Age of Alcohol Use Initiation, Suicidal Behavior, and Peer and Dating Violence Victimization and Perpetration Among High-Risk, Seventh-Grade Adolescents

Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
PEDIATRICS (Impact Factor: 5.47). 03/2008; 121(2):297-305. DOI: 10.1542/peds.2006-2348
Source: PubMed


We examined the cross-sectional associations between reports of an early age of alcohol use initiation and suicidal ideation, suicide attempts, and peer and dating violence victimization and perpetration among high-risk adolescents.
Data were obtained from the Youth Violence Survey conducted in 2004 and administered to all public school students enrolled in grades 7, 9, and 11/12 (N = 4131) in a high-risk school district in the United States. Our analyses were limited to seventh-grade students who either began drinking before the age of 13 or were nondrinkers, with complete information on all covariates (n = 856). Cross-sectional logistic and multinomial logistic regression analyses were conducted to determine the associations between early alcohol use and each of the 6 outcome behaviors (dating violence victimization and perpetration, peer violence victimization and perpetration, suicidal ideation, and suicide attempts) while controlling for demographic characteristics and other potential confounders (ie, heavy episodic drinking, substance use, peer drinking, depression, impulsivity, peer delinquency, and parental monitoring).
In our study, 35% of students reported alcohol use initiation before 13 years of age (preteen alcohol use initiators). Students who reported preteen alcohol use initiation reported involvement in significantly more types of violent behaviors (mean: 2.8 behaviors), compared with nondrinkers (mean: 1.8 behaviors). Preteen alcohol use initiation was associated significantly with suicide attempts, relative to nondrinkers, controlling for demographic characteristics and all other potential confounders.
Early alcohol use is an important risk factor for involvement in violent behaviors and suicide attempts among youths. Increased efforts to delay and to reduce early alcohol use among youths are needed and may reduce both violence and suicide attempts.

