M S Kaplan1, N Huguet2, R Caetano3, N Giesbrecht4, W C Kerr5, B H McFarland6. 1. Department of Social Welfare, UCLA Luskin School of Public Affairs, Los Angeles, California, USA. 2. Center for Public Health Studies, Portland State University, Portland, Oregon, USA. 3. School of Public Health, University of Texas, Dallas, Texas, USA. 4. Social and Epidemiological Research Department, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 5. Alcohol Research Group, Public Health Institute, Emeryville, California, USA. 6. Department of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.
Abstract
OBJECTIVES: Although there is a large and growing body of evidence concerning the impact of contracting economies on suicide mortality risk, far less is known about the role alcohol consumption plays in the complex relationship between economic conditions and suicide. The aims were to compare the postmortem alcohol intoxication rates among male and female suicide decedents before (2005-2007), during (2008-2009) and after (2010-2011) the economic contraction in the USA. METHODS: Data from the restricted National Violent Death Reporting System (2005-2011) for male and female suicide decedents aged 20 years and older were analysed by Poisson regression analysis to test whether there was significant change in the fractions of suicide decedents who were acutely intoxicated at the time of death (defined as blood alcohol content ≥0.08 g/dL) prior, during and after the downturn. RESULTS: The fraction of all suicide decedents with alcohol intoxication increased by 7% after the onset of the recession from 22.2% in 2005-2007 to 23.9% in 2008-2011. Compared with the years prior to the recession, male suicide decedents showed a 1.09-fold increased risk of alcohol intoxication within the first 2 years of the recession. Surprisingly, there was evidence of a lag effect among female suicide decedents, who had a 1.14-fold (95% CI 1.02 to 1.27) increased risk of intoxication in 2010-2011 compared with 2005-2007. CONCLUSIONS: These findings suggest that acute alcohol intoxication in suicide interacts with economic conditions, becoming more prevalent during contractions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVES: Although there is a large and growing body of evidence concerning the impact of contracting economies on suicide mortality risk, far less is known about the role alcohol consumption plays in the complex relationship between economic conditions and suicide. The aims were to compare the postmortem alcohol intoxication rates among male and female suicide decedents before (2005-2007), during (2008-2009) and after (2010-2011) the economic contraction in the USA. METHODS: Data from the restricted National Violent Death Reporting System (2005-2011) for male and female suicide decedents aged 20 years and older were analysed by Poisson regression analysis to test whether there was significant change in the fractions of suicide decedents who were acutely intoxicated at the time of death (defined as blood alcohol content ≥0.08 g/dL) prior, during and after the downturn. RESULTS: The fraction of all suicide decedents with alcohol intoxication increased by 7% after the onset of the recession from 22.2% in 2005-2007 to 23.9% in 2008-2011. Compared with the years prior to the recession, male suicide decedents showed a 1.09-fold increased risk of alcohol intoxication within the first 2 years of the recession. Surprisingly, there was evidence of a lag effect among female suicide decedents, who had a 1.14-fold (95% CI 1.02 to 1.27) increased risk of intoxication in 2010-2011 compared with 2005-2007. CONCLUSIONS: These findings suggest that acute alcohol intoxication in suicide interacts with economic conditions, becoming more prevalent during contractions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Authors: Feijun Luo; Curtis S Florence; Myriam Quispe-Agnoli; Lijing Ouyang; Alexander E Crosby Journal: Am J Public Health Date: 2011-04-14 Impact factor: 9.308
Authors: Ralph Catalano; Sidra Goldman-Mellor; Katherine Saxton; Claire Margerison-Zilko; Meenakshi Subbaraman; Kaja LeWinn; Elizabeth Anderson Journal: Annu Rev Public Health Date: 2011 Impact factor: 21.981
Authors: M Martin-Carrasco; S Evans-Lacko; G Dom; N G Christodoulou; J Samochowiec; E González-Fraile; P Bienkowski; M Gómez-Beneyto; M J H Dos Santos; D Wasserman Journal: Eur Arch Psychiatry Clin Neurosci Date: 2016-02-13 Impact factor: 5.270
Authors: Mark S Kaplan; Raul Caetano; Norman Giesbrecht; Nathalie Huguet; William C Kerr; Bentson H McFarland; Kurt B Nolte Journal: Am J Prev Med Date: 2017-03-24 Impact factor: 5.043
Authors: Mark S Kaplan; William C Kerr; Bentson H McFarland; Kara Bensley; Raul Caetano; Norman Giesbrecht; Shannon M Monnat; Kurt B Nolte Journal: J Stud Alcohol Drugs Date: 2020-09 Impact factor: 2.582
Authors: William C Kerr; Mark S Kaplan; Nathalie Huguet; Raul Caetano; Norman Giesbrecht; Bentson H McFarland Journal: Am J Prev Med Date: 2016-11-14 Impact factor: 5.043
Authors: Mark S Kaplan; Nathalie Huguet; Raul Caetano; Norman Giesbrecht; William C Kerr; Bentson H McFarland Journal: Alcohol Clin Exp Res Date: 2016-05-17 Impact factor: 3.455