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

  • Karen Galway (a1), Diana Gossrau-Breen (a2), Sharon Mallon (a3), Lynette Hughes (a4), Michael Rosato (a5), Janeet Rondon-Sulbaran (a5) and Gerard Leavey (a5)...

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’.

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Copyright

Corresponding author

Karen Galway, School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK. Email: k.galway@qub.ac.uk

Footnotes

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The study was funded by the HSC Public Health Agency Research and Development Office, a division of the Department of Health, Social Services and Public Safety (DHSSPS) (grant no. COM/4032/08).

Declaration of interest

None.

Footnotes

References

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

  • Karen Galway (a1), Diana Gossrau-Breen (a2), Sharon Mallon (a3), Lynette Hughes (a4), Michael Rosato (a5), Janeet Rondon-Sulbaran (a5) and Gerard Leavey (a5)...

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