Alcohol Policies and Suicide: A Review of the Literature

Ziming Xuan, Timothy S. Naimi, Mark S. Kaplan, Courtney L. Bagge, Lauren R. Few, Stephen A Maisto, Richard Saitz, Robert Freeman

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Both intoxication and chronic heavy alcohol use are associated with suicide. There is extensive population-level evidence linking per capita alcohol consumption with suicide. While alcohol policies can reduce excessive alcohol consumption, the relationship between alcohol policies and suicide warrants a critical review of the literature. This review summarizes the associations between various types of alcohol policies and suicide, both in the United States and internationally, as presented in English-language literature published between 1999 and 2014. Study designs, methodological challenges, and limitations in ascertaining the associations are discussed. Because of the substantial between-states variation in alcohol policies, U.S.-based studies contributed substantially to the literature. Repeated cross-sectional designs at both the ecological level and decedent level were common among U.S.-based studies. Non-U.S. studies often used time series data to evaluate pre–post comparisons of a hybrid set of policy changes. Although inconsistency remained, the published literature in general supported the protective effect of restrictive alcohol policies on reducing suicide as well as the decreased level of alcohol involvement among suicide decedents. Common limitations included measurement and selection bias and a focus on effects of a limited number of alcohol policies without accounting for other alcohol policies. This review summarizes a number of studies that suggest restrictive alcohol policies may contribute to suicide prevention on a general population level and to a reduction of alcohol involvement among suicide deaths.

Original languageEnglish (US)
Pages (from-to)2043-2055
Number of pages13
JournalAlcoholism: Clinical and Experimental Research
Volume40
Issue number10
DOIs
StatePublished - Oct 1 2016

Fingerprint

Suicide
Alcohols
Alcohol Drinking
Selection Bias
Population
Language
Time series

Keywords

  • Alcohol Policies
  • Blood Alcohol Content
  • Critical Review
  • Suicide

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health

Cite this

Xuan, Z., Naimi, T. S., Kaplan, M. S., Bagge, C. L., Few, L. R., Maisto, S. A., ... Freeman, R. (2016). Alcohol Policies and Suicide: A Review of the Literature. Alcoholism: Clinical and Experimental Research, 40(10), 2043-2055. https://doi.org/10.1111/acer.13203

Alcohol Policies and Suicide : A Review of the Literature. / Xuan, Ziming; Naimi, Timothy S.; Kaplan, Mark S.; Bagge, Courtney L.; Few, Lauren R.; Maisto, Stephen A; Saitz, Richard; Freeman, Robert.

In: Alcoholism: Clinical and Experimental Research, Vol. 40, No. 10, 01.10.2016, p. 2043-2055.

Research output: Contribution to journalReview article

Xuan, Z, Naimi, TS, Kaplan, MS, Bagge, CL, Few, LR, Maisto, SA, Saitz, R & Freeman, R 2016, 'Alcohol Policies and Suicide: A Review of the Literature', Alcoholism: Clinical and Experimental Research, vol. 40, no. 10, pp. 2043-2055. https://doi.org/10.1111/acer.13203
Xuan, Ziming ; Naimi, Timothy S. ; Kaplan, Mark S. ; Bagge, Courtney L. ; Few, Lauren R. ; Maisto, Stephen A ; Saitz, Richard ; Freeman, Robert. / Alcohol Policies and Suicide : A Review of the Literature. In: Alcoholism: Clinical and Experimental Research. 2016 ; Vol. 40, No. 10. pp. 2043-2055.
@article{da54f27757594f1caa8913485d639e75,
title = "Alcohol Policies and Suicide: A Review of the Literature",
abstract = "Both intoxication and chronic heavy alcohol use are associated with suicide. There is extensive population-level evidence linking per capita alcohol consumption with suicide. While alcohol policies can reduce excessive alcohol consumption, the relationship between alcohol policies and suicide warrants a critical review of the literature. This review summarizes the associations between various types of alcohol policies and suicide, both in the United States and internationally, as presented in English-language literature published between 1999 and 2014. Study designs, methodological challenges, and limitations in ascertaining the associations are discussed. Because of the substantial between-states variation in alcohol policies, U.S.-based studies contributed substantially to the literature. Repeated cross-sectional designs at both the ecological level and decedent level were common among U.S.-based studies. Non-U.S. studies often used time series data to evaluate pre–post comparisons of a hybrid set of policy changes. Although inconsistency remained, the published literature in general supported the protective effect of restrictive alcohol policies on reducing suicide as well as the decreased level of alcohol involvement among suicide decedents. Common limitations included measurement and selection bias and a focus on effects of a limited number of alcohol policies without accounting for other alcohol policies. This review summarizes a number of studies that suggest restrictive alcohol policies may contribute to suicide prevention on a general population level and to a reduction of alcohol involvement among suicide deaths.",
keywords = "Alcohol Policies, Blood Alcohol Content, Critical Review, Suicide",
author = "Ziming Xuan and Naimi, {Timothy S.} and Kaplan, {Mark S.} and Bagge, {Courtney L.} and Few, {Lauren R.} and Maisto, {Stephen A} and Richard Saitz and Robert Freeman",
year = "2016",
month = "10",
day = "1",
doi = "10.1111/acer.13203",
language = "English (US)",
volume = "40",
pages = "2043--2055",
journal = "Alcoholism: Clinical and Experimental Research",
issn = "0145-6008",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - Alcohol Policies and Suicide

