Alcohol consumption predicts the EU suicide rates in young women aged 15-29 years but not in men: analysis of trends and differences among early and new EU countries since 2004
Abstract
The aims of this study were to study suicide rates in youths aged 15-29 years in the European Union (EU), to identify differences between early members and new members to the EU since 2004, and to evaluate the association between alcohol-related variables and suicide rates, while controlling for indicators of social stress. We explored temporal trends in age-adjusted suicide rates for youths aged 15-29 years resident in EU nations since 1980. Social changes in EU nations were associated with increased inequalities between the countries in suicide, especially in male youths (new/early EU members: relative risk=1.55; 95% confidence interval: 1.48/1.61). Pure alcohol consumption predicts suicide rates in female youths, whereas social stress related to violence against youths predicts suicide rates in male youths. EU political and heath agencies should devise policies to prevent youth suicide with a focus on alcohol misuse and societal stress associated with violence against youths.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Preceding cross-national analyses of youth suicide rates have not investigated trends, have completed follow up before or during the period in which many countries experienced upturns in suicide rates, and/or included low- or middle-income countries where drivers are likely to be different.
“Preceding cross-national analyses of youth suicide rates have not investigated trends (Glenn et al., 2019), have completed follow up before or during the period in which many countries experienced upturns in suicide rates (Innamorati et al., 2010; Kõlves and De Leo, 2016), and/or included low- or middle-income countries where drivers are likely to be different (Glenn et al., 2019; Innamorati et al”
From Social media use, economic recession and income inequality in relation to trends in youth suicide in high-income countries: a time trends analysis (2020) · cites this paper as Innamorati et al., 2010
Cites
A Modified Poisson Regression Approach to Prospective Studies with Binary Data
Zou, G. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh090 · Cited by 9,767 · see citing works
Suicide as an outcome for mental disorders: A meta-analysis
Harris, E. C., & Barraclough, B. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.170.3.205 · Cited by 2,589 · see citing works
The ESEMeD/MHEDEA 2000 Investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00327.x · Cited by 1,825 · see citing works
Youth Suicide Risk and Preventive Interventions: A Review of the Past 10 Years
Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000046821.95464.cf · Cited by 1,264 · see citing works
Mental disorders and comorbidity in suicide
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.6.935 · Cited by 861 · see citing works
(1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.8.1001 · Cited by 725 · see citing works
(1956) · BMJ · doi:10.1136/bmj.2.4996.813 · Cited by 640 · see citing works
Mental illness in general health care : an international study
Üstün, T. B., & Sartorius, N. (1995) · Medical Entomology and Zoology · Cited by 610 · see citing works
Unemployment and suicide. Evidence for a causal association?
Blakely, T. A., Collings, S. C., & Atkinson, J. (2003) · Journal of Epidemiology & Community Health · doi:10.1136/jech.57.8.594 · Cited by 543 · see citing works
Mental Illness in General Health Care: An International Study
Morriss, R. K. (1995) · BMJ · doi:10.1136/bmj.311.7006.696a · Cited by 534 · see citing works
Agerbo, E., Nordentoft, M., & Mortensen, P. B. (2002) · BMJ · doi:10.1136/bmj.325.7355.74 · Cited by 427 · see citing works
Kposowa, A. J. (2001) · Psychological Medicine · doi:10.1017/s0033291799002925 · Cited by 365 · see citing works
Advance Report of Final Mortality Statistics, 1994
Singh, G. K., Kochanek, K. D., & MacDorman, M. F. (1996) · Cited by 328 · see citing works
Advance report of final mortality statistics, 1993
Gardner, P., & Hudson, B. L. (1996) · Cited by 306 · see citing works
Are risk factors for suicide universal? A case‐control study in India
Vijayakumar, L., & Rajkumar, S. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb00985.x · Cited by 284 · see citing works
Risk factors for suicide independent of DSM–III–R Axis I disorder
Foster, T., Gillespie, K., McLelland, R., & Patterson, C. C. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.175.2.175 · Cited by 273 · see citing works
Socio-economic inequalities in suicide: A European comparative study
Lorant, V., Kunst, A. E., Huisman, M. A., Costa, G., & Mackenbach, J. P. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.187.1.49 · Cited by 271 · see citing works
Rich, C. L., Fowler, R. C., Fogarty, L., & Young, D. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800300087012 · Cited by 222 · see citing works
The accuracy of officially reported suicide statistics for purposes of epidemiological research.
