TY  - JOUR
PY  - 2017//
TI  - Alcohol involvement in suicide and self-harm
JO  - Crisis
A1  - Larkin, Celine
A1  - Griffin, Eve
A1  - Corcoran, Paul
A1  - McAuliffe, Carmel
A1  - Perry, Ivan J.
A1  - Arensman, Ella
SP  - 413
EP  - 422
VL  - 38
IS  - 6
N2  - 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>
LA  - en
SN  - 0227-5910
UR  - http://dx.doi.org/10.1027/0227-5910/a000488
ID  - ref1
ER  -