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Global suicide prevention should focus more on alcohol use disorders
| The first 150 words of the full text of this article appear below. |
Suicide prevention requires a comprehensive response
to the intimate link between alcohol use disorders and suicide. Major community based biographical (psychological autopsy) studies in the
West and the East have consistently reported a high prevalence of
alcohol use disorders among people who committed suicide
for example,
56% in New York,1 43% in Northern Ireland,2
and 34% in Madras.3 Such figures are far in excess of the
prevalence of alcohol use disorders in the general population. In fact,
alcohol use disorder was the most frequent DSM-III-R axis I psychiatric disorder (mood, psychotic, substance use, etc) in the studies cited.
According to a meta-analysis of mortality studies, the lifetime risk of
suicide is 7% for alcohol dependence.4 Interestingly, in
a recently reported time series analysis a significant positive relation between per capita alcohol consumption and gender and age
specific suicide rates was revealed most often in dry (low consumption)
cultures (northern Europe)
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