ArticlePloS one2018
Risk of suicide following an alcohol-related emergency hospital admission: An electronic cohort study of 2.8 million people.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Impact of Alcohol Intoxication on Mortality and Emergency Department Resource Use in Suicidal Patients.The western journal of emergency medicine · 2026Article
- Neighborhood spikes in drug and alcohol overdoses and subsequent suicide: A serial cross-sectional study of California ZIP codes.Preventive medicine reports · 2026Article
- Dimensions of trait and task-based impulsivity associated with alcohol use disorder and history of suicidality.Journal of psychiatric research · 2025Article
- Association of substance use with suicide mortality: An updated systematic review and meta-analysis.Drug and alcohol dependence reports · 2025Review
- Suicide Risk in Alcohol Use Disorders: Literature Review and Study Protocol with Preliminary Data for a Study in Treatment-Seeking Inpatients.Healthcare (Basel, Switzerland) · 2025Article
- Socio-Demographic and Clinical Characteristics of Patients with Substance Intoxication Receiving a Psychiatric Assessment in the Emergency Department of the Maggiore Della Carita Hospital, Novara, Italy.International journal of environmental research and public health · 2024Article
- Childhood adversity and mental health admission patterns prior to young person suicide (CHASE): a case-control 36 year linked hospital data study, Scotland UK 1981-2017.BJPsych open · 2024Article
- Incidence, Mortality and Survival in Young People with Co-Occurring Mental Disorders and Substance Use: A Retrospective Linked Routine Data Study in Wales.Clinical epidemiology · 2022Article
- The association of acute alcohol use and dynamic suicide risk with variation in onward care after psychiatric crisis.Drug and alcohol review · 2021Article
- Contacts with primary and secondary healthcare prior to suicide: case-control whole-population-based study using person-level linked routine data in Wales, UK, 2000-2017.The British journal of psychiatry : the journal of mental science · 2020Article
- Article
- Electronic Longitudinal Alcohol Study in Communities (ELAStiC) Wales - protocol for platform development.International journal of population data science · 2019Article
- Lifestyle Interventions and Prevention of Suicide.Frontiers in psychiatry · 2018Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAlcohol misuse is a well-known risk factor for suicide however, the relationship between alcohol-related hospital admission and subsequent risk of death from suicide is unknown. We aimed to determine the risk of death from suicide following emergency admission to hospital with an alcohol-related cause.
methodsWe established an electronic cohort study of all 2,803,457 residents of Wales, UK, aged from 10 to under 100 years on 1 January 2006 with six years' follow-up. The outcome event was death from suicide defined as intentional self-harm (ICD-10 X60-84) or undetermined intent (Y10-34). The main exposure was an alcohol-related admission defined as a 'wholly attributable' ICD-10 alcohol code in the admission record. Admissions were coded for the presence or absence of co-existing psychiatric morbidity. The analysis was by Cox regression with adjustments for confounding variables within the dataset.
resultsDuring the study follow-up period, there were 15,546,355 person years at risk with 28,425 alcohol-related emergency admissions and 1562 suicides. 125 suicides followed an admission (144.6 per 100,000 person years), of which 11 (9%) occurred within 4 weeks of discharge. The overall adjusted hazard ratio (HR) for suicide following admission was 26.8 (95% confidence interval (CI) 18.8 to 38.3), in men HR 9.83 (95% CI 7.91 to 12.2) and women HR 28.5 (95% CI 19.9 to 41.0). The risk of suicide remained substantial in subjects without known co-existing psychiatric morbidity: HR men 8.11 (95% CI 6.30 to 10.4) and women HR 24.0 (95% CI 15.5 to 37.3). The analysis was limited by the absence in datasets of potentially important confounding variables and the lack of information on alcohol-related harm and psychiatric morbidity in subjects not admitted to hospital.
conclusionEmergency alcohol-related hospital admission is associated with an increased risk of suicide. Identifying individuals in hospital provides an opportunity for psychosocial assessment and suicide prevention of a targeted at-risk group before their discharge to the community.
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