title: Differentiating adolescent suicide attempters from ideators: examining the interaction between depression severity and alcohol use.
abstract: Depressed mood, frequency of alcohol use, and their combination were examined to see if they differentiated nonsuicidal adolescents from those with suicidal ideation and adolescents with suicidal ideation from those who have made a suicide attempt. Hierarchical logistic regressions indicated that frequency of alcohol use did not differentiate nonsuicidal adolescents from those with current suicidal ideation, but severity of depressed mood did so. In contrast, alcohol use was a significant differentiating factor between adolescents who had attempted suicide compared to those with suicidal ideation only, with severity of depressed mood not being significant. However, there was also a significant interaction effect such that for adolescents with suicidal ideation and low levels of depression, increased frequency of alcohol use was associated with increased odds of a suicide attempt. These findings suggest that alcohol use may hasten the transition from suicidal ideation to suicide attempt in adolescents with low levels of depressed mood.
authors.affiliation: Department of Psychiatry and Human Behavior, Center for Alcohol and Addiction Studies, Alpert Medical School of Brown University, Providence RI, USA.
authors.forename: Kimberly H
authors.initials: KH
authors.lastname: McManama O'Brien
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Becker
authors.forename: Anthony
authors.initials: A
authors.lastname: Spirito
authors.forename: Valerie
authors.initials: V
authors.lastname: Simon
authors.forename: Mitchell J
authors.initials: MJ
authors.lastname: Prinstein
mesh_terms: D000293:Adolescent; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology*; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009511:New England / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
references.citation: J Subst Abuse Treat. 2012 Apr;42(3):310-8
references.pmid: 21943811
references.citation: Clin Psychol Rev. 2008 Dec;28(8):1283-96
references.pmid: 18676078
references.citation: J Abnorm Child Psychol. 1986 Mar;14(1):25-39
references.pmid: 3950219
references.citation: QJM. 2006 Jan;99(1):57-61
references.pmid: 16287907
references.citation: Int J Adolesc Med Health. 2005 Jul-Sep;17(3):197-203
references.pmid: 16231470
references.citation: Clin Psychol Rev. 2001 Jul;21(5):797-811
references.pmid: 11434231
references.citation: Suicide Life Threat Behav. 1996 Fall;26(3):237-52
references.pmid: 8897663
references.citation: J Adolesc Health. 2002 Oct;31(4):336-42
references.pmid: 12359379
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Jun;36(6):793-8
references.pmid: 9183134
references.citation: J Adolesc Health. 2009 Apr;44(4):335-41
references.pmid: 19306791
references.citation: J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):915-23
references.pmid: 9735611
references.citation: ISRN Family Med. 2013 Jan 30;2013:282378
references.pmid: 24967322
references.citation: Int J Adolesc Med Health. 2007 Jan-Mar;19(1):27-35
references.pmid: 17458321
references.citation: Suicide Life Threat Behav. 2004 Summer;34(2):89-98
references.pmid: 15191266
references.citation: Clin Psychol Rev. 2004 Dec;24(8):957-79
references.pmid: 15533280
references.citation: J Consult Clin Psychol. 2008 Feb;76(1):92-103
references.pmid: 18229987
references.citation: Drug Alcohol Depend. 2004 Dec 7;76 Suppl:S79-91
references.pmid: 15555819
references.citation: Suicide Life Threat Behav. 2004 Winter;34(4):408-20
references.pmid: 15585462
references.citation: J Am Acad Child Adolesc Psychiatry. 2008 Jan;47(1):32-40
references.pmid: 18174823
references.citation: Suicide Life Threat Behav. 2010 Dec;40(6):612-9
references.pmid: 21198330
references.citation: J Sch Health. 2000 Sep;70(7):271-85
references.pmid: 10981282
references.citation: Suicide Life Threat Behav. 2009 Jun;39(3):252-68
references.pmid: 19606918
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Nov;36(11):1512-9
references.pmid: 9394935
references.citation: Child Psychiatry Hum Dev. 2004 Fall;35(1):21-35
references.pmid: 15626323
references.citation: J Affect Disord. 2008 Apr;107(1-3):107-16
references.pmid: 17804082
references.citation: Clin Psychol Rev. 2005 Nov;25(7):841-61
references.pmid: 16095785
references.citation: Cogn Behav Pract. 2012 May;19(2):245-255
references.pmid: 23209362
references.citation: Alcohol Clin Exp Res. 2004 May;28(5 Suppl):77S-88S
references.pmid: 15166639
references.citation: J Subst Abuse Treat. 2012 Sep;43(2):251-9
references.pmid: 22197300
references.citation: J Am Acad Child Adolesc Psychiatry. 1991 Jan;30(1):95-9
references.pmid: 2005070