Substance misuse in life and death in a 2-year cohort of suicides

K. Galway, D. Gossrau-Breen, S. Mallon, L. Hughes, Michael Rosato, J. Rondon-Sulbaran, Gerard Leavey

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    Background
    Although substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.
    Aims
    To examine the relationship between substance misuse and subsequent suicide.
    Method
    Linkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.
    Results
    With alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of suicide. Regarding misuse of other substances, 54% of the cohort was tested. Almost one in four (38%) tested positive, defined as an excess of drugs over the prescribed therapeutic dosage and/or detection of illicit substances. Those tested were more likely to be young and have a history of drug misuse.
    Conclusions
    A deeper understanding of the relationship between substance misuse and suicide could contribute to prevention initiatives. Furthermore, standardised toxicology screening processes would avoid diminishing the importance of psychosocial factors involved in suicide as a ‘cause of death’.
    LanguageEnglish
    Pages292-297
    Number of pages5
    JournalThe British Journal of Psychiatry
    Volume208
    Issue number3
    DOIs
    Publication statusPublished - 31 Mar 2016

    Fingerprint

    Suicide
    Alcohols
    Coroners and Medical Examiners
    Cohort
    Pharmaceutical Preparations
    Toxicology
    Cause of Death
    Primary Health Care
    Psychology

    Keywords

    • suicide
    • substance misuse
    • risk
    • prevention initiatives

    Cite this

    Galway, K. ; Gossrau-Breen, D. ; Mallon, S. ; Hughes, L. ; Rosato, Michael ; Rondon-Sulbaran, J. ; Leavey, Gerard. / Substance misuse in life and death in a 2-year cohort of suicides. In: The British Journal of Psychiatry. 2016 ; Vol. 208, No. 3. pp. 292-297.
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    abstract = "BackgroundAlthough substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.AimsTo examine the relationship between substance misuse and subsequent suicide.MethodLinkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.ResultsWith alcohol misuse, 67{\%} of the cohort had previously sought help for alcohol problems and 39{\%} were intoxicated at the time of suicide. Regarding misuse of other substances, 54{\%} of the cohort was tested. Almost one in four (38{\%}) tested positive, defined as an excess of drugs over the prescribed therapeutic dosage and/or detection of illicit substances. Those tested were more likely to be young and have a history of drug misuse.ConclusionsA deeper understanding of the relationship between substance misuse and suicide could contribute to prevention initiatives. Furthermore, standardised toxicology screening processes would avoid diminishing the importance of psychosocial factors involved in suicide as a ‘cause of death’.",
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    Galway, K, Gossrau-Breen, D, Mallon, S, Hughes, L, Rosato, M, Rondon-Sulbaran, J & Leavey, G 2016, 'Substance misuse in life and death in a 2-year cohort of suicides', The British Journal of Psychiatry, vol. 208, no. 3, pp. 292-297. https://doi.org/10.1192/bjp.bp.114.147603

    Substance misuse in life and death in a 2-year cohort of suicides. / Galway, K.; Gossrau-Breen, D.; Mallon, S.; Hughes, L.; Rosato, Michael; Rondon-Sulbaran, J.; Leavey, Gerard.

    In: The British Journal of Psychiatry, Vol. 208, No. 3, 31.03.2016, p. 292-297.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Substance misuse in life and death in a 2-year cohort of suicides

    AU - Galway, K.

    AU - Gossrau-Breen, D.

    AU - Mallon, S.

    AU - Hughes, L.

    AU - Rosato, Michael

    AU - Rondon-Sulbaran, J.

    AU - Leavey, Gerard

    PY - 2016/3/31

    Y1 - 2016/3/31

    N2 - BackgroundAlthough substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.AimsTo examine the relationship between substance misuse and subsequent suicide.MethodLinkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.ResultsWith alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of suicide. Regarding misuse of other substances, 54% of the cohort was tested. Almost one in four (38%) tested positive, defined as an excess of drugs over the prescribed therapeutic dosage and/or detection of illicit substances. Those tested were more likely to be young and have a history of drug misuse.ConclusionsA deeper understanding of the relationship between substance misuse and suicide could contribute to prevention initiatives. Furthermore, standardised toxicology screening processes would avoid diminishing the importance of psychosocial factors involved in suicide as a ‘cause of death’.

    AB - BackgroundAlthough substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.AimsTo examine the relationship between substance misuse and subsequent suicide.MethodLinkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.ResultsWith alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of suicide. Regarding misuse of other substances, 54% of the cohort was tested. Almost one in four (38%) tested positive, defined as an excess of drugs over the prescribed therapeutic dosage and/or detection of illicit substances. Those tested were more likely to be young and have a history of drug misuse.ConclusionsA deeper understanding of the relationship between substance misuse and suicide could contribute to prevention initiatives. Furthermore, standardised toxicology screening processes would avoid diminishing the importance of psychosocial factors involved in suicide as a ‘cause of death’.

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    Galway K, Gossrau-Breen D, Mallon S, Hughes L, Rosato M, Rondon-Sulbaran J et al. Substance misuse in life and death in a 2-year cohort of suicides. The British Journal of Psychiatry. 2016 Mar 31;208(3):292-297. https://doi.org/10.1192/bjp.bp.114.147603