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http://dx.doi.org/10.5765/jkacap.210024

Association Between Suicide and Drinking Habits in Adolescents  

Lee, Ji Won (Department of Psychiatry, Gyeongsang National University Hospital)
Kim, Bong-Jo (Department of Psychiatry, Gyeongsang National University Hospital)
Lee, Cheol-Soon (Department of Psychiatry, Gyeongsang National University College of Medicine)
Cha, Boseok (Department of Psychiatry, Gyeongsang National University Hospital)
Lee, So-Jin (Department of Psychiatry, Gyeongsang National University Hospital)
Lee, Dongyun (Department of Psychiatry, Gyeongsang National University College of Medicine)
Seo, Jiyeong (Department of Psychiatry, Gyeongsang National University Changwon Hospital)
Lee, Young-Ji (Department of Psychiatry, Gyeongsang National University Changwon Hospital)
Lee, Youn-Jung (Department of Psychiatry, Gyeongsang National University Hospital)
Lim, Eunji (Department of Psychiatry, Gyeongsang National University Changwon Hospital)
Choi, Jae-Won (Department of Psychiatry, Gyeongsang National University Hospital)
Publication Information
Journal of the Korean Academy of Child and Adolescent Psychiatry / v.32, no.4, 2021 , pp. 161-169 More about this Journal
Abstract
Objectives: Adolescent suicide is a serious social problem. Adolescent alcohol use is one of the most important risk factors for adolescent suicide. This study aimed to identify the relationship between drinking habits and suicide among Korean adolescents. Methods: Data from the 14th and 15th Korean Youth Risk Behavior Web-based Survey, conducted in 2018 and 2019, were used for analysis. Multiple logistic regression analysis was used to identify the relationship between drinking habits-including the age of drinking initiation, frequency of drinking, average drinking amount, frequency of drunkenness-and suicidal ideation, plans, and attempts. Results: Even after adjusting for age, sex, school grade, academic achievement, socioeconomic status, depression, stress, and drinking habits, the frequencies of drinking and drunkenness increased the risk of suicide attempts. Suicide attempts were associated with the frequency of drinking in girls and middle school students, and with the frequency of drunkenness in boys and high school students. Conclusion: This study identified associations between drinking habits (the age of drinking initiation, frequency of drinking, average amount of drinking, frequency of drunkenness) and suicidal behavior in adolescents. Our findings suggest that to prevent adolescent suicide, it might be necessary to investigate drinking habits, including the frequencies of drinking and drunkenness. Moreover, considering the differences in sex and school grade, it is important to include the individual group characteristics when evaluating drinking habits.
Keywords
Suicide; Adolescent; Alcohol drinking;
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1 Hingson RW, Heeren T, Winter MR. Age at drinking onset and alcohol dependence: age at onset, duration, and severity. Arch Pediatr Adolesc Med 2006;160:739-746.   DOI
2 Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 2006;47:372-394.   DOI
3 Borowsky IW, Ireland M, Resnick MD. Adolescent suicide attempts: risks and protectors. Pediatrics 2001;107:485-493.   DOI
4 Agartz I, Momenan R, Rawlings RR, Kerich MJ, Hommer DW. Hippocampal volume in patients with alcohol dependence. Arch Gen Psychiatry 1999;56:356-363.   DOI
5 Lee J, Min S, Ahn JS, Park KC, Kim MH, Kim H. Gender differences in the effect of alcohol use on intent and lethality of suicidal attempts. Korean J Psychosom Med 2016;24:236-243.
6 Byeon KH, Jee SH, Sull JW, Choi BY, Kimm H. Relationship between binge drinking experience and suicide attempts in Korean adolescents: based on the 2013 Korean Youth Risk Behavior Webbased Survey. Epidemiol Health 2018;40:e2018046.   DOI
7 Peltzer K, Pengpid S. Early substance use initiation and suicide ideation and attempts among school-aged adolescents in four Pacific Island countries in Oceania. Int J Environ Res Public Health 2015;12:12291-12303.   DOI
8 Swahn MH, Bossarte RM. Gender, early alcohol use, and suicide ideation and attempts: findings from the 2005 Youth Risk Behavior Survey. J Adolesc Health 2007;41:175-181.   DOI
9 Swahn MH, Bossarte RM, Ashby JS, Meyers J. Pre-teen alcohol use initiation and suicide attempts among middle and high school students: findings from the 2006 Georgia Student Health Survey. Addict Behav 2010;35:452-458.   DOI
10 Hyun KR, Lee SM. Analysis of socioeconomic costs of five major diseases. Health Insur Policy 2014;13:91-107.
11 Aseltine RH Jr, Schilling EA, James A, Glanovsky JL, Jacobs D. Age variability in the association between heavy episodic drinking and adolescent suicide attempts: findings from a large-scale, school-based screening program. J Am Acad Child Adolesc Psychiatry 2009;48:262-270.   DOI
12 Shaffer D, Pfeffer CR, The Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. J Am Acad Child Adolesc Psychiatry 2001;40(7 Suppl):24S-51S.   DOI
13 McManama O'Brien KH, Becker SJ, Spirito A, Simon V, Prinstein MJ. Differentiating adolescent suicide attempters from ideators: examining the interaction between depression severity and alcohol use. Suicide Life Threat Behav 2014;44:23-33.   DOI
14 Sher L. Alcohol consumption and suicide. QJM 2006;99:57-61.   DOI
15 Park HS, Hong SA. Gender comparison of factors affecting the suicide ideation of adolescents - based on the Korea Youth Risk Behavior Web-based Survey, 2019 -. Korean Public Health Res 2020; 46:47-57.   DOI
16 King RA, Schwab-Stone M, Flisher AJ, Greenwald S, Kramer RA, Goodman SH, et al. Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. J Am Acad Child Adolesc Psychiatry 2001;40:837-846.   DOI
17 Korean Statistical Information Service (KOSIS). Annual report on the causes of death statistics 2019 [Internet]. Daejeon: Statistics Korea; 2020 [cited 2020 Oct]. Available from: https://kosis.kr/ publication/publicationThema.do?pubcode=YD.
18 Lewinsohn PM, Rohde P, Seeley JR. Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications. Clin Psychol (New York) 1996;3:25-46.   DOI
19 Korea Disease Control and Prevention Agency, 2019 Korean Youth Risk Behavior Web-based Survey [Internet]. Cheongju: Korea Disease Control and Prevention Agency; [2019 October 30]. Available from: https://www.kdca.go.kr/yhs/.
20 Statistics Korea. 2020 Statistics on the youth [Internet]. Daejeon: Statistics Korea; [cited 2020 April 27]. Available from: https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=381815.
21 Doran CM, Kinchin I. Economic and epidemiological impact of youth suicide in countries with the highest human development index. PLoS One 2020;15:e0232940.   DOI
22 Sellers CM, Diaz-Valdes Iriarte A, Wyman Battalen A, McManama O'Brien KH. Alcohol and marijuana use as daily predictors of suicide ideation and attempts among adolescents prior to psychiatric hospitalization. Psychiatry Res 2019;273:672-677.   DOI
23 Kingsbury S, Hawton K, Steinhardt K, James A. Do adolescents who take overdoses have specific psychological characteristics? A comparative study with psychiatric and community controls. J Am Acad Child Adolesc Psychiatry 1999;38:1125-1131.   DOI
24 Hawton K, Saunders KEA, O'Connor RC. Self-harm and suicide in adolescents. Lancet 2012;379:2373-2382.   DOI
25 Govinfo. Suicide prevention and youth: saving lives [Internet]. Washington, DC: United States Senate Committee on Health, Education, Labor and Pensions; 2004 [cited 2004 March 2]. Available from: https://www.govinfo.gov/app/details/CHRG-108shrg92459/ CHRG-108shrg92459.
26 Bagge CL, Sher KJ. Adolescent alcohol involvement and suicide attempts: toward the development of a conceptual framework. Clin Psychol Rev 2008;28:1283-1296.   DOI
27 Reyna VF, Farley F. Risk and rationality in adolescent decision making: implications for theory, practice, and public policy. Psychol Sci Public Interest 2006;7:1-44.   DOI
28 Kashden J, Fremouw WJ, Callahan TS, Franzen MD. Impulsivity in suicidal and nonsuicidal adolescents. J Abnorm Child Psychol 1993;21:339-353.   DOI
29 Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis. PLoS One 2015;10:e0126870.   DOI