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Usual alcohol consumption and suicide mortality among the Korean elderly in rural communities: Kangwha Cohort Study.


ABSTRACT:

Background

The evidence from prospective studies on whether greater usual alcohol consumption is associated with a higher risk of death by suicide in the general population is inconclusive.

Methods

6163 participants (2635 men; 3528 women) in a 1985 survey among rural residents in Korea aged 55 years and above were followed until 2008. A Cox model was used to calculate HRs of suicide death after adjustment for demographic, socioeconomic and health-related confounders.

Results

37 men and 24 women died by suicide. Elderly persons who consumed alcohol daily, 70 g alcohol (5 drinks) or more per drinking day, or 210 g alcohol (15 drinks) or more per week had higher suicide mortality (p<0.05), compared with non-drinkers. An increase of one drinking day per week (HR=1.17, 95% CI 1.05 to 1.31), 70 g (5 drinks) additional alcohol intake per drinking day (HR=1.38, 95% CI 1.13 to 1.70), and 140 g (10 drinks) additional alcohol intake per week was associated with a 17%, 38% and 12% higher risk of suicide death, respectively. Women had a higher relative risk of suicide death associated with alcohol consumption, compared with men.

Conclusions

A greater frequency and amount of usual alcohol consumption was linearly associated with higher suicide death. Given the same amount of alcohol consumption, women might have a higher relative risk of suicide than men. Our findings support 'the lower the better' for alcohol intake, no protective effect of moderate alcohol consumption, and a sex-specific guideline (lower alcohol threshold for women) as actions to prevent suicide death.

SUBMITTER: Yi SW 

PROVIDER: S-EPMC4975804 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Publications

Usual alcohol consumption and suicide mortality among the Korean elderly in rural communities: Kangwha Cohort Study.

Yi Sang-Wook SW   Jung Myoungjee M   Kimm Heejin H   Sull Jae-Woong JW   Lee Eunsook E   Lee Kwang Ok KO   Ohrr Heechoul H  

Journal of epidemiology and community health 20160217 8


<h4>Background</h4>The evidence from prospective studies on whether greater usual alcohol consumption is associated with a higher risk of death by suicide in the general population is inconclusive.<h4>Methods</h4>6163 participants (2635 men; 3528 women) in a 1985 survey among rural residents in Korea aged 55 years and above were followed until 2008. A Cox model was used to calculate HRs of suicide death after adjustment for demographic, socioeconomic and health-related confounders.<h4>Results</h  ...[more]

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