ArticleThe American journal of psychiatry2020
Alcohol Use Disorder and Risk of Suicide in a Swedish Population-Based Cohort.
Article in The American journal of psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.
- Sex-Specific Association of Alcohol Use Disorder With Suicide Mortality: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Leveraging Family Genetic Risk Scores to Understand the Etiology of Suicidal Behaviors and Their Associations With Psychiatric Disorders.Acta psychiatrica Scandinavica · 2026Article
- Lifetime substance use disorder and suicidal behaviour: a population-based familial co-aggregation register study.Molecular psychiatry · 2026Article
- The impact of alcohol use disorder and PTSD comorbidity on risk of suicide attempt.Social psychiatry and psychiatric epidemiology · 2026Article
- High Prevalence of Suicidal Behavior in Severe Alcohol Use Disorder Linked to Specific Neurocognitive Deficits: The Cognition, Alcohol, Genes, and Environment Study.Journal of studies on alcohol and drugs · 2026Article
- Suicide risks associated with cardiovascular disease in persons with alcohol use disorder.Annals of epidemiology · 2026Article
- Characterizing the co-occurrence of alcohol experimentation and suicidal thoughts and behaviors in early adolescence.Translational psychiatry · 2026Article
- Patterns and predictors of repeated violent suicide attempts: a retrospective clinical study from an acute trauma care setting.Frontiers in psychiatry · 2026Article
- Patterns of sex-specific and age-specific risk indicators of suicide: a population-nested case-control study.BMJ mental health · 2025Article
- Toxoplasma gondii and suicidal behaviour: discovery, cross-diagnostic confirmation and pathway exploration.Folia parasitologica · 2025Article
- Trauma Patterns and Psychiatric Profiles in Suicide Attempts at a Regional Trauma Center in South Korea: A Retrospective Single-Center Study.Journal of clinical medicine · 2025Article
- Article
- Trends in educational inequalities in all-course mortality and deaths of despair in Swedish youths 1990-2018.SSM - population health · 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
- Acute Alcohol Use and Suicide.JAMA network open · 2025Article
- Article
- Alcohol use disorder and risk of specific methods of suicide death in a national cohort.Acta psychiatrica Scandinavica · 2024Article
- Divorce and risk of suicide attempt: a Swedish national study.Psychological medicine · 2024Article
- Implementation and evaluation of interprofessional overdose review team recommendations following intentional or accidental overdose events.The mental health clinician · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe authors examined the association between alcohol use disorder (AUD) and risk of suicide, before and after accounting for psychiatric comorbidity, and assessed the extent to which the observed association is due to a potentially causal mechanism or genetic and familial environmental confounding factors that increase risk for both.
methodsLongitudinal population-wide Swedish medical, criminal, and pharmacy registries were used to evaluate the risk of death by suicide as a function of AUD history. Analyses employed prospective cohort and co-relative designs, including data on 2,229,880 native Swedes born between 1950 and 1970 and observed from age 15 until 2012.
resultsThe lifetime rate of suicide during the observation period was 3.54% for women and 3.94% for men with AUD, compared with 0.29% and 0.76% of women and men, respectively, without AUD. In adjusted analyses, AUD remained robustly associated with suicide: hazard ratios across observation periods ranged from 2.61 to 128.0 among women and from 2.44 to 28.0 among men. Co-relative analyses indicated that familial confounding accounted for some, but not all, of the observed association. A substantial and potentially causal relationship remained after accounting for a history of other psychiatric diagnoses.
conclusionsAUD is a potent risk factor for suicide, with a substantial association persisting after accounting for confounding factors. These findings underscore the impact of AUD on suicide risk, even in the context of other mental illness, and implicate the time frame shortly after a medical or criminal AUD registration as critical for efforts to reduce alcohol-related suicide.
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