Alcohol use, and suicidal ideation and behaviour in Guyana: Findings from a population-based cross-sectional study
Abstract
Aims: To examine associations between alcohol use, heavy episodic drinking (HED), and suicidal ideation and behaviour in Guyana.
Materials and methods: This cross-sectional secondary analysis used weighted data from 2,661 participants in the 2016 World Health Organization STEPwise risk factor survey. Participants were classified into four alcohol-use groups: Non-drinkers: never drank or no alcohol in the past 12 months; Past 12-month drinkers: drank in the past year but not in the past 30 days; Current drinkers (non-Heavy Episodic Drinkers [HED]: drank in the past 30 days without consuming six or more drinks on any occasion); and Current drinkers (HED): drank in the past 30 days with at least one episode of six or more drinks. Adjusted odds ratios were estimated for suicidal ideation and behaviour, using Non-drinkers as the reference.
Results: Eighty-two participants (3.1%) reported a lifetime suicide attempt, and 4.3% had seriously considered suicide in the past 12 months. The prevalence of past-year suicidal ideation ranged from 4.0% to 4.7% across alcohol-use groups (p>0.05). After adjustment for age, sex, ethnicity, employment, education, income, marital status, and region, alcohol-use patterns were not significantly associated with past-year suicidal ideation or lifetime suicide attempts. Participants reporting HED had higher odds of reporting that a family member had died by suicide (aOR 1.68, 95% CI [1.04, 2.70]; p = 0.033).
Conclusion: Alcohol use and HED were not associated with suicidal ideation or suicide attempts in this population. However, HED was more common among participants reporting a family history of death by suicide.
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