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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 12/2005

01.12.2005 | Original Paper

Alcohol dependence, excessive drinking and deliberate self-harm

Trends and patterns in Oxford, 1989–2002

verfasst von: Camilla Haw, Prof. Keith Hawton, Deborah Casey, Elizabeth Bale, Anna Shepherd

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2005

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Abstract

Background

Problems relating to alcohol use are very common among deliberate self-harm (DSH) patients, and alcohol abuse increases the risk of both DSH and suicide. In the UK, per capita consumption of alcohol has risen by 50% since 1970. The proportion of women (but not men) drinking in excess of government-recommended limits has also increased. We investigate trends, by gender and age group, in alcohol problems and usage among DSH patients.

Method

Data collected by the Oxford Monitoring System for Attempted Suicide were used to examine trends in alcohol disorders and alcohol consumption shortly before, or at, the time of self-harm by patients aged 15 years or over between 1989 and 2002.

Results

Data were available on 10,414 patients who were involved in 17,511 episodes of DSH. The annual numbers of both male and female DSH patients rose progressively over the study period. Although rates of alcohol disorders and consumption remained higher in males than females, substantial increases were seen in females of all ages in rates of alcohol problems, excessive drinking and consumption of alcohol within 6 h of DSH and as part of the act of DSH. Rates for males largely remained unchanged.