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    • "Poor mental health, especially depression, is consistently associated with the greatest risk for suicide ideation/attempts (Foley, Goldston, Costello, & Angold, 2006; LaFromboise, Medoff, Lee, & Harris, 2007; LeMaster, Beals, Novins, & Manson, 2004); however, there are other potentially modifiable factors. Research also shows a direct relationship between suicide ideation/attempts and psychosocial risk factors such as exposure to suicide by family or friend (Borowsky et al., 1999; Freedenthal & Stiffman, 2004), substance use (Eaton et al., 2011; Freedenthal & Stiffman, 2004; LaFromboise et al., 2007; Reyes et al., 2011; Yoder, Whitbeck, Hoyt, & LaFromboise, 2006), and victimization, such as physical and sexual abuse (Borowsky et al., 1999; Johnson et al., 2002; L. Wexler et al., 2012), dating violence (Olshen, McVeigh, Wunsch-Hitzig, & Rickert, 2007; Swahn, Simon et al., 2008), and sexual assault (For the Cedar Project Partnership et al., 2009; Olshen et al., 2007) across racial/ethnic groups. All in all, the prevalence of most of the risk factors is highest in AI/AN youth (Pavkov et al., 2010). "
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    ABSTRACT: We examined racial/ethnic and gender-specific associations between suicide ideation/attempts and risky behaviors, sadness/hopelessness, and victimization in Montana American Indian and White youth using 1999–2011 Youth Risk Behavior Survey data. Logistic regression was used to calculate odds ratios and 95% confidence intervals in stratified racial/ethnic-gender groups. The primary results of this study show that although the American Indian youth had more statistically significant suicidal thoughts and attempts than the White youth, they had fewer statistically significant predictors compared to the White youth. Sadness/hopelessness was the strongest, and the only statistically significant, predictor of suicide ideation/attempts common across all four groups. The unhealthy weight control cluster was a significant predictor for the White youth and the American Indian/Alaska Native girls; the alcohol/tobacco/marijuana cluster was a significant predictor for the American Indian boys only. Results show important differences across the groups and indicate directions for future research targeting prevention and intervention.
    Archives of suicide research: official journal of the International Academy for Suicide Research 07/2014; 19(1). DOI:10.1080/13811118.2013.840254
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    • "Several tests of self-control and victimization—either explicit or implicit—were not included in our sample because effect size estimates could not be calculated. For example, some studies did not report any statistical effects of self-control on victimization (DeLisi et al., 2009; Gibson et al., 2009; Swahn, Bossarte, and Sullivent, 2008), or did not report enough information necessary to determine an effect size estimate (Hanish et al., 2004; Haynie et al., 2001; Kerley, Xu, and Sirisunyaluck, 2008; Ngo and Paternoster, 2011; Saewyc et al., 2009; Sullivan, Wilcox, and Ousey, 2011; Unnever, 2005). 4. In our systematic search through electronic databases, we came across only ten unpublished studies of the self-control–victimization link. "
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    ABSTRACT: A consequential development in victimization theory and research was the idea that individuals with low self‐control self‐select into the various risky behaviors that may ultimately result in their victimization. To establish the empirical status of the self‐control–victimization link, we subjected this body of work to a meta‐analysis. Our multilevel analyses of 311 effect size estimates drawn from 66 studies (42 independent data sets) indicate that self‐control is a modest yet consistent predictor of victimization. The results also show that the effect of self‐control is significantly stronger when predicting noncontact forms of victimization (e.g., online victimization) and is significantly reduced in studies that control directly for the risky behaviors that are assumed to mediate the self‐control–victimization link. We also note that the studies assessing self‐control and victimization are not representative of victimization research as a whole, with intimate partner violence (IPV), violence against women, and child abuse being severely underrepresented. We conclude that future research should continue to examine the causal processes linking self‐control to victimization, how self‐control shapes victims’ coping responses to their experience, and whether self‐control matters in contexts where individuals may have limited autonomy over the behavioral routines that put them at risk for victimization.
    Criminology 02/2014; 52(1). DOI:10.1111/1745-9125.12030 · 2.47 Impact Factor
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    • "Alcohol abuse causes 3.2% of all deaths worldwide annually and also accounts for 4.0% of the global disease burden each year [2]. Research has shown that alcohol use is associated with alcohol addiction [3], other drug use [4], unintentional injuries [3,5], physical fighting [6], criminal activity [4], suicidal ideation and attempts [7-9], and increased risk of HIV/AIDS [10,11]. "
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    ABSTRACT: A largely unaddressed issue in lower income countries and the Philippines, in particular, is the role of alcohol marketing and its potential link to early alcohol use among youth. This study examines the associations between exposures to alcohol marketing and Filipino youths' drinking prevalence and drunkenness. Cross-sectional analyses were used to examine the Global School-based Student Health Survey (GSHS) conducted in Philippines (2011). The self-administered questionnaires were completed by students primarily 13 to 16 years of age (N = 5290). Three statistical models were computed to test the associations between alcohol marketing and alcohol use, while controlling for possible confounding factors. Alcohol marketing, specifically through providing free alcohol through a company representative, was associated with drunkenness (AOR: 1.84; 95% CI = 1.06-3.21) among youths after controlling for demographic and psychosocial characteristics, peer environment, and risky behaviors. In addition, seeing alcohol ads in newspapers and magazines (AOR: 1.65, 95% CI = 1.05-2.58) and seeing ads at sports events, concerts or fairs (AOR: 1.50, 95% CI = 1.06-2.12) were significantly associated with increased reports of drunkenness. There are significant associations between alcohol marketing exposure and increased alcohol use and drunkenness among youth in the Philippines. These findings highlight the need to put policies into effect that restrict alcohol marketing practices as an important prevention strategy for reducing alcohol use and its dire consequences among vulnerable youth.
    BMC Public Health 12/2013; 13(1):1159. DOI:10.1186/1471-2458-13-1159 · 2.26 Impact Factor
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