title: Pre-teen alcohol use initiation and suicide attempts among middle and high school students: findings from the 2006 Georgia Student Health Survey.
abstract: Early alcohol use initiation has been linked to suicide attempts among youth. However, very little is known about the potential impact of alcohol-related norms and beliefs and how these may impact the association between alcohol use and suicide attempt. This study examines the associations between early alcohol use and suicide attempts while controlling for demographic characteristics, and alcohol-related beliefs and norms (e.g., believing alcohol causes harm to health or that adults or friends disapprove of alcohol use) and potential confounders. Analyses were based on the 2006 Georgia Student Health Survey (N=175,311) of students in grades 6, 8, 10 and 12. The current analyses were limited to students in grades 8, 10 and 12, who either began drinking prior to age 13 or who were non drinkers (n=87,349). Pre-teen alcohol use initiation was associated with suicide attempts (Adj.OR=1.51; 95%CI:1.38-1.66) relative to not drinking with similar associations for boys (Adj.OR=1.72; 95%CI:1.52-1.94) and girls (Adj.OR=1.26; 95%CI:1.08-1.45). Students who believed that alcohol was harmful to their health, or that friends or adults disapproved of their alcohol use, or who had been taught about substance use in school were less likely to make a suicide attempt, although findings differed for boys and girls. Pre-teen alcohol use initiation is an important risk factor for suicide attempts among boys and girls in Georgia. Increased efforts to delay and reduce early alcohol use through clinical interventions, education, and policies that impact norms and knowledge related to alcohol use are needed and may in turn reduce suicide attempts.
authors.affiliation: Institute of Public Health, Partnership for Urban Health Research, Georgia State University, Atlanta, GA 30302-3995, USA. MSwahn@gsu.edu
authors.forename: Monica H
authors.initials: MH
authors.lastname: Swahn
authors.forename: Robert M
authors.initials: RM
authors.lastname: Bossarte
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Ashby
authors.forename: Joel
authors.initials: J
authors.lastname: Meyers
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006306:Health Surveys; D006801:Humans; D008297:Male; D012574:Schools; D013334:Students; D013406:Suicide, Attempted / Q000706:statistics & numerical data*