Comorbid depression and alcohol use disorders and prospective risk for suicide attempt in the year following inpatient hospitalization

Journal of Affective Disorders
Peter C BrittonKenneth R Conner

Abstract

The purpose of this study is to identify predictors of nonfatal suicide attempts in veterans discharged from acute hospitalization with depression and/or alcohol use disorder (AUD) diagnoses. We hypothesized that primary depression confers similar risk for attempt whether or not it is accompanied by secondary AUD, and that a suicide attempt in the prior year would confer greatest risk of the variables studied. Veteran Health Administration (VHA) patients discharged from acute inpatient hospitalization in 2011 with AUD and/or non-bipolar depression diagnoses (N=22,319) were analyzed using information from the computerized record system and national database on suicidal behavior. Proportional hazard regression models estimated unadjusted and adjusted hazard ratios (AHR) and confidence intervals (95% CI) for risk of a nonfatal attempt within one year following discharge. As hypothesized, primary depression with secondary AUD [AHR (95% CI)=1.41 (1.04, 1.92)] and without secondary AUD [AHR (95% CI)=1.30 (1.00, 1.71)] conferred similar prospective risk for attempt (AUD without depression, reference). Although prior suicide attempt was associated with increased risk, acute care in "general psychiatry" during hospitalization [AHR (95% ...Continue Reading

References

Jul 1, 1997·The American Journal of Psychiatry·M A SchuckitT L Smith
Mar 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·E C Harris, B Barraclough
May 29, 2001·Psychiatric Services : a Journal of the American Psychiatric Association·J A Motto, A G Bostrom
Apr 19, 2003·Psychological Medicine·J T O CavanaghS M Lawrie
Apr 27, 2004·Suicide & Life-threatening Behavior·Annette L Beautrais
Jan 29, 2005·The American Journal of Psychiatry·Rani A DesaiRobert A Rosenheck
Apr 7, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Joseph F GoldbergSuzanne Bird
Dec 7, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Gregory L CarterCatherine D'Este
May 30, 2008·Frontiers in Bioscience : a Journal and Virtual Library·Jennifer R O'Hara, Andre G Buret
Jul 2, 2009·Environmental Health and Preventive Medicine·Kouichi YoshimasuUNKNOWN Stress Research Group of the Japanese Society for Hygiene
Feb 18, 2010·American Journal of Epidemiology·Jaimie L GradusTimothy L Lash
Nov 3, 2010·Archives of General Psychiatry·Mark A IlgenFrederic C Blow
Jan 5, 2011·Suicide & Life-threatening Behavior·Mark A IlgenAmy M Kilbourne
May 25, 2011·BMC Public Health·Janet WeinerDouglas J Wiebe
Aug 4, 2012·Journal of Affective Disorders·Craig J BryanEvelyn Wertenberger
Apr 25, 2013·Suicide & Life-threatening Behavior·Peter C BrittonKenneth R Conner
May 24, 2013·JAMA Psychiatry·Mark A IlgenIra R Katz
May 28, 2013·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Elizabeth KarrasRobert M Bossarte
Jul 6, 2014·Journal of Studies on Alcohol and Drugs·Kenneth R ConnerRebecca J Houston

❮ Previous
Next ❯

Citations

Mar 8, 2016·Drug and Alcohol Dependence·Stephanie Brooks HollidayAdam M Leventhal
May 5, 2016·Drug and Alcohol Dependence·Lisham AshrafiounKenneth R Conner
Sep 7, 2016·Current Psychiatry Reports·Hilario Blasco-FontecillaJose de Leon
Sep 22, 2017·Statistical Methods in Medical Research·Hua HeXin M Tu
Apr 3, 2020·Death Studies·Jalessa PerezCraig Stockmeier
Feb 24, 2018·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Atshushi IchimuraSadaki Inokuchi
May 30, 2020·Journal of Addictive Diseases·Sohrab Amiri, Sepideh Behnezhad
Apr 13, 2017·Social Psychiatry and Psychiatric Epidemiology·Peter C BrittonWilfred R Pigeon
Mar 23, 2021·Current Addiction Reports·Mina M RizkBarbara Stanley
Nov 8, 2020·Journal of Psychiatric Research·Mina M RizkJ John Mann

❮ Previous
Next ❯

Related Concepts

Related Feeds

Alcohol Use Disorder

Alcohol use disorder involves a pattern of alcohol consumption that includes compulsive use and a loss of control over intake of alcohol. The impact on physical health, socioeconomic factors, and psychiatric health is profound. Find the latest research on alcohol use disorder here.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.