Alcohol and suicide death among American Indians of New Mexico: 1980-1998

Philip A. May, Nancy W. Van Winkle, Mary B. Williams, Patricia J. Mcfeeley, Lemyra M. Debruyn, Patricia Serna

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

The relationship between alcohol use prior to suicide was explored among American Indian decedents in New Mexico for the years 1980 through 1998. The suicide data were collected from New Mexico Vital Statistics and toxicology reports from the New Mexico Office of the Medical Investigator and matched on a case-by-case basis. Detailed analyses were undertaken for all cases of resident New Mexico Indians from the Navajo, Pueblo, and Apache cultures. Alcohol was detected in 69% of all suicides of American Indians with some variance by major tribal cultural groups (range = 62.1% to 84.4%). This is higher than in suicides among the overall New Mexico population (44.3%). The mean blood alcohol concentration (BAC) of the drinking Indian decedents at suicide was 0.198 (± SD of .088). Mean BACs were high for both males (0.199) and females (0.180) who had been drinking. Over 90% of the Indian decedents who had been drinking had BACs greater than the legal intoxication level of 0.08. The Navajo had the lowest percentage of cases that were alcohol involved, and their mean BAC was lower than the other two cultural groups. Alcohol use for completed suicides also varied somewhat by age, sex, method of suicide, and place of occurrence, but very little by whether the decedent was an on or off reservation resident. Analyses indicated that alcohol use prior to suicide was significantly more associated with male suicides than for females, and it was negatively correlated for those who died by overdose and also those using other drugs at suicide. Otherwise, alcohol use did not significantly differentiate American Indian suicides by age, use of firearms, hanging, use of other methods, or residence, for the presence of alcohol was a factor very commonly associated with all of these variables. Heavy alcohol consumption is, therefore, an important factor in over two thirds of all completed suicides among the Indians of New Mexico.

Original languageEnglish
Pages (from-to)240-255
Number of pages16
JournalSuicide and Life-Threatening Behavior
Volume32
Issue number3
DOIs
StatePublished - 1 Sep 2002

Fingerprint

North American Indians
Suicide
Alcohols
Alcohol Drinking
Drinking
Vital Statistics
Firearms
Toxicology
Research Personnel

Cite this

May, Philip A. ; Van Winkle, Nancy W. ; Williams, Mary B. ; Mcfeeley, Patricia J. ; Debruyn, Lemyra M. ; Serna, Patricia. / Alcohol and suicide death among American Indians of New Mexico : 1980-1998. In: Suicide and Life-Threatening Behavior. 2002 ; Vol. 32, No. 3. pp. 240-255.
@article{3c283527c0094c12a89f287e7f9e4750,
title = "Alcohol and suicide death among American Indians of New Mexico: 1980-1998",
abstract = "The relationship between alcohol use prior to suicide was explored among American Indian decedents in New Mexico for the years 1980 through 1998. The suicide data were collected from New Mexico Vital Statistics and toxicology reports from the New Mexico Office of the Medical Investigator and matched on a case-by-case basis. Detailed analyses were undertaken for all cases of resident New Mexico Indians from the Navajo, Pueblo, and Apache cultures. Alcohol was detected in 69{\%} of all suicides of American Indians with some variance by major tribal cultural groups (range = 62.1{\%} to 84.4{\%}). This is higher than in suicides among the overall New Mexico population (44.3{\%}). The mean blood alcohol concentration (BAC) of the drinking Indian decedents at suicide was 0.198 (± SD of .088). Mean BACs were high for both males (0.199) and females (0.180) who had been drinking. Over 90{\%} of the Indian decedents who had been drinking had BACs greater than the legal intoxication level of 0.08. The Navajo had the lowest percentage of cases that were alcohol involved, and their mean BAC was lower than the other two cultural groups. Alcohol use for completed suicides also varied somewhat by age, sex, method of suicide, and place of occurrence, but very little by whether the decedent was an on or off reservation resident. Analyses indicated that alcohol use prior to suicide was significantly more associated with male suicides than for females, and it was negatively correlated for those who died by overdose and also those using other drugs at suicide. Otherwise, alcohol use did not significantly differentiate American Indian suicides by age, use of firearms, hanging, use of other methods, or residence, for the presence of alcohol was a factor very commonly associated with all of these variables. Heavy alcohol consumption is, therefore, an important factor in over two thirds of all completed suicides among the Indians of New Mexico.",
author = "May, {Philip A.} and {Van Winkle}, {Nancy W.} and Williams, {Mary B.} and Mcfeeley, {Patricia J.} and Debruyn, {Lemyra M.} and Patricia Serna",
year = "2002",
month = "9",
day = "1",
doi = "10.1521/suli.32.3.240.22172",
language = "English",
volume = "32",
pages = "240--255",
journal = "Suicide and Life-Threatening Behavior",
issn = "0363-0234",
publisher = "Wiley-Blackwell",
number = "3",

}

Alcohol and suicide death among American Indians of New Mexico : 1980-1998. / May, Philip A.; Van Winkle, Nancy W.; Williams, Mary B.; Mcfeeley, Patricia J.; Debruyn, Lemyra M.; Serna, Patricia.

