Alcohol Dependence and Suicide-Related Ideation/Behaviors in an Israeli Household Sample, With and Without Major Depression
Article first published online: 7 OCT 2013
Copyright © 2013 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research
Volume 38, Issue 3, pages 820–825, March 2014
How to Cite
Shoval, G., Shmulewitz, D., Wall, M. M., Aharonovich, E., Spivak, B., Weizman, A. and Hasin, D. (2014), Alcohol Dependence and Suicide-Related Ideation/Behaviors in an Israeli Household Sample, With and Without Major Depression. Alcoholism: Clinical and Experimental Research, 38: 820–825. doi: 10.1111/acer.12290
- Issue published online: 15 MAR 2014
- Article first published online: 7 OCT 2013
- Manuscript Accepted: 29 AUG 2013
- Manuscript Received: 8 MAY 2013
- National Institutes of Health Grants. Grant Numbers: K05AA014223, R01AA013654
- New York State Psychiatric Institute
- Alcohol Dependence;
- Major Depressive Disorder;
Suicide-related ideation and behaviors (SRIB) are associated with both alcohol disorders and major depressive disorder (MDD). The objective of this study was to evaluate the relationship of alcohol dependence (AD) and major depression to the risk for lifetime SRIB.
Data from a community-based sample of 1,237 adult Israeli lifetime drinkers assessed with reliable diagnostic measures were analyzed using logistic regression.
Lifetime SRIB was reported in 4.7% and was more prevalent among participants with AD (9.0%) than among those without AD (4.1%); p-value = 0.01. Although both AD and major depression were associated with SRIB (AD: OR 2.2, 95% CI 1.1 to 4.4; MDD: OR 11.4, 95% CI = 6.4 to 20.4), joint analysis showed that AD without MDD increased risk for SRIB as compared to those without AD or MDD (OR 3.1, 95% CI 1.1 to 9.1), but AD did not increase risk among those with MDD (OR 1.1, 95% CI 0.4 to 2.7). Among those with AD, the severity of subclinical depressive symptoms was associated with increased SRIB.
These findings show that AD increases risk for SRIB among individuals without a history of major depression. Suicidal tendencies may be undetected and underdiagnosed in this group because of the absence of major depression and therefore left untreated. These findings should be considered when adopting suicide prevention or treatment strategies for this high-risk subpopulation.