 1995; 91: 36–40.

[10] Suominen K, Lönnqvist J. Determinants of psychiatric hospitalization after attempted suicide. General Hospital Psychiatry. 2006; 28: 424–430.

[11] Lejoyeux M, Huet F, Claudon M, Fichelle A, Casalino E, Lequen V. Characteristics of suicide attempts preceded by alcohol consumption. Archives of suicide research: official journal of the International Academy for Suicide Research. 2008; 12: 30–38.

[12] Bagge CL, Conner KR, Reed L, Dawkins M, Murray K. Alcohol use to facilitate a suicide attempt: an event-based examination. Journal of Studies on Alcohol and Drugs. 2015; 76: 474–481.

[13] Hawton K, Hall S, Simkin S, Bale L, Bond A, Codd S, et al. Deliberate self-harm in adolescents: a study of characteristics and trends in Oxford, 1990–2000. Journal of Child Psychology and Psychiatry. 2003; 44: 1191–1198.

[14] Salles J, Tiret B, Gallini A, Gandia P, Arbus C, Mathur A, et al. Suicide attempts: how does the acute use of alcohol affect suicide intent? Suicide and Life-Threatening Behavior. 2020; 50: 315–328.

[15] Greene D, Boyes M, Hasking P. The associations between alexithymia and both non-suicidal self-injury and risky drinking: a systematic review and meta-analysis. Journal of Affective Disorders. 2020; 260: 140–166.

[16] Kuntsche E, Wiers RW, Janssen T, Gmel G. Same wording, distinct concepts? Testing differences between expectancies and motives in a mediation model of alcohol outcomes. Experimental and Clinical Psychopharmacology. 2010; 18: 436–444.

[17] Urban C, Arias SA, Segal DL, Camargo CA, Boudreaux ED, Miller I, et al. Emergency department patients with suicide risk: differences in care by acute alcohol use. General Hospital Psychiatry. 2020; 63: 83–88.

[18] Dambrauskiene K, Adomaitiene V, Zalinkevicius R, Jariene G, Vilkas V, Rybakova I, et al. Can suicide attempt be related to problem drinking: cohort study. Alcohol and Alcoholism. 2019; 54: 104–111.

[19] Crombie IK, Pounder DJ, Dick PH. Who takes alcohol prior to suicide? Journal of Clinical Forensic Medicine. 1998; 5: 65–68.

[20] Mendelson WB, Rich CL. Sedatives and suicide: the san diego study. Acta Psychiatrica Scandinavica. 1993; 88: 337–341.

[21] Whitlock J, Muehlenkamp J, Purington A, Eckenrode J, Barreira P, Baral Abrams G, et al. Nonsuicidal self-injury in a college population: general trends and sex differences. Journal of American College Health. 2011; 59: 691–698.

[22] Haw C, Hawton K, Casey D, Bale E, Shepherd A. Alcohol dependence, excessive drinking and deliberate self-harm. Social Psychiatry and Psychiatric Epidemiology. 2005; 40: 964–971.

[23] Oreskovich MR, Shanafelt T, Dyrbye LN, Tan L, Sotile W, Satele D, et al. The prevalence of substance use disorders in American physicians. The American Journal on Addictions. 2015; 24: 30–38.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top