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AJPH First Look, published online ahead of print Mar 19, 2009
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May 2009, Vol 99, No. 5 | American Journal of Public Health 915-920
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.146183


RESEARCH AND PRACTICE

Reduction in Suicide Mortality Following a New National Alcohol Policy in Slovenia: An Interrupted Time-Series Analysis

William Alex Pridemore, PhD and Aleksandra J. Snowden, MA

The authors are with the Department of Criminal Justice, Indiana University, Bloomington.

Correspondence: Requests for reprints should be sent to William Alex Pridemore, PhD, Indiana University, Department of Criminal Justice, 302 Sycamore Hall, Bloomington, IN 47405 (e-mail: wpridemo{at}indiana.edu).

Objectives. We assessed the impact on suicide mortality of a new national policy in Slovenia that limits the availability of alcohol.

Methods. We obtained monthly total, male, and female suicide counts in Slovenia between January 1997 and December 2005 and then employed autoregressive integrated moving average (ARIMA) techniques to model the effect of the alcohol policy (implemented in March 2003).

Results. There was a significant decrease in the total number of monthly suicides following the policy's implementation. Subsequent analyses revealed this association to be caused solely by the impact on male suicides. Specifically, there was an immediate and permanent reduction of 3.6 male suicides per month (95% confidence interval = –0.4, –6.9), or approximately 10% of the preintervention average. The policy had no statistically significant effect on female suicides.

Conclusions. Our results show the effectiveness of this specific policy in reducing male suicides in Slovenia and also hint at the potential of public policy in reducing the public health burden of alcohol-related harm more generally.




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