Acute alcohol use and suicide deaths

Making Education Easy

Authors:

Crossin R et al.

September 21, 2022

Summary:

Acute alcohol use has been identified in approximately one quarter (26.6%) of suicides in New Zealand, with stronger associations in those of Māori and Pasifika ethnicity, and those aged <55 years. Data for all suicides in individuals aged ≥15 years were drawn from the National Coronial Information System between July 2007 and December 2020. Acute alcohol use was defined as a blood alcohol concentration >50 mg/100 ml. Compared with European individuals, Māori individuals (adjusted odds ratio 1.20, 95% CI 0.74-1.02) and Pacific individuals (adjusted odds ratio 1.46, 95% CI 1.1-2.00) were more likely to die by suicide involving acute alcohol use. Individuals aged 15-54 years had similar risks of suicide involving acute alcohol use, with a lower association in older age groups. There was no association between suicide involving acute alcohol use and gender. Acute alcohol use is a significant but modifiable risk factor for suicide in New Zealand, the study authors concluded.

Comment:

If you haven’t already, please look at and consider supporting the ‘Reduce Alcohol Harm’ campaign. As its leaders highlight, this is an equity issue in Aotearoa and political leadership is required. You can find out more here: https://our.actionstation.org.nz/petitions/reduce-alcohol-harm-pass- the-bill.

Reference: N Z Med J. 2022;135:65-78.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.