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Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania

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Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania. / Lange, Shannon; Jiang, Huan; Štelemėkas, Mindaugas; Tran, Alexander; Cherpitel, Cheryl; Giesbrecht, Norman; Gostautaite Midttun, Nijole; Jasilionis, Domantas; Kaplan, Mark S; Manthey, Jakob; Xuan, Ziming; Rehm, Jürgen.

In: ARCH SUICIDE RES, Vol. 27, No. 2, 2023, p. 339-352.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Lange, S, Jiang, H, Štelemėkas, M, Tran, A, Cherpitel, C, Giesbrecht, N, Gostautaite Midttun, N, Jasilionis, D, Kaplan, MS, Manthey, J, Xuan, Z & Rehm, J 2023, 'Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania', ARCH SUICIDE RES, vol. 27, no. 2, pp. 339-352. https://doi.org/10.1080/13811118.2021.1999873

APA

Lange, S., Jiang, H., Štelemėkas, M., Tran, A., Cherpitel, C., Giesbrecht, N., Gostautaite Midttun, N., Jasilionis, D., Kaplan, M. S., Manthey, J., Xuan, Z., & Rehm, J. (2023). Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania. ARCH SUICIDE RES, 27(2), 339-352. https://doi.org/10.1080/13811118.2021.1999873

Vancouver

Lange S, Jiang H, Štelemėkas M, Tran A, Cherpitel C, Giesbrecht N et al. Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania. ARCH SUICIDE RES. 2023;27(2):339-352. https://doi.org/10.1080/13811118.2021.1999873

Bibtex

@article{d9656ad58e4146bebb6a74c2e8f3bfdf,
title = "Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania",
abstract = "OBJECTIVE: It is reasonable to believe that the alcohol policy environment can impact the suicide mortality rates in a given country, considering the well-known link between alcohol use and death by suicide. The current literature, albeit limited, suggests that an increase in alcohol taxation may result in a decrease in deaths by suicide and that the effect is sex-specific. Therefore, the objective of the current study was to test the impact of three alcohol control policy enactments (in 2008, 2017 and 2018) on suicide mortality among adults 25-74 years of age in Lithuania, by sex.METHODS: To estimate the unique impact of three alcohol control policies, we conducted interrupted time-series analyses by employing a generalized additive mixed model on monthly sex-specific age-standardized suicide mortality rates from January 2001 to December 2018.RESULTS: Analyses showed a significant impact of the 2017 (p = 0.016) alcohol control policy on suicide mortality for men only. Specifically, we estimated that in the year following the 2017 policy enactment, approximately 57 (95% CI: 9-107) deaths by suicide were prevented among men, 25-74 years of age. The three policy enactments tested were not found to significantly impact the suicide mortality rate among women.CONCLUSION: Alcohol control policies involving pricing, which result in a notable decrease in alcohol affordability, could be a cost-effective indirect suicide prevention mechanism in not only countries of the former Soviet Union, but in other high-income countries with a comparable health care system to that in Lithuania. HIGHLIGHTSIncreasing excise tax on alcohol was found to have a sex-specific impact on suicide mortalityThe 2017 alcohol policy prevented 57 deaths by suicide among men, 25-74 years of age, in the following yearAlcohol pricing policies may be a cost-effective indirect suicide prevention mechanism.",
author = "Shannon Lange and Huan Jiang and Mindaugas {\v S}telemėkas and Alexander Tran and Cheryl Cherpitel and Norman Giesbrecht and {Gostautaite Midttun}, Nijole and Domantas Jasilionis and Kaplan, {Mark S} and Jakob Manthey and Ziming Xuan and J{\"u}rgen Rehm",
year = "2023",
doi = "10.1080/13811118.2021.1999873",
language = "English",
volume = "27",
pages = "339--352",
journal = "ARCH SUICIDE RES",
issn = "1381-1118",
publisher = "Routledge",
number = "2",

}

RIS

TY - JOUR

T1 - Evaluating the Impact of Alcohol Policy on Suicide Mortality: A Sex-Specific Time-Series Analysis for Lithuania

