Presence of Alcohol and Drugs in Hispanic Versus Non-Hispanic Youth Suicide Victims in Miami-Dade County, Florida


This study examines the association between the presence of drugs and alcohol at time of suicide in Hispanic versus non-Hispanic youth suicide victims in Miami-Dade County, Florida. The Medical Examiner’s records of 435 persons aged 24 years or younger classified as suicides in Miami-Dade County, Florida, from 1990 to 2011 were reviewed. Hispanic youth in Miami-Dade County, Florida were 1.62 times more likely than non-Hispanic youth to have used drugs and alcohol at time of suicide (OR 1.62; 95 % CI 1.07–2.04; p = 0.049). Firearm use was significantly associated with drug and alcohol use at time of death. Use of drugs and alcohol at the time of death are important risk factors for suicide in Hispanic youth.

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  1. 1.

    National Center for Health Statistics. Health, United States, 2010: With special feature on death and dying. Hyattsville, MD, 2011.

  2. 2.

    Singh VD, Lathrop SL. Youth suicide in New Mexico: a 26-year retrospective review. J Forensic Sci. 2008;53(3):703–8.

    PubMed  Google Scholar 

  3. 3.

    Waldvogel JL, Rueter M, Oberg CN. Adolescent suicide: risk factors and prevention strategies. Curr Probl Pediatr Adolesc Health Care. 2008;38:110–25.

    PubMed  Google Scholar 

  4. 4.

    Pelkonen M, Marttunen M. Child and adolescent suicide: epidemiology, risk factors, and approaches to prevention. Paediatr Drugs. 2003;5(4):243–66.

    PubMed  Google Scholar 

  5. 5.

    Johnston LD, O’Malley PM, Miech RA, Bachman JG, Schulenberg JE. Monitoring the future national survey results on drug use, 1975–2014. Overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, The University of Michigan; 2015.

    Google Scholar 

  6. 6.

    Johnston LD, O’Malley PM, Miech RA, Bachman JG, Schulenberg JE. Monitoring the future national survey results on drug use, 1975–2013. Volume I, secondary school students. Ann Arbor: Institute for Social Research, The University of Michigan; 2015.

    Google Scholar 

  7. 7.

    Grant BF, Dawson DA, Stinson FS, Chou SP, DuFour MC, Pickering RP. The 12-month prevalence and trends in DSM–IV alcohol abuse and dependence: United States, 1991–1992 and 2001–2001. Drug Alcohol Depend. 2004;74(3):223–34.

    PubMed  Google Scholar 

  8. 8.

    Centers for Disease Control and Prevention. Youth risk behavior surveillance—United States, 2013. MMWR Surveill Summ. 2014: 63(No. SS-4).

  9. 9.

    Winters KC, Arria A. Adolescent brain development and drugs. Prev Res. 2011;18(2):21–4.

    PubMed  PubMed Central  Google Scholar 

  10. 10.

    DeJong TM, Overholser JC, Stockmeier CA. Apples to oranges?: a direct comparison between suicide attempters and suicide completers. J Affect Disord. 2010;124(1–2):90–7.

    PubMed  Google Scholar 

  11. 11.

    Brent DA, Perper JA, Moritz G, Allman C, Friend A, Roth C, Schweers J, Balach L, Baugher M. Psychiatric risk factors for adolescent suicide: a case-control study. J Am Acad Child Adolesc Psychiatry. 1993;32(3):521–9.

    CAS  PubMed  Google Scholar 

  12. 12.

    Bertolote JM, Fleischmann A. Suicide and psychiatric diagnosis: a worldwide perspective. World Psychiatry. 2002;1(3):181–5.

    PubMed  PubMed Central  Google Scholar 

  13. 13.

    Renaud J, Berlim MT, McGirr A, Tousignant M, Turecki G. Current psychiatric morbidity, aggression/impulsivity, and personality dimensions in child and adolescent suicide: a case-control study. J Affect Disord. 2008;105(1–3):221–8.

    PubMed  Google Scholar 

  14. 14.

    Pompili M, Serafini G, Innamorati M, Biondi M, Siracusano A, Di Giannantonio M, Giupponi G, Amore M, Lester D, Girardi P, Möller-Leimkühler AM. Substance abuse and suicide risk among adolescents. Eur Arch Psychiatry Clin Neurosci. 2012;262:469–85.

    Google Scholar 

  15. 15.

    Darke S, Duflou J, Torok M. Toxicology and circumstances of completed suicide by means other than overdose. J Forensic Sci. 2009;54(2):490–4.

    CAS  PubMed  Google Scholar 

  16. 16.

    Cortes E, Cubano A, Lewis JE, Castellanos D. Antidepressants at autopsy in Hispanic suicidal youth in Miami-Dade Country, Florida. J Forensic Sci. 2011;56(1):155–60.

    PubMed  Google Scholar 

  17. 17.

    US Census Bureau State & County QuickFacts. Miami-Dade County, 2010.