Sainsbury, P., & Jenkins, J. S. (1982) · Journal of Epidemiology & Community Health · doi:10.1136/jech.36.1.43 · Cited by 182 · see citing works
Differences between Suicide Rates
Sainsbury, P., & Barraclough, B. M. (1968) · Nature · doi:10.1038/2201252a0 · Cited by 171 · see citing works
Suicide and attempted suicide.
Brooke, E. M. (1974) · PsycEXTRA Dataset · doi:10.1037/e445562004-001 · Cited by 147 · see citing works
Peters, K. D., Kochanek, K. D., & Murphy, S. L. (1998) · PubMed · Cited by 134 · see citing works
Agerbo, E., Sterne, J. A. C., & Gunnell, D. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.08.043 · Cited by 124 · see citing works
Suicide and unemployment in young people
Gunnell, D., Lopatatzidis, T., Dorling, D., Wehner, H., SOUTHALL, H. R., & Frankel, S. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.175.3.263 · Cited by 114 · see citing works
Lundin, A., & Hemmingsson, T. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61202-2 · Cited by 98 · see citing works
Testing the equality of two dependent kappa statistics
Donner, A. P., Shoukri, M. M., Klar, N. S., & Bartfay, E. (2000) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(20000215)19:3 · Cited by 90 · see citing works
The geography of self-injury: Spatial patterns in attempted and completed suicide
Hempstead, K. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.11.038 · Cited by 87 · see citing works
Faravelli, C., Abrardi, L., Bartolozzi, D., Cecchi, C., Cosci, F., D’Adamo, D., Iacono, B. L., Ravaldi, C., Scarpato, M. A., Truglia, E., et al. (2004) · Psychotherapy and Psychosomatics · doi:10.1159/000077741 · Cited by 84 · see citing works
Differences Between National Suicide Rates
Barraclough, B. M. (1973) · The British Journal of Psychiatry · doi:10.1192/bjp.122.1.95 · Cited by 75 · see citing works
The Comparability of Suicide Rates
Atkinson, M. W., Kessel, N., & Dalgaard, J. B. (1975) · The British Journal of Psychiatry · doi:10.1192/bjp.127.3.247 · Cited by 68 · see citing works
Female suicides and alcohol consumption duringperestroikain the former USSR
Wasserman, D., Värnik, A., & EKLUND, G. A. (1998) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1998.tb10762.x · Cited by 61 · see citing works
Värnik, A., Wasserman, D., Dankowicz, M., & EKLUND, G. A. (1998) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1998.tb10761.x · Cited by 57 · see citing works
Suicide trends in eight predominantly English-speaking countries 1960?1989
Cantor, C. H., Leenaars, A. A., Lester, D., Slater, P. J., Wolanowski, A. M., & O’Toole, B. I. (1996) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf00783426 · Cited by 52 · see citing works
Agerbo, E., Qin, P., & Mortensen, P. B. (2006) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2005.042903 · Cited by 49 · see citing works
Farmer, R. D. T., & Hirsch, S. R. (1980) · Croom Helm eBooks · Cited by 43 · see citing works
Who takes alcohol prior to suicide?
Crombie, I. K., Pounder, D. J., & DICK, P. H. (1998) · Journal of Clinical Forensic Medicine · doi:10.1016/s1353-1131(98)90055-4 · Cited by 43 · see citing works
Emile Durkheim, Le Suicide: One Hundred Years Later.