T2 - A Review of the Literature

AU - Xuan, Ziming

AU - Naimi, Timothy S.

AU - Kaplan, Mark S.

AU - Bagge, Courtney L.

AU - Few, Lauren R.

AU - Maisto, Stephen A

AU - Saitz, Richard

AU - Freeman, Robert

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Both intoxication and chronic heavy alcohol use are associated with suicide. There is extensive population-level evidence linking per capita alcohol consumption with suicide. While alcohol policies can reduce excessive alcohol consumption, the relationship between alcohol policies and suicide warrants a critical review of the literature. This review summarizes the associations between various types of alcohol policies and suicide, both in the United States and internationally, as presented in English-language literature published between 1999 and 2014. Study designs, methodological challenges, and limitations in ascertaining the associations are discussed. Because of the substantial between-states variation in alcohol policies, U.S.-based studies contributed substantially to the literature. Repeated cross-sectional designs at both the ecological level and decedent level were common among U.S.-based studies. Non-U.S. studies often used time series data to evaluate pre–post comparisons of a hybrid set of policy changes. Although inconsistency remained, the published literature in general supported the protective effect of restrictive alcohol policies on reducing suicide as well as the decreased level of alcohol involvement among suicide decedents. Common limitations included measurement and selection bias and a focus on effects of a limited number of alcohol policies without accounting for other alcohol policies. This review summarizes a number of studies that suggest restrictive alcohol policies may contribute to suicide prevention on a general population level and to a reduction of alcohol involvement among suicide deaths.

AB - Both intoxication and chronic heavy alcohol use are associated with suicide. There is extensive population-level evidence linking per capita alcohol consumption with suicide. While alcohol policies can reduce excessive alcohol consumption, the relationship between alcohol policies and suicide warrants a critical review of the literature. This review summarizes the associations between various types of alcohol policies and suicide, both in the United States and internationally, as presented in English-language literature published between 1999 and 2014. Study designs, methodological challenges, and limitations in ascertaining the associations are discussed. Because of the substantial between-states variation in alcohol policies, U.S.-based studies contributed substantially to the literature. Repeated cross-sectional designs at both the ecological level and decedent level were common among U.S.-based studies. Non-U.S. studies often used time series data to evaluate pre–post comparisons of a hybrid set of policy changes. Although inconsistency remained, the published literature in general supported the protective effect of restrictive alcohol policies on reducing suicide as well as the decreased level of alcohol involvement among suicide decedents. Common limitations included measurement and selection bias and a focus on effects of a limited number of alcohol policies without accounting for other alcohol policies. This review summarizes a number of studies that suggest restrictive alcohol policies may contribute to suicide prevention on a general population level and to a reduction of alcohol involvement among suicide deaths.

KW - Alcohol Policies

KW - Blood Alcohol Content

KW - Critical Review

KW - Suicide

UR - http://www.scopus.com/inward/record.url?scp=84989361014&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84989361014&partnerID=8YFLogxK

U2 - 10.1111/acer.13203

DO - 10.1111/acer.13203

M3 - Review article

C2 - 27618526

AN - SCOPUS:84989361014

VL - 40

SP - 2043

EP - 2055

JO - Alcoholism: Clinical and Experimental Research

JF - Alcoholism: Clinical and Experimental Research

SN - 0145-6008

IS - 10

ER -