title: The associations between early alcohol use and suicide attempts among adolescents with a history of major depression.
abstract: OBJECTIVE
  Previous studies have identified significant associations between alcohol initiation before the age of 13 years and risk for suicide attempts. However, these associations have not been extensively tested using data obtained from populations with clinically significant psychopathology. The current study seeks to extend knowledge of the associations between early alcohol initiation and risk for suicide by identifying the associations between age of first alcohol use and suicide attempts among a sample of youth age 13 to 15 years with a history of major depression.
  
  
  METHODS
  Data were obtained from the National Study of Drug Use and Health (NSDUH), a household-based survey of U.S. adolescents and adults age 12 years and older.
  
  
  RESULTS
  Results from these analyses confirm previous reports of significant associations between age of first alcohol use and suicide attempts and extend previous understanding of risk by using data obtained from a household-based survey and from adolescents with clinically relevant psychopathology.
  
  
  CONCLUSIONS
  These findings provide further support for the implementation, enforcement, and continued support of both targeted and universal prevention strategies designed to reduce underage drinking.
authors.affiliation: Department of Veterans Affairs, Center of Excellence at Canandaigua, Canandaigua, NY, USA. Robert_Bossarte@URMC.Rochester.edu
authors.forename: Robert M
authors.initials: RM
authors.lastname: Bossarte
authors.forename: Monica H
authors.initials: MH
authors.lastname: Swahn
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology