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Alcohol consumption and suicide risk in medical internship: A Peruvian multicentric study
Author(s)
Carrasco-Farfan, Carlos Andres
Universidad Nacional San Luis Gonzaga
Vilchez-Cornejo, Jennifer
Universidad Nacional de Ucayali
Lizana-Medrano, Magaly
San Cristóbal of Huamanga University
Durand-Anahua, Paula A.
Universidad Privada de Tacna
Rengifo-Sanchez, Jorge A.
Universidad Nacional de Ucayali
Rebatta-Acuña, Alexis
Universidad Nacional San Luis Gonzaga
Cubas, Wildor Samir
Universidad Nacional de San Martín
Arroyo-Hernández, Hugo
Instituto Nacional de Salud
Toro-Huamanchumo, Carlos J.
Universidad San Ignacio de Loyola
Date Issued
25 de enero de 2019
Type
Article
Publisher
Blackwell Publishing
Volume
38
Issue
2
Series/Report No.
Drug and Alcohol Review
Contained in
Drug and Alcohol Review
Start Page
201
End Page
208
ISSN
0959-5236
Abstract
Introduction and Aim Suicide and harmful alcohol consumption are major health problems, especially in medical students. This study aimed to evaluate the association between risk for alcohol abuse and suicide risk in medical interns of Peruvian hospitals. Design and Methods We conducted a multicentre cross‐sectional study in medical interns from 18 Peruvian hospitals. We measured suicide risk, risk for alcohol abuse, depression and self‐esteem using the Plutchik Suicide Risk Scale, CAGE, Zung Self‐Rating Depression Scale and Rosenberg Self‐Esteem Scale, respectively. We used χ2 and Student t‐tests for descriptive analysis. To evaluate the association between risk for alcohol abuse and suicide risk we generated crude and adjusted Poisson regression models with robust variance and estimated prevalence ratios with 95% confidence intervals. Results We surveyed 433 medical interns. The prevalence of suicide risk and risk for alcohol abuse was 19.6% and 27.5%, respectively. We found significant differences in suicide risk according to age (P < 0.001), region of origin (P = 0.002), with whom the participant lived (P < 0.001), university of origin (P = 0.040), type of hospital (P = 0.042), family history of attempted suicide (P = 0.043), self‐esteem level (P < 0.001) and alcohol consumption (P < 0.001). In the adjusted model, age (PRa: 1.11, 95% confidence interval 1.05–1.17) and risk for alcohol abuse (PRa: 7.60, 95% confidence interval 4.46–12, 96) were associated with suicide risk. Discussion and Conclusions Two out of 10 medical interns had a positive screening for suicide risk. Age and especially risk for alcohol abuse were the associated variables.