Abstract Objective: Conceptual understandings of meaning-making suggest that it may have protective value in regard to alcohol misuse and suicidal behavior. Accordingly, the aim of this study was to examine whether meaning-making attenuated the relationship between alcohol misuse and suicide risk severity in a population of active-duty service members. Methods: The sample (N = 97) was recruited while presenting for emergency behavioral health services in circumstances indicative of high-risk suicidality: endorsing current suicidal ideation with intent to die. Those who reported ideation with a lifetime history of a past suicide attempt were conceptualized as being in a more severe category of suicide risk than ideation without a lifetime history of a past suicide attempt. Participants completed the Suicidal Behaviors Questionnaire–Revised, Meaning in Life Questionnaire, Alcohol Use Disorders Identification Test consumption questions, and items that assessed demographic variables. Data were analyzed using chi-squared test of independence, Fisher’s exact test, Kendall rank correlation coefficient, and logistic regression modeling. Results: Regression analysis identified a statistically significant association between number of drinks consumed daily and reporting a lifetime history of a past suicide attempt, odds ratio (OR) = 1.60, 95% confidence interval (CI) [1.11, 2.32], p = .01. Number of drinks consumed remained significant even after adjusting for both the search for and presence of meaning, OR = 1.70, 95% CI [1.16, 2.51], p = .01. These results remained unchanged even when adjusting for gender, race, ethnicity, and relationship status. No statistically significant interaction effects were noted between meaning-making and alcohol consumption. Conclusions: Meaning-making did not appear to attenuate the effect of alcohol misuse on suicide risk severity in a sample of service members at high-risk of suicidality. Additional research is needed to better understand the relationship among meaning-making, alcohol misuse, and suicidal behavior.

中文翻译：

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酒精和自杀风险：检验意义创造的作用

摘要 目的：对意义建构的概念性理解表明，它可能对酒精滥用和自杀行为具有保护价值。因此，本研究的目的是检验在现役军人群体中，意义制造是否减弱了酒精滥用与自杀风险严重程度之间的关系。方法：样本（N = 97）是在表明存在高危自杀倾向的情况下接受紧急行为健康服务时招募的：支持当前的自杀意念并意图死亡。那些报告有过去自杀未遂史的想法的人被概念化为比没有过去自杀企图的终身历史的想法属于更严重的自杀风险类别。参与者完成了自杀行为问卷 - 修订版，生活意义问卷、酒精使用障碍识别测试消费问题和评估人口统计变量的项目。使用独立性卡方检验、Fisher 精确检验、Kendall 等级相关系数和逻辑回归模型分析数据。结果：回归分析确定了每天饮用的饮料数量与报告过去自杀未遂的终生历史之间的统计学显着关联，优势比 (OR) = 1.60，95% 置信区间 (CI) [1.11, 2.32]，p = . 01. 即使在对意义的搜索和存在进行调整后，饮用的饮料数量仍然显着，OR = 1.70，95% CI [1.16, 2.51]，p = .01。即使在调整性别、种族、民族和关系状态后，这些结果也保持不变。在意义制定和饮酒之间没有发现统计学上显着的交互作用。结论：在自杀风险高的服务人员样本中，意义制造似乎并未减弱酒精滥用对自杀风险严重程度的影响。需要更多的研究来更好地理解意义创造、酒精滥用和自杀行为之间的关系。