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Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army

Purpose Suicidal behaviors have increased in the US Army since 2005. To identify potential interventions for suicide risk, we examined the relationship between alcohol and energy drink use, independently and in combination, and rates of seriously considering and/or attempting suicide in US Army sold...

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Published in:Social Psychiatry and Psychiatric Epidemiology 2014-09, Vol.49 (9), p.1379-1387
Main Authors: Mash, Holly B. Herberman, Fullerton, Carol S., Ramsawh, Holly J., Ng, Tsz Hin H., Wang, Leming, Kessler, Ronald C., Stein, Murray B., Ursano, Robert J.
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cited_by cdi_FETCH-LOGICAL-c502t-14551d66774d6184fb7ebf87162a01cf860eac93db4e65e6bb59d85b663dc8093
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container_issue 9
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container_title Social Psychiatry and Psychiatric Epidemiology
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creator Mash, Holly B. Herberman
Fullerton, Carol S.
Ramsawh, Holly J.
Ng, Tsz Hin H.
Wang, Leming
Kessler, Ronald C.
Stein, Murray B.
Ursano, Robert J.
description Purpose Suicidal behaviors have increased in the US Army since 2005. To identify potential interventions for suicide risk, we examined the relationship between alcohol and energy drink use, independently and in combination, and rates of seriously considering and/or attempting suicide in US Army soldiers. Methods This study used the DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (DoD HRB), which sampled 10,400 Army soldiers, with 5,927 responses representing 508,088 soldiers. Use of energy drinks in combination with alcohol (A/ED) and average daily amount of alcohol consumption over the past 30 days and history of seriously considering and/or attempting suicide in the past year were assessed via self-report questions. Results Six percent of Army service members reported either seriously considering and/or attempting suicide in the past year. Twenty-six percent of soldiers reported A/ED. Those who reported the highest level of alcohol use were more likely to have seriously considered and/or attempted suicide. Soldiers who reported daily A/ED were over three times more likely to have reported suicidal ideation or attempts, and even after adjusting for overall alcohol consumption and energy drink use alone remained approximately two times (OR = 1.99) more likely to report suicidality. Conclusions Combination alcohol and energy drink use and heavy alcohol use contribute to suicidality and may be targets for potential intervention to address suicide risk.
doi_str_mv 10.1007/s00127-014-0886-0
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Herberman ; Fullerton, Carol S. ; Ramsawh, Holly J. ; Ng, Tsz Hin H. ; Wang, Leming ; Kessler, Ronald C. ; Stein, Murray B. ; Ursano, Robert J.</creator><creatorcontrib>Mash, Holly B. Herberman ; Fullerton, Carol S. ; Ramsawh, Holly J. ; Ng, Tsz Hin H. ; Wang, Leming ; Kessler, Ronald C. ; Stein, Murray B. ; Ursano, Robert J.</creatorcontrib><description>Purpose Suicidal behaviors have increased in the US Army since 2005. To identify potential interventions for suicide risk, we examined the relationship between alcohol and energy drink use, independently and in combination, and rates of seriously considering and/or attempting suicide in US Army soldiers. Methods This study used the DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (DoD HRB), which sampled 10,400 Army soldiers, with 5,927 responses representing 508,088 soldiers. Use of energy drinks in combination with alcohol (A/ED) and average daily amount of alcohol consumption over the past 30 days and history of seriously considering and/or attempting suicide in the past year were assessed via self-report questions. Results Six percent of Army service members reported either seriously considering and/or attempting suicide in the past year. Twenty-six percent of soldiers reported A/ED. Those who reported the highest level of alcohol use were more likely to have seriously considered and/or attempted suicide. Soldiers who reported daily A/ED were over three times more likely to have reported suicidal ideation or attempts, and even after adjusting for overall alcohol consumption and energy drink use alone remained approximately two times (OR = 1.99) more likely to report suicidality. Conclusions Combination alcohol and energy drink use and heavy alcohol use contribute to suicidality and may be targets for potential intervention to address suicide risk.