Alcohol Consumption and Nearly Lethal Suicide Attempts

W e conducted a case‐control study of the association between nearly lethal suicide attempts and facets of alcohol consumption; namely, drinking frequency, drinking quantity, binge drinking, alcoholism, drinking within 3 hours of suicide attempt, and age began drinking. Subjects were 13–34 years of age. In bivariable analyses, all measures were associated with nearly lethal suicide attempts. Odds ratios ranged from 2.4 for alcoholism to 7.0 for drinking within 3 hours of attempt. All exposure variables except age began drinking exhibited a J‐shaped relationship between alcohol exposure and nearly lethal suicide attempt. After controlling for potential confounders and other measures of alcohol exposure, drinking within 3 hours of attempt remained most strongly (odds ratios > 6) associated. Alcoholism remained significantly associated in most models, but at lower strength.     

Medical Conditions and Nearly Lethal Suicide Attempts

P hysical illness has been studied as a risk factor for suicidal behavior, but little is known about this relationship among younger persons. We conducted a population‐based, case‐control study in Houston, Texas, from November 1992 through September 1995. The final sample consisted of 153 case‐ and 513 control‐subjects aged 13 to 34 years. Case patients were identified at hospital emergency departments and met criteria for a nearly lethal suicide attempt. Control subjects were recruited via a random‐digit‐dial telephone survey. Case patients were more likely than controls to report having any serious medical conditions (crude OR = 3.23; 95% CI = 2.12–4.91). After controlling for age, race/ethnicity, alcoholism, depression, and hopelessness, the adjusted odds ratio for men was 4.76 (95% CI = 1.87–12.17), whereas the adjusted odds ratio for women was 1.60 (95% CI‐0.62–4.17), suggesting that young men with medical conditions are at increased risk for nearly lethal suicide attempts. Increased efforts to identify and appropriately refer these patients are needed.     

How Attention Partitions Itself During Simultaneous Message Presentations

Television producers, across all types of programming, assume young viewers can parallel process simultaneously presented messages. For instance, television news producers appear to believe that young viewers can attend to weather icons, lexical news crawls, and sports scores while they also attend to news anchors who present the news. Nonetheless, attention theory suggests parallel processing on this scale cannot be executed efficiently. Given the format's popularity, perhaps those messages take advantage of perceptual grouping, as described by Treisman, Kahneman, and Burkell (1983). Perceptual grouping describes a process where separate but semantically related messages are attended to simultaneously with minimal effort. Using secondary task methodology, we measured participants' attentional capacity while they watched an example of this format: CNN's Headline News. In addition to this visually complex condition, we created a visually simple condition by deleting graphics and news crawls. Participants in this latter condition attended to both the auditory and visual channels, thus retaining story facts conveyed by both channels. Participants in the complex condition, however, shifted attention to the auditory channel. Ten percent of the factual information contained in news stories was lost to participants. It appears that this multimessage format exceeded viewers' attentional capacity. In conclusion, we discuss the implications for attention theory.