Co-occurring Physical Fighting and Suicide Attempts Among U.S. High School Students

Examining Patterns of Early Alcohol Use Initiation and Current Binge Drinking

Monica H. Swahn, PhD, MPH; Robert M. Bossarte, PhD; Jane B. Palmier, JD, MPH; Huang Yao, MA

Disclosures

Western J Emerg Med. 2013;14(4):341-346. 

In This Article

Results

Overall, the prevalence of any physical fighting was 31.5%, and the prevalence of suicide attempt was 6.3% (Table 1). The prevalence of co-occurring physical fighting and suicide attempts was 3.6% (3.0% for boys and 4.2% for girls) in the national sample (Table 2). However, among early drinkers the prevalence of co-occurring physical fighting and suicide attempts was 9.4% (7.6% for boys and 11.5% for girls).

In the national sample, early drinking (Adj.odds ratio [OR] = 5.42; 95% confidence interval [CI]: 3.36–4.17) was significantly associated with co-occurring physical fighting and suicide attempts (Table 3) relative to those who did not report early drinking and when controlling for possible confounders. Early drinking was associated with co-occurring physical fighting and suicide attempts for both boys (Adj.OR = 4.17; 95% CI: 1.47–11.87) and girls (Adj.OR = 6.50; 95% CI: 3.84- 11.00) but appeared stronger for girls. For girls, initiating drinking later was also associated with co-occurring physical fighting and suicide attempts (Adj.OR = 2.28; 95% CI: 1.26- 4.11), but this association was not statistically significant among boys (Adj.OR = 2.23; 95% CI: 0.81–6.17).

In terms of predicting physical fighting, early drinking (Adj.OR = 3.14; 95% CI: 2.54–3.88) was significantly associated physical fighting only (Table 3) relative to those who did not report early drinking and this finding was observed for both boys and girls in stratified analyses. Similarly, in terms of predicting suicide attempt only, early drinking (Adj.OR = 3.28; 95%CI: 1.81–5.97) was significantly associated suicide attempt only (Table 3) relative to those who did not report early drinking and this finding was observed for both boys and girls in stratified analyses.

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