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Investigating Whether Bereavement by Suicide and Other Unnatural Causes Has a Deterrent Effect on Alcohol or Drug Use in Young Adults

Author

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  • Alexandra Pitman

    (Division of Psychiatry, University College London (UCL), London W1T 7NF, UK
    Camden and Islington NHS Foundation Trust, London NW1 0PE, UK)

  • Fiona Stevenson

    (Department of Primary Care and Population Health, University College London (UCL), London NW3 2PF, UK)

  • David Osborn

    (Division of Psychiatry, University College London (UCL), London W1T 7NF, UK
    Camden and Islington NHS Foundation Trust, London NW1 0PE, UK)

Abstract

Bereavement by suicide and other unnatural causes is associated with suicide but evidence regarding risk of substance misuse is inconsistent. This may be due to heterogeneity in patterns of alcohol or drug use after traumatic bereavement; some increasing use to cope with the loss and others reducing use. To highlight the problems of focussing on diagnostic thresholds when investigating substance use after traumatic loss, we aimed to test whether people bereaved by suicide or other unnatural causes are more likely to reduce or stop their substance use than people bereaved by sudden natural causes. Using multivariable logistic regression and data from an online survey of 1854 UK-based bereaved adults, we tested the association between bereavement by suicide and other unnatural causes and post-bereavement reduction/cessation in (i) alcohol and (ii) drug use. There were no group differences in the proportions who reduced/stopped alcohol use, but a significantly greater proportion of people bereaved by sudden unnatural causes reduced/stopped drug use post-bereavement than people bereaved by sudden natural causes (AOR = 2.61; 95% CI = 1.44–4.71; p = 0.001; 4.1% versus 1.7%). In sub-group analyses this applied separately to people bereaved by suicide and non-suicide unnatural causes. Research into post-bereavement substance use should accommodate apparent divergent sub-diagnostic patterns.

Suggested Citation

  • Alexandra Pitman & Fiona Stevenson & David Osborn, 2022. "Investigating Whether Bereavement by Suicide and Other Unnatural Causes Has a Deterrent Effect on Alcohol or Drug Use in Young Adults," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13245-:d:942334
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    References listed on IDEAS

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    1. Alexandra Pitman & Adelia Khrisna Putri & Tanisha De Souza & Fiona Stevenson & Michael King & David Osborn & Nicola Morant, 2018. "The Impact of Suicide Bereavement on Educational and Occupational Functioning: A Qualitative Study of 460 Bereaved Adults," IJERPH, MDPI, vol. 15(4), pages 1-17, March.
    2. Lauren Drabwell & Jessica Eng & Fiona Stevenson & Michael King & David Osborn & Alexandra Pitman, 2020. "Perceptions of the Use of Alcohol and Drugs after Sudden Bereavement by Unnatural Causes: Analysis of Online Qualitative Data," IJERPH, MDPI, vol. 17(3), pages 1-16, January.
    3. Victoria Ross & Kairi Kõlves & Lisa Kunde & Diego De Leo, 2018. "Parents’ Experiences of Suicide-Bereavement: A Qualitative Study at 6 and 12 Months after Loss," IJERPH, MDPI, vol. 15(4), pages 1-10, March.
    4. Jessica Eng & Lauren Drabwell & Fiona Stevenson & Michael King & David Osborn & Alexandra Pitman, 2019. "Use of Alcohol and Unprescribed Drugs after Suicide Bereavement: Qualitative Study," IJERPH, MDPI, vol. 16(21), pages 1-12, October.
    5. Lorenza Entilli & Victoria Ross & Diego De Leo & Sabrina Cipolletta & Kairi Kõlves, 2021. "Experiences of Parental Suicide-Bereavement: A Longitudinal Qualitative Analysis over Two Years," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    6. Alexandra Pitman & Tanisha De Souza & Adelia Khrisna Putri & Fiona Stevenson & Michael King & David Osborn & Nicola Morant, 2018. "Support Needs and Experiences of People Bereaved by Suicide: Qualitative Findings from a Cross-Sectional British Study of Bereaved Young Adults," IJERPH, MDPI, vol. 15(4), pages 1-21, April.
    7. Valeriya Azorina & Nicola Morant & Hedvig Nesse & Fiona Stevenson & David Osborn & Michael King & Alexandra Pitman, 2019. "The Perceived Impact of Suicide Bereavement on Specific Interpersonal Relationships: A Qualitative Study of Survey Data," IJERPH, MDPI, vol. 16(10), pages 1-15, May.
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    Cited by:

    1. Yossi Levi-Belz & Karolina Krysinska & Karl Andriessen, 2023. "What Do We Know about Suicide Bereavement, and What We Can Do to Help Suicide-Loss Survivors?," IJERPH, MDPI, vol. 20(8), pages 1-5, April.

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