Risk factors for completed suicide among adolescents with a lifetime history of substance abuse: a case-control study

Acta Psychiatr Scand. 1993 Dec;88(6):403-8. doi: 10.1111/j.1600-0447.1993.tb03481.x.


The risk factors for suicide in adolescents with substance abuse were assessed by comparing 23 adolescent suicide victims and 12 community controls with a lifetime history of definite or probable DSM-III substance abuse. Suicide victims were more likely than controls to show the following risk factors: active substance abuse, comorbid major depression, suicidal ideation within the past week, family history of depression and substance abuse, legal problems and presence of a handgun in the home. Recommendations for the identification and prevention of suicide among substance-abusing youth on the basis of these findings are presented.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Comorbidity
  • Depressive Disorder / epidemiology
  • Depressive Disorder / genetics
  • Depressive Disorder / psychology
  • Family
  • Female
  • Firearms
  • Forensic Psychiatry
  • Humans
  • Life Change Events
  • Male
  • Pennsylvania / epidemiology
  • Risk Factors
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / genetics
  • Substance-Related Disorders / psychology
  • Suicide / prevention & control
  • Suicide / psychology
  • Suicide / statistics & numerical data*