Age Variability in the Association Between Heavy Episodic Drinking and Adolescent Suicide Attempts: Findings From a Large-Scale,School-Based Screening Program |
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| Authors: | Robert H. Aseltine Elizabeth A. Schilling Amy James Jaime L. Glanovsky Douglas Jacobs |
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| Affiliation: | 1. Institute of Urology, University of Southern California, Los Angeles, CA;2. Department of Pathology and Center for Personalized Medicine, University of Southern California, Los Angeles, CA;3. Division of Medical Oncology, Department of Medicine, University of Southern California, Los Angeles, CA;1. French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France;2. French Institute for Health Promotion and Health Education (INPES), Saint-Denis, France;3. French Institute of Demography (Ined), Paris, France;4. Inserm, U1178, Univ Paris-Sud and Univ Paris Descartes, UMR-S1178 Paris, France;5. Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, Institut Universitaire de France, Boulogne Billancourt, France;6. Laboratoire Parisien de Psychologie Sociale (LAPPS), EA 4386, Université Paris Ouest Nanterre-La Défense, France;7. ERES, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), 75012, Paris, France;1. Columbia University, New York, NY, United States;2. University of Colorado Denver, United States |
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| Abstract: | ObjectiveAlcohol use is a risk factor for suicidal behavior among adolescents, but it is not clear whether this association is consistent during the adolescent period. This study examined the age-specific associations between heavy episodic drinking (HED) and self-reported suicide attempts in a large and diverse sample of adolescents.MethodScreening data from 32,217 students, between the ages of 11 and 19 years, in 225 schools were analyzed. Logistic regression analyses estimating the impact of HED on self-reported suicide attempts in the past year were performed.ResultsHeavy episodic drinking was significantly associated with self-reported suicide attempts (odds ratio 1.78, p < .05) controlling for depressive symptoms. However, there was substantial age variability in this association, with the association between HED and self-reported attempts stronger among younger adolescents. Among youths aged 13 years and younger, those who reported an episode of HED during the past year were roughly 2.6 times more likely to report an attempt than those who did not report HED in the past year, in contrast to 1.2 times among youths aged 18 years and older.ConclusionsHeavy episodic drinking is a clear risk factor for suicidal behavior among younger adolescents, beyond the risk conveyed by depressive symptoms. Further research investigating the bases for increased suicide risk among younger adolescents engaging in HED is warranted. Results provide support to AACAP's practice parameters calling for attention to substance abuse in the assessment of suicide risk and suggest that routine screening for HED by physicians may improve the detection of adolescent suicide risk, particularly among younger adolescents. |
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