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Adult mental health
Cause-specific excess mortality after first diagnosis of bipolar disorder: population-based cohort study
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  • Published on: 23 October 2023
    Why "Alcohol Abuse" Needs to Go

    I read this paper with great interest. The finding that 29% of somatic deaths were alcohol-related warrants further investigation, especially since, as the authors state, alcohol contributes to other somatic causes of death (e.g., cancer, CVD) that, in this methodology, were not classified as alcohol-related.

    I would encourage the authors to refrain from using terms such as “alcohol abuse” as was used in this publication. While this term is ubiquitous in the alcohol literature, it perpetuates stigma toward individuals who have alcohol use disorder and/or drink alcohol at high-risk levels. Indeed, evidence has demonstrated that using words like “substance abuser” or “abuse” can lead to feelings that those who use alcohol and/or other drugs are to blame for their situation (1). Alternative terms such as “those drinking at high-risk levels” would be preferred (2).

    References 

    (1) https://www.sciencedirect.com/science/article/pii/S0955395909001546?via%...
    (2) https://journals.sagepub.com/doi/10.1177/17579139221093163?icid=int.sj-f...

    Conflict of Interest:
    None declared.