Short-term risk of suicide attempt associated with patterns of patient-reported alcohol use determined by routine AUDIT-C among adults receiving mental healthcare.

摘要: Abstract Objective To evaluate the association between alcohol use routinely reported during outpatient mental healthcare visits and short-term risk of subsequent suicide attempt. Methods Using a longitudinal retrospective-cohort design, electronic health records identified adult to provider (1/1/2010–6/30/2015) at Kaiser Permanente Washington with documented Alcohol Use Disorders Identification Test-Consumption [AUDIT-C]. Suicide attempts within 90 days AUDIT-C documentation were defined using death certificate cause-of-death diagnosis codes (non-lethal). Visit-level analyses used generalized estimating equations account for correlation multiple AUDIT-Cs individuals. Separate models evaluated (1) level consumption (2) frequency heavy drinking episodes attempts, adjusted visit year, demographics, depressive symptom, suicidal ideation. Results Of 59,382 patient visits, 0.62% (N = 371) followed by attempt 90 days. Patients reporting high-level 1.77 times (95% CI, 1.22–2.57) more likely than those low-level use. daily or almost 2.33 1.38–3.93) none. Conclusions relevance The is valuable tool assessing patterns patient-reported associated