Short, J. F., & Lester, D. (1996) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2077514 · Cited by 39 · see citing works
Changing Patterns in Suicide Behaviour
Henderson, J. (1985) · Springer eBooks · doi:10.1007/978-1-4899-5049-9_152 · Cited by 38 · see citing works
Alcohol and suicide in Switzerland—an aggregate‐level analysis
Gmel, G. E., Rehm, J. T., & GHAZINOURI, A. (1998) · Drug and Alcohol Review · doi:10.1080/09595239800187571 · Cited by 29 · see citing works
Effects of Socioeconomic Factors on Suicide from 1980 through 1999 in Osaka Prefecture, Japan.
Aihara, H., & Iki, M. (2002) · Journal of Epidemiology · doi:10.2188/jea.12.439 · Cited by 26 · see citing works
Innamorati, M., Tamburello, A., Lester, D., Amore, M., Girardi, P., Tatarelli, R., & Pompili, M. (2010) · The Canadian Journal of Psychiatry · doi:10.1177/070674371005500406 · Cited by 24 · see citing works
Inter-regional variations in men’s attitudes, suicide rates and sociodemographics in Quebec (Canada)
Desaulniers, J., & Daigle, M. S. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0340-2 · Cited by 24 · see citing works
Changes in suicide rates after reductions in alcohol consumption and problems in Ontario, 1975–1983
Smart, R. G., & Mann, R. E. (1990) · British Journal of Addiction · doi:10.1111/j.1360-0443.1990.tb01666.x · Cited by 22 · see citing works
Kalèdiené, R., Starkuvienė, S., & Petrauskienė, J. (2006) · Sozial- und Präventivmedizin · doi:10.1007/s00038-006-4069-y · Cited by 19 · see citing works
Causes of death contributing to educational mortality disparities in Austria
Schwarz, F. (2007) · Wiener klinische Wochenschrift · doi:10.1007/s00508-007-0790-7 · Cited by 12 · see citing works
Results from the Verona Centre
Piccinelli, M. P., Pini, S., Bonizzato, P., Paltrinieri, E., Saltini, A., Scantamburlo, L. B., Bellantuono, C., & Tansella, M. (1995) · Cited by 8 · see citing works
Flagged first, then by citations
1 of the 47 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Vijayakumar, L., Kumar, M. S., & Vijayakumar, V. (2011) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283459242 · Cited by 171 · see citing works
Norström, T., & Rossow, I. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1158678 · Cited by 152 · see citing works
Wong, S. S., Zhou, B., Goebert, D. A., & Hishinuma, E. S. (2013) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0721-z · Cited by 152 · see citing works
Pitman, A., Krysinska, K., Osborn, D., & King, M. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60731-4 · Cited by 144 · see citing works
Binge drinking and the risk of suicidal thoughts, plans, and attempts
Glasheen, C., Pemberton, M. R., Lipari, R. N., Copello, E. A., & Mattson, M. E. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.12.005 · Cited by 76 · see citing works
Pompili, M., Vichi, M., Innamorati, M., Lester, D., Yang, B., Leo, D. D., & Girardi, P. (2013) · Health & Social Care in the Community · doi:10.1111/hsc.12086 · Cited by 72 · see citing works
Padmanathan, P., Bould, H., Winstone, L., Moran, P., & Gunnell, D. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.057 · Cited by 67 · see citing works
“…in which many countries experienced upturns in suicide rates (Innamorati et al., 2010; Kõlves and De Leo, 2016), and/or included low- or middle-income countries where drivers are likely to be different (Glenn et al., 2019; Innamorati et al., 2010; Kõlves and De Leo, 2016; McLoughlin et al., 2015).”
