Alcohol-related problems among adolescent suicides in Finland.
We studied 106 adolescent suicides out of a total nationwide population of 1397 suicides. Forty-four (42%) of these 13-22-year-old victims were classified as having suffered either a DSM-III-R alcohol use disorder or diagnostically subthreshold alcohol misuse according to retrospective evaluation using the Michigan Alcoholism Screening Test (MAST). These victims were found to differ from the other adolescent suicides in several characteristics: they were more likely to have comorbid categorical DSM-III-R disorders, antisocial behaviour, disturbed family backgrounds, precipitating life-events as stressors and severe psychosocial impairment. In addition, they also had a greater tendency to be alcohol-intoxicated at the time of the suicidal act, which tended to occur during weekends, suggesting that drinking in itself, and its weekly pattern, each contributed to the completion of their suicides.
Pirkola
S P
SP
Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland.
Marttunen
M J
MJ
Henriksson
M M
MM
Isometsa
E T
ET
Heikkinen
M E
ME
Lönnqvist
J K
JK
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D000431:Ethanol / Q000097:blood; D005190:Family / Q000523:psychology; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D000297:Psychology, Adolescent; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000523:psychology; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data*
D000431:Ethanol