@article{ref1,
title="Alcohol involvement in suicide and self-harm",
journal="Crisis",
year="2017",
author="Larkin, Celine and Griffin, Eve and Corcoran, Paul and McAuliffe, Carmel and Perry, Ivan J. and Arensman, Ella",
volume="38",
number="6",
pages="413-422",
abstract="BACKGROUND: Alcohol misuse and alcohol consumption are significant risk factors for suicidal behavior. AIMS: This study sought to identify factors associated with alcohol consumption in cases of suicide and nonfatal self-harm presentations. <br><br>METHOD: Suicide cases in Cork, Ireland, from September 2008 to June 2012 were identified through the Suicide Support and Information System. Emergency department presentations of self-harm in the years 2007-2013 were obtained from the National Self-Harm Registry Ireland. <br><br>RESULTS: Alcohol consumption was detected in the toxicology of 44% out of 307 suicide cases. Only younger age was significantly associated with having consumed alcohol among suicides. Alcohol consumption was noted in the case notes in 21% out of 8,145 self-harm presentations. Logistic regression analyses indicated that variables associated with having consumed alcohol in a self-harm presentation included male gender, older age, overdose as a method, not being admitted to a psychiatric ward, and presenting out-of-hours. LIMITATIONS: Data was limited to routinely collected variables by the two different monitoring systems. <br><br>CONCLUSION: Alcohol consumption commonly precedes suicidal behavior, and several factors differentiated alcohol-related suicidal acts. Self-harm cases, in particular, differ in profile when alcohol is consumed and may require a tailored clinical approach to minimize risk of further nonfatal or fatal self-harm.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000488",
url="http://dx.doi.org/10.1027/0227-5910/a000488"
}