BackgroundInfluentialGallimberti, L., Chindamo, S., Buja, A., Forza, G., Tognazzo, F., Galasso, L., Vinelli, A., & Baldo, V. (2011) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/1747-597x-6-15 · Cited by 41 · see citing works
White, A. M., MacInnes, E., Hingson, R., & Pan, I. (2013) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12008 · Cited by 28 · see citing works
Suicide in Children and Adolescents
Karaman, D., & Durukan, İ. (2012) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.5455/cap.20130503 · Cited by 13 · see citing works
Can Suicide Attempt be Related to Problem Drinking: Cohort Study
Dambrauskienė, K., Adomaitienė, V., Žalinkevičius, R., Jarienė, G., Vilkas, V., Rybakova, I., & Dunderienė, L. (2018) · Alcohol and Alcoholism · doi:10.1093/alcalc/agy080 · Cited by 12 · see citing works
Kim, Y. J., & Burlaka, V. (2017) · Archives of Suicide Research · doi:10.1080/13811118.2017.1355284 · Cited by 11 · see citing works
Nordic region suicide trends 2000–2018; sex and age groups
Óskarsson, H., Mehlum, L. I., Titelman, D., Isometsä, E. T., Erlangsen, A., Nordentoft, M., Mittendorfer‐Rutz, E., Hökby, S., Tómasson, H., & Palsson, S. P. (2023) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2023.2231918 · Cited by 9 · see citing works
Alcohol and Substance Use Disorders in Women
Brasiliano, S., Kachani, A. T., Carezzato, F., & Hochgraf, P. B. (2020) · Springer eBooks · doi:10.1007/978-3-030-29081-8_14 · Cited by 5 · see citing works
Rojas, Y., & Stickley, A. (2013) · Women s Studies International Forum · doi:10.1016/j.wsif.2013.10.009 · Cited by 3 · see citing works
García, K. J., Carballo, J. L., Poveda, M. Á. C., & Vila, M. M. (2014) · African journal of rhetoric · doi:10.21134/haaj.v14i2.228 · Cited by 2 · see citing works
Aktaş, S. G. (2018) · IGI Global eBooks · doi:10.4018/978-1-5225-6915-2.ch062 · Cited by 1 · see citing works
Güriş, S., & Kızılarslan, Ş. (2021) · International Journal of Management Economics and Business · doi:10.17130/ijmeb.862907 · Cited by 1 · see citing works
Hasanova, A. (2022) · Bulletin of Science and Practice · doi:10.33619/2414-2948/84/63 · Cited by 1 · see citing works
Alcohol‐Related Violence: An International Perspective
Cortez, F. C. P., & Baltieri, D. A. (2012) · doi:10.1002/9781118411094.ch2
Suicide in Children and Adolescents Çocuk ve Ergenlerde Özkiyim
Karaman, D. (2013)
Marlow, S., & Finch, E. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107045132.016
An Unobtrusive Important Issue in the World, Female Suicide
Aktaş, S. G. (2014) · Advances in public policy and administration (APPA) book series · doi:10.4018/978-1-4666-6070-0.ch008
Aktaş, S. G. (2016) · Advances in religious and cultural studies (ARCS) book series · doi:10.4018/978-1-5225-0047-6.ch025
Violence, self-harm and substance misuse
Castle, D. J., & Abel, K. M. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107045132.013
Risk Factors for Suicidal Behavior Among European Youth: A Systematic Review
Carmona, A., Corbella-Sotil, A., Colomer-Salvans, A., Sales-Nomen, Q., Mestres-Carbonell, J., Leal‐Pujol, R., Abella, M., Usall, J., & Vila‐Badia, R. (2026) · Archives of Suicide Research · doi:10.1080/13811118.2026.2718276
Sołtys, W., Kozak, M., Kocur, R., Lewicka, M., Zrost, W., Hernand, A., Gorczyca, P. W., Ścisło, P., & Pasierb, N. (2012) · Psychiatria i Psychologia Kliniczna
- Authors
- Innamorati, M., Lester, D., Amore, M., Girardi, P., Tatarelli, R., & Pompili, M.
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Stockton University (US)
- University of Parma (IT)
- McLean Hospital (US)
- Corresponding author
- Pompili, Maurizio
- Venue
- Alcohol
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 44
- Issue
- 5
- Pages
- 463-469
- ISSN
- 0741-8329 (ISSN-L)
- OpenAlex
- W2029647527
- Cited by
- 27
- References
- 47
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 4
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcohol (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Funders
- European Commission
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- youth suicide, alcohol consumption, suicide rates, young women, young men, gender differences, social stress, violence against youth, alcohol abuse, suicide prevention, temporal trends, EU member states
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, European Union, Female, Humans, Male, Risk, Socioeconomic Factors, Stress, Psychological, Suicide, Violence, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review