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-014-0886-0</identifier><identifier>PMID: 24797397</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Alcohol use ; Alcoholic Beverages - utilization ; Behavior ; Biological and medical sciences ; Cognitive ability ; Drinking of alcoholic beverages ; Energy drinks ; Energy Drinks - utilization ; Energy use ; Epidemiology ; Female ; Health care policy ; Humans ; Intoxication ; Isotonic beverages ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Military personnel ; Military Personnel - psychology ; Military Personnel - statistics &amp; numerical data ; Miscellaneous ; Original Paper ; Population ; Preventive medicine ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk ; Risk factors ; Sex crimes ; Soldiers ; Suicidal behavior ; Suicide ; Suicide - psychology ; Suicides &amp; suicide attempts ; Surveys ; United States ; Veterans ; Young Adult ; Young adults</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2014-09, Vol.49 (9), p.1379-1387</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-14551d66774d6184fb7ebf87162a01cf860eac93db4e65e6bb59d85b663dc8093</citedby><cites>FETCH-LOGICAL-c502t-14551d66774d6184fb7ebf87162a01cf860eac93db4e65e6bb59d85b663dc8093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28733104$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24797397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mash, Holly B. Herberman</creatorcontrib><creatorcontrib>Fullerton, Carol S.</creatorcontrib><creatorcontrib>Ramsawh, Holly J.</creatorcontrib><creatorcontrib>Ng, Tsz Hin H.</creatorcontrib><creatorcontrib>Wang, Leming</creatorcontrib><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>Stein, Murray B.</creatorcontrib><creatorcontrib>Ursano, Robert J.</creatorcontrib><title>Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose Suicidal behaviors have increased in the US Army since 2005. To identify potential interventions for suicide risk, we examined the relationship between alcohol and energy drink use, independently and in combination, and rates of seriously considering and/or attempting suicide in US Army soldiers. Methods This study used the DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (DoD HRB), which sampled 10,400 Army soldiers, with 5,927 responses representing 508,088 soldiers. Use of energy drinks in combination with alcohol (A/ED) and average daily amount of alcohol consumption over the past 30 days and history of seriously considering and/or attempting suicide in the past year were assessed via self-report questions. Results Six percent of Army service members reported either seriously considering and/or attempting suicide in the past year. Twenty-six percent of soldiers reported A/ED. Those who reported the highest level of alcohol use were more likely to have seriously considered and/or attempted suicide. Soldiers who reported daily A/ED were over three times more likely to have reported suicidal ideation or attempts, and even after adjusting for overall alcohol consumption and energy drink use alone remained approximately two times (OR = 1.99) more likely to report suicidality. Conclusions Combination alcohol and energy drink use and heavy alcohol use contribute to suicidality and may be targets for potential intervention to address suicide risk.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol use</subject><subject>Alcoholic Beverages - utilization</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Cognitive ability</subject><subject>Drinking of alcoholic beverages</subject><subject>Energy drinks</subject><subject>Energy Drinks - utilization</subject><subject>Energy use</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health care policy</subject><subject>Humans</subject><subject>Intoxication</subject><subject>Isotonic beverages</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Military personnel</subject><subject>Military Personnel - psychology</subject><subject>Military Personnel - statistics &amp; numerical data</subject><subject>Miscellaneous</subject><subject>Original Paper</subject><subject>Population</subject><subject>Preventive medicine</subject><subject>Psychiatry</subject><subject>Psychology. 