  18. 18.

    Baca-Garcia E, Perez-Rodriguez MM, Keyes KM, Oquendo MA, Hasin DS, Grant BF, Blanco C. Suicidal ideation and suicide attempts among Hispanic subgroups in the United States: 1991–1992 and 2001–2002. J Psychiatr Res. 2010;45(4):512–8.

    Google Scholar 

  19. 19.

    Vieweg WVR, Pandurangi AK, Anum EA, Lanier JO, Fierro MF, Fernandez A. Toxicology findings in child and adolescent suicides in Virginia: 1987–2003. Prim Care Companion J Clin Psychiatry. 2006;8(3):142–6.

    PubMed  PubMed Central  Google Scholar 

  20. 20.

    Miller M, Borges G, Orozco R, Mukamal K, Rimm EB, Benjet C, Medina-Mora ME. Exposure to alcohol, drugs and tobacco and the risk of subsequent suicidality: findings from the Mexican adolescent mental health survey. Drug Alcohol Depend. 2010;113(2–3):110–7.

    Google Scholar 

  21. 21.

    US Census Bureau News. Facts for features. Hispanic heritage month 2010: Sept 15–Oct 15, 2010.

  22. 22.

    US Census Bureau Fact Finder. 2006–2010 American Community Survey 5-year estimates: Sex by age (Hispanic or Latino), 2010.

  23. 23.

    Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series 45. DHHS Publication No. (SMA) 06-4131. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2006.

  24. 24.

    Dawes MA, Mathias CW, Richard DM, Hill-Kapturczak N, Dougherty DM. Adolescent suicidal behavior and substance use: developmental mechanisms. Subst Abus. 2008;31(2):13–28.

    Google Scholar 

  25. 25.

    Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372–94.

    PubMed  Google Scholar 

  26. 26.

    Algon S, Yi J, Calkins ME, Kohler C, Borgmann-Winter KE. Evaluation and treatment of children and adolescents with psychotic symptoms. Curr Psychiatry Rep. 2012;14(2):101–10.

    PubMed  PubMed Central  Google Scholar 

  27. 27.

    Lorberg B, Wilens TE, Martelon MK, Wong P, Parcell T. Reasons for substance use among adolescents with bipolar disorder. Am J Addict. 2010;19(6):474–80.

    PubMed  PubMed Central  Google Scholar 

  28. 28.

    National Council of La Raza. Critical disparities in latino mental health: Transforming research into action, 2005.

  29. 29.

    Canino G, Roberts RE. Suicidal behavior among latino youth. Suicide Life Threat Behav. 2001;31(supp):122–31.

    PubMed  Google Scholar 

  30. 30.

    Colucci E, Martin G. Ethnocultural aspects of suicide in young people: a systematic literature review. Suicide Life Threat Behav. 2006;37(2):197–221.

    Google Scholar 

  31. 31.

    Markowitz S, Chatterji P, Kaestner RJ. Estimating the impact of alcohol policies on youth suicides. Ment Health Policy Econ. 2003;6(1):37–46.

    Google Scholar 

  32. 32.

    Shenassa ED, Catlin SN, Buka SL. Lethality of firearms relative to other suicide methods: a population based study. J Epidemiol Community Health. 2003;57:120–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. 33.

    Bohanna I, Wang X, Buka SL. Media guidelines for the responsible reporting of suicide: a review of effectiveness. Crisis: Journal of Crisis Intervention & Suicide. 2012;33(4):190–8.

    Google Scholar 

  34. 34.

    Miller M, Azrael D, Barber C. Suicide mortality in the United States: the importance of attending to method in understanding population-level disparities in the burden of suicide. Annu Rev Public Health. 2012;33:393–408.

    PubMed  Google Scholar 

  35. 35.

    Council on Injury. Violence, and poison prevention executive committee. Firearm-related injuries affecting the pediatric population. Pediatrics. 2012;130(5):e1416–23.

    Google Scholar 

  36. 36.

    Lubin G, Werbeloff N, Halperin D, Shmushkevitch M, Weiser M, Knobler HY. Decrease in suicide rates after a change in policy reducing access to firearms in adolescents: a naturalistic epidemiological study. Suicide Life Threat Behav. 2010;40(5):421–4.

    PubMed  Google Scholar 

  37. 37.

    US Census Bureau Fact Finder. 2010 Census Summary: Hispanic or Latino by type, 2010.

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The authors gratefully acknowledge Grettel Castro, MPH for her assistance in the preparation of this manuscript.

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Correspondence to Daniel Castellanos.

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Castellanos, D., Kosoy, J.E., Ayllon, K.D. et al. Presence of Alcohol and Drugs in Hispanic Versus Non-Hispanic Youth Suicide Victims in Miami-Dade County, Florida. J Immigrant Minority Health 18, 1024–1031 (2016).

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  • Suicide
  • Youth
  • Hispanic
  • Drugs
  • Alcohol