AU - Lange, Shannon

AU - Jiang, Huan

AU - Štelemėkas, Mindaugas

AU - Tran, Alexander

AU - Cherpitel, Cheryl

AU - Giesbrecht, Norman

AU - Gostautaite Midttun, Nijole

AU - Jasilionis, Domantas

AU - Kaplan, Mark S

AU - Manthey, Jakob

AU - Xuan, Ziming

AU - Rehm, Jürgen

PY - 2023

Y1 - 2023

N2 - OBJECTIVE: It is reasonable to believe that the alcohol policy environment can impact the suicide mortality rates in a given country, considering the well-known link between alcohol use and death by suicide. The current literature, albeit limited, suggests that an increase in alcohol taxation may result in a decrease in deaths by suicide and that the effect is sex-specific. Therefore, the objective of the current study was to test the impact of three alcohol control policy enactments (in 2008, 2017 and 2018) on suicide mortality among adults 25-74 years of age in Lithuania, by sex.METHODS: To estimate the unique impact of three alcohol control policies, we conducted interrupted time-series analyses by employing a generalized additive mixed model on monthly sex-specific age-standardized suicide mortality rates from January 2001 to December 2018.RESULTS: Analyses showed a significant impact of the 2017 (p = 0.016) alcohol control policy on suicide mortality for men only. Specifically, we estimated that in the year following the 2017 policy enactment, approximately 57 (95% CI: 9-107) deaths by suicide were prevented among men, 25-74 years of age. The three policy enactments tested were not found to significantly impact the suicide mortality rate among women.CONCLUSION: Alcohol control policies involving pricing, which result in a notable decrease in alcohol affordability, could be a cost-effective indirect suicide prevention mechanism in not only countries of the former Soviet Union, but in other high-income countries with a comparable health care system to that in Lithuania. HIGHLIGHTSIncreasing excise tax on alcohol was found to have a sex-specific impact on suicide mortalityThe 2017 alcohol policy prevented 57 deaths by suicide among men, 25-74 years of age, in the following yearAlcohol pricing policies may be a cost-effective indirect suicide prevention mechanism.

AB - OBJECTIVE: It is reasonable to believe that the alcohol policy environment can impact the suicide mortality rates in a given country, considering the well-known link between alcohol use and death by suicide. The current literature, albeit limited, suggests that an increase in alcohol taxation may result in a decrease in deaths by suicide and that the effect is sex-specific. Therefore, the objective of the current study was to test the impact of three alcohol control policy enactments (in 2008, 2017 and 2018) on suicide mortality among adults 25-74 years of age in Lithuania, by sex.METHODS: To estimate the unique impact of three alcohol control policies, we conducted interrupted time-series analyses by employing a generalized additive mixed model on monthly sex-specific age-standardized suicide mortality rates from January 2001 to December 2018.RESULTS: Analyses showed a significant impact of the 2017 (p = 0.016) alcohol control policy on suicide mortality for men only. Specifically, we estimated that in the year following the 2017 policy enactment, approximately 57 (95% CI: 9-107) deaths by suicide were prevented among men, 25-74 years of age. The three policy enactments tested were not found to significantly impact the suicide mortality rate among women.CONCLUSION: Alcohol control policies involving pricing, which result in a notable decrease in alcohol affordability, could be a cost-effective indirect suicide prevention mechanism in not only countries of the former Soviet Union, but in other high-income countries with a comparable health care system to that in Lithuania. HIGHLIGHTSIncreasing excise tax on alcohol was found to have a sex-specific impact on suicide mortalityThe 2017 alcohol policy prevented 57 deaths by suicide among men, 25-74 years of age, in the following yearAlcohol pricing policies may be a cost-effective indirect suicide prevention mechanism.

U2 - 10.1080/13811118.2021.1999873

DO - 10.1080/13811118.2021.1999873

M3 - SCORING: Journal article

C2 - 34779348

VL - 27

SP - 339

EP - 352

JO - ARCH SUICIDE RES

JF - ARCH SUICIDE RES

SN - 1381-1118

IS - 2

ER -