Evidence map›Paper›PMID 27928972›Full record

SynthesisPsychological medicine2017

A meta-analysis of acute use of alcohol and the risk of suicide attempt.

G Borges, C L Bagge, C J Cherpitel, K R Conner, R Orozco, I Rossow

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  6. Impact of Alcohol Policies on Suicidal Behavior: A Systematic Literature Review.International journal of environmental research and public health · 2020
    Pooled it
  7. Associations between suicide ideation, craving, and alcohol use across 12 weeks of outpatient treatment for alcohol use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Trial
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  10. The meaning of being suicidal - a reflective lifeworld research.International journal of qualitative studies on health and well-being · 2026
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  18. Modeling the reciprocal dynamic between alcohol and suicide urges among college students: Ecological momentary assessment study.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  19. Article
  20. Article

85 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

G BorgesInstituto Nacional de Psiquiatría,Mexico City,Mexico.
C L BaggeDepartment of Psychiatry and Human Behavior,University of Mississippi Medical Center,Jackson, MS,USA.
C J CherpitelAlcohol Research Group,Emeryville, CA,USA.
K R ConnerUniversity of Rochester Medical Center,Rochester, NY,USA.
R OrozcoInstituto Nacional de Psiquiatría,Mexico City,Mexico.
I RossowNational Centre for Suicide Research and Prevention,Institute of Clinical Medicine,University of Oslo,Oslo,Norway.

Funding

Cross-National Analysis of Alcohol & InjuryR01AA013750 · NIAAA · PUBLIC HEALTH INSTITUTE · PI CHERPITEL, CHERYL J · 2002 to 2018
$4.4M
NIAAA NIH HHS R01 AA013750
6 · The paper itself

Abstract

backgroundNo review has used a meta-analytic approach to estimate common odds ratios (ORs) for the effect of acute use of alcohol (AUA) on suicide attempts. We aim to report the results of the first meta-analysis of controlled epidemiological studies on AUA and suicide attempt.

methodThe English-language literature on Medline, PsycINFO and Google Scholar was searched for original articles and critical review on AUA and suicide attempt (period 1996-2015). Studies had to report an OR estimate for this association. Common ORs and 95% confidence intervals (CIs) from random effects in meta-analyses for any AUA and two levels of alcohol use on suicide attempt were calculated.

resultsIn all, seven studies provided OR estimates for the likelihood of suicide attempt by AUA, compared with those who did not drink alcohol. Studies used case-control (n 3) and case-crossover designs (n 4). Meta-analysis revealed a common OR of 6.97 (95% CI 4.77-10.17) for any AUA. Using four studies, 'low levels of acute drinking' resulted in an OR of 2.71 (95% CI 1.56-4.71) and 'high levels' had an OR of 37.18 (95% CI 17.38-79.53).

conclusionsAUA is associated with increased likelihood of a suicide attempt, particularly at high doses. Such data should be incorporated into estimates of the burden of disease associated with alcohol use, which are currently limited by a consideration of only alcohol's chronic effects. Future research should focus on the mechanisms through which AUA confers risk for attempt.

Indexed as

AlcoholismHumansSuicide, AttemptedAcute alcohol usecase–control studiescase–crossover studiesmeta-analysessuicide attempt

Identifiers

PMID27928972
PMCPMC5340592

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.