titleacutealcoholuseandsuicideattempts.docVIP

Title: Acute Alcohol Use and Suicide Attempts Courtney L. Bagge, Ph.D. Department of Psychiatry and Human Behavior University of Mississippi Medical Center Alcohol Medical Scholars Program (Slide 1) Introduction Suicidal behavior is common in US (Slide 2) 36,000 die by suicide 10th cause of death in US1 ~5 nonfatal attempts per 1 completion2 Alcohol use misuse also common in US (Slide 3) ~ 90% use alc lifetime 53% use alc past yr3 3. 15% lifetime abuse4 (I define later) 4. 10% lifetime dependence4 There is overlap: use, misuse, attempt (Slide 4) Attempters who acutely use prior to act: ~30% have AUD9 Attempters w/ AUD: ~70% acutely use prior to act6 Clinical Case Eg: Is person at risk for alcohol-related suicide? (Slide 5) Visits primary care physician for check-up 30 yr. old female Drinking: 1 X every 2 mo. (1-2 drinks) No suicidal thoughts No history of depression (known risk factor for suicide) Mentions relationship difficulties This lecture will cover: (Slide 6) Definitions of suicidality and chronic/acute alcohol use How acute alcohol use and suicide attempts relate Possible reasons for drinking at attempt Prevention and treatment implications Definitions Suicidality (Slide 7) Suicidal thoughts (or ideation):Thoughts of killing oneself Suicidal behavior: Self-inflicted behavior w/intent to die Suicide: Fatal outcome Attempt: Non-fatal outcome Alcohol Drink (10-12g ethanol) (Slide 8) Beer: 12 oz/355 ml Wine: 4 oz/120 ml Spirits (gin): 1.5 oz/44 ml Drinking patterns (Slide 9) Quantity frequency Heavy episodic7 1’ 5+ drinks/session ♂ 2’ 4+ drinks/session ♀ Binge15: Prolonged exposure: Intoxicated 2 days Give up usual activities for intoxication Alcohol Use Disorders (AUD)16 (Slide 10) Alcohol abuse: Repeated alc problems in same 12 mo. with ≥ 1 of: 1’ Inability to fulfill role obligation 2’ Use in physically hazardous situations (eg, driving) 3’ Legal problems 4’ Social or interpersonal problems 5’ Not dependence Alcohol dependence: