Differentiating the association between age of alcohol use initiation and conditional suicidal behaviors among adolescents

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2024-03-21 DOI:10.1111/appy.12554

Meiqi Wang MD, Yunxi Zhong MD, Yifan Chen MD, Qixiu Li MD, Xiaoying Su MD, Zhen Wei PhD, Long Sun PhD

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引用次数: 0

Abstract

Introduction

Suicide and early alcohol use initiation are public health concerns. Previous studies have explored the associations between age of alcohol use initiation and suicidal behaviors, which progresses from ideation to action. Distinguishing between the various associations can help gain a deeper understanding of suicidal behaviors and aid in developing social suicide prevention strategies.

Methods

The study utilized the Youth Risk Behavior Survey to investigate this association. A total of 17 209 students were finally included in the study. Conditional suicidal behaviors included no suicidal behavior (NS), suicidal ideation without a plan or attempt (SINPA), suicide plan without an attempt (SPNA) and suicide attempt (SA).

Results

Among 17 209 students, the prevalence of suicidal ideation, suicide plan, and suicide attempt were 21.4%, 17.3%, and 11.1%, respectively. Moreover, 15.2% of the students used alcohol before age 13, whereas 31.7% of students used alcohol at age 13 or older. Compared to NS, students using alcohol showed significant associations with SA (OR = 2.34, p < .001; OR = 1.29, p < .01), SPNA (OR = 1.68, p < .001; OR = 1.19, p < .05) and SINPA (OR = 1.55, p < .001; OR = 1.40, p < .001). Comparing with SINPA and SNPA, students using alcohol before age 13 were associated with SA (OR = 1.61, p < .001; OR = 1.46, p < .001), whereas those using alcohol at or after the age 13 were not associated with SA (OR = 0.98, p > .05; OR = 1.09, p > .05).

Discussion

This study demonstrated that early alcohol use initiation was significantly associated with suicide attempts among students with suicidal ideations or plans.

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区分青少年开始饮酒的年龄与有条件自杀行为之间的关联。

简介自杀和过早开始饮酒是公众关注的健康问题。以往的研究探讨了开始饮酒的年龄与自杀行为之间的关联，自杀行为从意念发展到行动。区分各种关联有助于深入了解自杀行为，并有助于制定社会自杀预防策略：本研究利用青少年危险行为调查来研究这种关联。最终共有 17 209 名学生被纳入研究。有条件的自杀行为包括无自杀行为（NS）、无自杀计划或自杀未遂（SINPA）、无自杀计划（SPNA）和自杀未遂（SA）：在 17 209 名学生中，自杀意念、自杀计划和自杀未遂的发生率分别为 21.4%、17.3% 和 11.1%。此外，15.2%的学生在 13 岁前曾饮酒，而 31.7%的学生在 13 岁或以上曾饮酒。与 NS 相比，酗酒学生与 SA 有显著关联（OR = 2.34，p .05；OR = 1.09，p > .05）：本研究表明，在有自杀意念或计划的学生中，过早开始饮酒与自杀未遂有显著关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.