In: Suicide and Life-Threatening Behavior, Vol. 32, No. 3, 01.09.2002, p. 240-255.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Alcohol and suicide death among American Indians of New Mexico

T2 - 1980-1998

AU - May, Philip A.

AU - Van Winkle, Nancy W.

AU - Williams, Mary B.

AU - Mcfeeley, Patricia J.

AU - Debruyn, Lemyra M.

AU - Serna, Patricia

PY - 2002/9/1

Y1 - 2002/9/1

N2 - The relationship between alcohol use prior to suicide was explored among American Indian decedents in New Mexico for the years 1980 through 1998. The suicide data were collected from New Mexico Vital Statistics and toxicology reports from the New Mexico Office of the Medical Investigator and matched on a case-by-case basis. Detailed analyses were undertaken for all cases of resident New Mexico Indians from the Navajo, Pueblo, and Apache cultures. Alcohol was detected in 69% of all suicides of American Indians with some variance by major tribal cultural groups (range = 62.1% to 84.4%). This is higher than in suicides among the overall New Mexico population (44.3%). The mean blood alcohol concentration (BAC) of the drinking Indian decedents at suicide was 0.198 (± SD of .088). Mean BACs were high for both males (0.199) and females (0.180) who had been drinking. Over 90% of the Indian decedents who had been drinking had BACs greater than the legal intoxication level of 0.08. The Navajo had the lowest percentage of cases that were alcohol involved, and their mean BAC was lower than the other two cultural groups. Alcohol use for completed suicides also varied somewhat by age, sex, method of suicide, and place of occurrence, but very little by whether the decedent was an on or off reservation resident. Analyses indicated that alcohol use prior to suicide was significantly more associated with male suicides than for females, and it was negatively correlated for those who died by overdose and also those using other drugs at suicide. Otherwise, alcohol use did not significantly differentiate American Indian suicides by age, use of firearms, hanging, use of other methods, or residence, for the presence of alcohol was a factor very commonly associated with all of these variables. Heavy alcohol consumption is, therefore, an important factor in over two thirds of all completed suicides among the Indians of New Mexico.

AB - The relationship between alcohol use prior to suicide was explored among American Indian decedents in New Mexico for the years 1980 through 1998. The suicide data were collected from New Mexico Vital Statistics and toxicology reports from the New Mexico Office of the Medical Investigator and matched on a case-by-case basis. Detailed analyses were undertaken for all cases of resident New Mexico Indians from the Navajo, Pueblo, and Apache cultures. Alcohol was detected in 69% of all suicides of American Indians with some variance by major tribal cultural groups (range = 62.1% to 84.4%). This is higher than in suicides among the overall New Mexico population (44.3%). The mean blood alcohol concentration (BAC) of the drinking Indian decedents at suicide was 0.198 (± SD of .088). Mean BACs were high for both males (0.199) and females (0.180) who had been drinking. Over 90% of the Indian decedents who had been drinking had BACs greater than the legal intoxication level of 0.08. The Navajo had the lowest percentage of cases that were alcohol involved, and their mean BAC was lower than the other two cultural groups. Alcohol use for completed suicides also varied somewhat by age, sex, method of suicide, and place of occurrence, but very little by whether the decedent was an on or off reservation resident. Analyses indicated that alcohol use prior to suicide was significantly more associated with male suicides than for females, and it was negatively correlated for those who died by overdose and also those using other drugs at suicide. Otherwise, alcohol use did not significantly differentiate American Indian suicides by age, use of firearms, hanging, use of other methods, or residence, for the presence of alcohol was a factor very commonly associated with all of these variables. Heavy alcohol consumption is, therefore, an important factor in over two thirds of all completed suicides among the Indians of New Mexico.

UR - http://www.scopus.com/inward/record.url?scp=0036742491&partnerID=8YFLogxK

U2 - 10.1521/suli.32.3.240.22172

DO - 10.1521/suli.32.3.240.22172

M3 - Article

C2 - 12374471

AN - SCOPUS:0036742491

VL - 32

SP - 240

EP - 255

JO - Suicide and Life-Threatening Behavior

JF - Suicide and Life-Threatening Behavior

SN - 0363-0234

IS - 3

ER -