Alcohol Involvement in Hospital-Admitted Nonfatal Suicide Acts


  • This study was supported in part by research grant 1 R01 MH60622-01 from the National Institute of Mental Health (NIMH), Bethesda, Maryland. Funding for data set acquisition and cleaning was shared between this grant and grants from the National Institute on Alcohol Abuse and Alcoholism and the National Institute of Justice.

Pacific Institute for Research and Evaluation, 11720 Beltsville Drive, Suite 900, Calverton, MD 20705-3111; E-mail:


We analyzed alcohol involvement in 84,005 medically identified live discharges for self-inflicted intentional injuries (typically suicide acts) from hospitals in 20 U.S. states in 1997. Alcohol was involved in 27% of the discharges. Evidence of alcohol was significantly more prevalent in men than women, but generally men drink more than women. Blacks had the highest alcohol involvement in their suicide acts relative to their drinking patterns. Overall, alcohol involvement rose and subsequently fell with age, with involvement above 30% for ages 30–55. Lowering the minimum legal drinking age to 18 from 21 could potentially raise alcohol-involved suicide hospitalizations among youth by an estimated 27%.