Abstract：
BACKGROUND:Stressful life events (SLEs) play a key role in suicidal behavior among adults with alcohol use disorders (AUD), yet there are meager data on the severity of SLEs preceding suicidal behavior or the timing of such events. METHOD:Patients in residential substance use treatment who made a recent suicide attempt (cases, n=101) and non-suicidal controls matched for site (n=101) were recruited. SLEs that occurred within 30 days of the attempt and on the day of the attempt in cases were compared to SLEs that occurred in the corresponding periods in controls. SLEs were categorized by type (interpersonal, non-interpersonal) and severity (major, minor) and were dated to assess timing. Degree of planning of suicide attempts was also assessed. RESULTS:Major interpersonal SLEs conferred risk for a suicide attempt, odds ratio (95% CI)=5.50 (1.73, 17.53), p=0.005. Cases were also more likely to experience an SLE on the day of the attempt than on the corresponding day in controls, OR (95% CI)=6.05 (1.31, 28.02), p=0.021. However, cases that made an attempt on the day of a SLE did not make lower planned suicide attempts compared to other cases, suggesting that suicide attempts that are immediately preceded by SLEs cannot be assumed to be unplanned. CONCLUSIONS:Results suggest the central importance of major interpersonal SLEs in risk among adults with AUD, a novel finding, and documents that SLEs may lead to suicide attempts within a short window of time (i.e., same day), a daunting challenge to prevention efforts.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Conner KR,Houston RJ,Swogger MT,Conwell Y,You S,He H,Gamble SA,Watts A,Duberstein PRdoi
10.1016/j.drugalcdep.2011.07.013subject
Has Abstractpub_date
2012-01-01 00:00:00pages
155-61issue
1-3eissn
0376-8716issn
1879-0046pii
S0376-8716(11)00332-2journal_volume
120pub_type
杂志文章abstract：:This college-based study compared nonmedical users of prescription stimulants to other types of drug users regarding drug use related problems. A Web survey was self-administered in 2005 by a probability sample of 3639 full-time undergraduate students (68% response rate) at a large public Midwestern 4-year university ...
journal_title：Drug and alcohol dependence
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journal_title：Drug and alcohol dependence
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journal_title：Drug and alcohol dependence
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pub_type： 杂志文章
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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journal_title：Drug and alcohol dependence
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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journal_title：Drug and alcohol dependence
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更新日期：2011-11-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
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更新日期：2015-12-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,随机对照试验
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doi：10.1016/j.drugalcdep.2008.01.014
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2010.04.010
更新日期：2010-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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pub_type： 杂志文章
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更新日期：1986-05-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2011.10.010
更新日期：2012-06-01 00:00:00
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journal_title：Drug and alcohol dependence
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更新日期：2007-10-08 00:00:00
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