{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:00Z","timestamp":1787013780522,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009877","name":"University of Michigan-Dearborn","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009877","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>When evaluating an emergency department (ED) patient who presents with suicidal ideation, it is a common practice to wait until the patient's ethanol level is known or calculated to be less than 80\u2009mg\/dl to evaluate patient safety. We know of no study that establishes an association between the degree of alcohol intoxication based on a blood alcohol level (BAL) and reported suicidal ideation (SI) upon recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective review of patients evaluated in a Midwestern ED for the calendar year 2017. Cases were selected if they had a psychiatric social work consult and a blood alcohol level drawn while in the ED. Patients were selected on the same 2\u2009days each week throughout the year to meet the sample size requirements of the study, resulting in 1084 cases for review. Chi\u2010square analysis was used to evaluate the relationship between suicidal ideation and alcohol intoxication as defined by a BAL \u226580\u2009mg\/dl.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among patients presenting with suicidal ideation and a concurrent BAL \u226580\u2009mg\/dl, 69% no longer reported suicidal ideation when their BAL was &lt;80\u2009mg\/dl, compared to 38% for patients without a positive BAL on presentation (chi\u2010square,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.000012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our data show that patients presenting to the ED with complaints related to suicidal behavior who have a BAL \u226580\u2009mg\/dl are more likely to no longer endorse having suicidal ideation once their BAL is &lt;\u200980\u2009mg\/dl than patients with similar presenting complaints and no alcohol intoxication. This finding supports the common ED practice of re\u2010assessing suicidal ideation among individuals who are initially intoxicated once their BAL has decreased below 80 mg\/dl.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.14871","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T23:19:23Z","timestamp":1652829563000},"page":"1306-1312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Suicidal ideation and sobriety: Should acute alcohol intoxication be taken into account for psychiatric evaluation?"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8625-5703","authenticated-orcid":false,"given":"Daniel","family":"Keyes","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine Michigan State University  Lansing Michigan USA"},{"name":"GME Research Department Trinity Health Livonia Hospital  Livonia Michigan USA"},{"name":"Departments of Emergency Medicine and Psychiatry Trinity Health Livonia Hospital  Livonia Michigan USA"},{"name":"Natural Sciences, College of Arts Sciences and Letters University of Michigan\u2010Dearborn  Dearborn Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Talarico","sequence":"additional","affiliation":[{"name":"Meadville Medical Center Mind Body Wellness Center  Meadville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8608-9522","authenticated-orcid":false,"given":"Blake","family":"Hardin","sequence":"additional","affiliation":[{"name":"GME Research Department Trinity Health Livonia Hospital  Livonia Michigan USA"},{"name":"Natural Sciences, College of Arts Sciences and Letters University of Michigan\u2010Dearborn  Dearborn Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Molter","sequence":"additional","affiliation":[{"name":"GME Research Department Trinity Health Livonia Hospital  Livonia Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honesty","family":"Lee","sequence":"additional","affiliation":[{"name":"GME Research Department Trinity Health Livonia Hospital  Livonia Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham","family":"Valiuddin","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Moore","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Psychiatry Trinity Health Livonia Hospital  Livonia Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,9]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"\u201cAlcohol and Tolerance\u201d.National Institute on Alcohol Abuse and Alcoholism (NIAAA) Alcohol Alert (28). 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