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Psychiatry</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Sex crimes</subject><subject>Soldiers</subject><subject>Suicidal behavior</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Suicides &amp; suicide attempts</subject><subject>Surveys</subject><subject>United States</subject><subject>Veterans</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkV1rFDEYhYModq3-AG8kIII3U99MPudyKX5BQVCLlyGTZHbTziQ1mansvzfLrlZFkVzkJXnOSQ4HoacEzgiAfFUASCsbIKwBpUQD99CKMEqbrlX8PlpBV2fZcXaCHpVyBQC0k_QhOmmZrEMnV-jLx1Cu8ZAyLkuwwZkR935rbkPKBZtSkg1m9g5_C_MWm9GmbRqxiQ776PNmh10O8RovxeMQ8bz1-PITXudp9xg9GMxY_JPjfoou37z-fP6uufjw9v35-qKxHNq5IYxz4oSQkjlBFBt66ftBSSJaA8QOSoA3tqOuZ15wL_qed07xXgjqrKr5TtHLg-9NTl8XX2Y9hWL9OJro01I0EaR6AXT8_yjnEhSlhFb0-R_oVVpyrEH2FO8YtEreURszeh3ikOZs7N5Ur2sCxlsColJnf6Hqcn4KNkU_hHr-m4AcBDanUrIf9E0Ok8k7TUDve9eH3nXtXe9711A1z44fXvrJu5-KH0VX4MURMMWaccgm2lDuuBqHEmCVaw9cqVdx4_Mvyf_5-ndVy8EP</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Mash, Holly B. 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Herberman</creatorcontrib><creatorcontrib>Fullerton, Carol S.</creatorcontrib><creatorcontrib>Ramsawh, Holly J.</creatorcontrib><creatorcontrib>Ng, Tsz Hin H.</creatorcontrib><creatorcontrib>Wang, Leming</creatorcontrib><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>Stein, Murray B.</creatorcontrib><creatorcontrib>Ursano, Robert J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mash, Holly B. Herberman</au><au>Fullerton, Carol S.</au><au>Ramsawh, Holly J.</au><au>Ng, Tsz Hin H.</au><au>Wang, Leming</au><au>Kessler, Ronald C.</au><au>Stein, Murray B.</au><au>Ursano, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>49</volume><issue>9</issue><spage>1379</spage><epage>1387</epage><pages>1379-1387</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><coden>SPPEEM</coden><abstract>Purpose Suicidal behaviors have increased in the US Army since 2005. To identify potential interventions for suicide risk, we examined the relationship between alcohol and energy drink use, independently and in combination, and rates of seriously considering and/or attempting suicide in US Army soldiers. Methods This study used the DoD Survey of Health Related Behaviors Among Active Duty Military Personnel (DoD HRB), which sampled 10,400 Army soldiers, with 5,927 responses representing 508,088 soldiers. Use of energy drinks in combination with alcohol (A/ED) and average daily amount of alcohol consumption over the past 30 days and history of seriously considering and/or attempting suicide in the past year were assessed via self-report questions. Results Six percent of Army service members reported either seriously considering and/or attempting suicide in the past year. Twenty-six percent of soldiers reported A/ED. Those who reported the highest level of alcohol use were more likely to have seriously considered and/or attempted suicide. Soldiers who reported daily A/ED were over three times more likely to have reported suicidal ideation or attempts, and even after adjusting for overall alcohol consumption and energy drink use alone remained approximately two times (OR = 1.99) more likely to report suicidality. Conclusions Combination alcohol and energy drink use and heavy alcohol use contribute to suicidality and may be targets for potential intervention to address suicide risk.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24797397</pmid><doi>10.1007/s00127-014-0886-0</doi><tpages>9</tpages></addata></record>
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subjects Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Alcohol use
Alcoholic Beverages - utilization
Behavior
Biological and medical sciences
Cognitive ability
Drinking of alcoholic beverages
Energy drinks
Energy Drinks - utilization
Energy use
Epidemiology
Female
Health care policy
Humans
Intoxication
Isotonic beverages
Male
Medical sciences
Medicine
Medicine & Public Health
Military personnel
Military Personnel - psychology
Military Personnel - statistics & numerical data
Miscellaneous
Original Paper
Population
Preventive medicine
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk
Risk factors
Sex crimes
Soldiers
Suicidal behavior
Suicide
Suicide - psychology
Suicides & suicide attempts
Surveys
United States
Veterans
Young Adult
Young adults
title Risk for suicidal behaviors associated with alcohol and energy drink use in the US Army
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