Conclusions

There has been a significant increase in excessive drinking and consumption of alcohol around the time of DSH by females but not males. These changes may relate to increases in the affordability and availability of alcohol and to social changes in drinking patterns. They have implications for services for DSH patients and may have an impact on future patterns of suicidal behaviour.
Literatur
2.
Zurück zum Zitat Baker A, Rooney C (2003) Recent trends in alcohol-related mortality, and the impact of ICD-10 on the monitoring of these deaths in England and Wales. Health Stat Q 17:5–14 Baker A, Rooney C (2003) Recent trends in alcohol-related mortality, and the impact of ICD-10 on the monitoring of these deaths in England and Wales. Health Stat Q 17:5–14
3.
Zurück zum Zitat Bialas MC, Reid PG, Beck P, Lazarus JH, Smith PM, Scorer RC, Routledge PA (1996) Changing patterns of self-poisoning in a UK health district. Q J Med 89:893–901 Bialas MC, Reid PG, Beck P, Lazarus JH, Smith PM, Scorer RC, Routledge PA (1996) Changing patterns of self-poisoning in a UK health district. Q J Med 89:893–901
4.
Zurück zum Zitat Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, Dicker RC, Sullivan K, Fagan RF, Arner TG (1994) EpiInfo version 6: a word processing database and statistics program for epidemiology on microcomputers. Centers for Disease Control and Prevention, Atlanta, GA Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, Dicker RC, Sullivan K, Fagan RF, Arner TG (1994) EpiInfo version 6: a word processing database and statistics program for epidemiology on microcomputers. Centers for Disease Control and Prevention, Atlanta, GA
6.
Zurück zum Zitat Emmen MJ, Schippers GM, Bleijenberg G, Wollersheim H (2004) Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review. BMJ 328:318–320PubMedCrossRef Emmen MJ, Schippers GM, Bleijenberg G, Wollersheim H (2004) Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review. BMJ 328:318–320PubMedCrossRef
7.
Zurück zum Zitat Harris EC, Barraclough B (1997) Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 170:205–228PubMed Harris EC, Barraclough B (1997) Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 170:205–228PubMed
8.
Zurück zum Zitat Haw C, Houston K, Townsend E, Hawton K (2001) Deliberate self harm patients with alcohol disorders: characteristics, treatment and outcome. Crisis 22:93–101PubMedCrossRef Haw C, Houston K, Townsend E, Hawton K (2001) Deliberate self harm patients with alcohol disorders: characteristics, treatment and outcome. Crisis 22:93–101PubMedCrossRef
9.
Zurück zum Zitat Hawton K, Fagg J, McKeown S (1989) Alcoholism, alcohol and attempted suicide. Alcohol Alcohol 24:3–9PubMed Hawton K, Fagg J, McKeown S (1989) Alcoholism, alcohol and attempted suicide. Alcohol Alcohol 24:3–9PubMed
10.
Zurück zum Zitat Hawton K, Houston K, Haw C, Townsend E, Harriss L (2003) Comorbidity of Axis 1 and Axis II disorders in patients who attempted suicide. Am J Psychiatry 160:1494–1500PubMedCrossRef Hawton K, Houston K, Haw C, Townsend E, Harriss L (2003) Comorbidity of Axis 1 and Axis II disorders in patients who attempted suicide. Am J Psychiatry 160:1494–1500PubMedCrossRef
11.
Zurück zum Zitat Hawton K, Simkin S, Fagg J (1997) Deliberate self-harm in alcohol and drug misusers: patient characteristics and patterns of clinical care. Drug Alcohol Rev 16:123–129PubMed Hawton K, Simkin S, Fagg J (1997) Deliberate self-harm in alcohol and drug misusers: patient characteristics and patterns of clinical care. Drug Alcohol Rev 16:123–129PubMed
12.
Zurück zum Zitat Hawton K, Fagg J, Simkin S, Bale E, Bond A (1997) Trends in deliberate self-harm in Oxford, 1985–1995. Implications for clinical services and the prevention of suicide. Br J Psychiatry 171:556–560PubMed Hawton K, Fagg J, Simkin S, Bale E, Bond A (1997) Trends in deliberate self-harm in Oxford, 1985–1995. Implications for clinical services and the prevention of suicide. Br J Psychiatry 171:556–560PubMed
13.
Zurück zum Zitat Humphries K, Tucker JA (2002) Towards more responsive and effective intervention systems for alcohol-related problems. Addiction 97:126–132 Humphries K, Tucker JA (2002) Towards more responsive and effective intervention systems for alcohol-related problems. Addiction 97:126–132
14.
Zurück zum Zitat Merrill J, Milner G, Owens J, Vale A (1992) Alcohol and attempted suicide. Br J Addict 87:83–89PubMed Merrill J, Milner G, Owens J, Vale A (1992) Alcohol and attempted suicide. Br J Addict 87:83–89PubMed
15.
Zurück zum Zitat Murphy G (2000) Psychiatric aspects of suicidal behaviour: substance abuse. In: Hawton K, Van Heeringen K (eds) The International handbook of suicide and attempted suicide. Wiley, Chichester, pp 135–146 Murphy G (2000) Psychiatric aspects of suicidal behaviour: substance abuse. In: Hawton K, Van Heeringen K (eds) The International handbook of suicide and attempted suicide. Wiley, Chichester, pp 135–146
16.
Zurück zum Zitat National Institute for Clinical Excellence (2004) Clinical guideline 16. Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. NICE, London National Institute for Clinical Excellence (2004) Clinical guideline 16. Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. NICE, London
17.
Zurück zum Zitat Northridge DB, McMurray J, Lawson AAH (1986) Association between liberalisation of Scotland's liquor licensing laws and admissions for self poisoning in West Fife. BMJ 293:1466–1468PubMed Northridge DB, McMurray J, Lawson AAH (1986) Association between liberalisation of Scotland's liquor licensing laws and admissions for self poisoning in West Fife. BMJ 293:1466–1468PubMed
18.
Zurück zum Zitat Platt S, Hawton K, Kreitman N, Fagg J, Foster J (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford: a tale of two cities. Psychol Med 18:405–418PubMedCrossRef Platt S, Hawton K, Kreitman N, Fagg J, Foster J (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford: a tale of two cities. Psychol Med 18:405–418PubMedCrossRef
19.
Zurück zum Zitat Platt S, Robinson A (1991) Parasuicide and alcohol: a 20 year survey of admissions to a regional poisoning treatment centre. Int J Soc Psychiatry 37:159–172PubMed Platt S, Robinson A (1991) Parasuicide and alcohol: a 20 year survey of admissions to a regional poisoning treatment centre. Int J Soc Psychiatry 37:159–172PubMed
20.
Zurück zum Zitat Sakinofsky I (2000) Repetition of suicidal behaviour. In: Hawton K, Van Heeringen K (eds) The International handbook of suicide and attempted suicide. Wiley, Chichester, pp 385–404 Sakinofsky I (2000) Repetition of suicidal behaviour. In: Hawton K, Van Heeringen K (eds) The International handbook of suicide and attempted suicide. Wiley, Chichester, pp 385–404
21.
Zurück zum Zitat Sellar C, Goldacre MJ, Hawton K (1990) Reliability of routine hospital data on poisoning as measures of deliberate self poisoning in adolescents. J Epidemiol Community Health 44:313–315PubMedCrossRef Sellar C, Goldacre MJ, Hawton K (1990) Reliability of routine hospital data on poisoning as measures of deliberate self poisoning in adolescents. J Epidemiol Community Health 44:313–315PubMedCrossRef
22.
Zurück zum Zitat SPSS (2002) SPSS Base 11.5 Windows users guide. SPSS, Chicago SPSS (2002) SPSS Base 11.5 Windows users guide. SPSS, Chicago
23.
Zurück zum Zitat Suominen KH, Isometsä ET, Henriksson MM, Ostamo AI, Lönnqvist JK (1999) Treatment received by alcohol-dependent suicide attempters. Acta Psychiatr Scand 99:214–219PubMed Suominen KH, Isometsä ET, Henriksson MM, Ostamo AI, Lönnqvist JK (1999) Treatment received by alcohol-dependent suicide attempters. Acta Psychiatr Scand 99:214–219PubMed
Metadaten
Titel
Alcohol dependence, excessive drinking and deliberate self-harm
Trends and patterns in Oxford, 1989–2002
verfasst von
Camilla Haw
Prof. Keith Hawton
Deborah Casey
Elizabeth Bale
Anna Shepherd
Publikationsdatum
01.12.2005
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2005
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0981-3

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