This study used bivariate and multivariate analyses to examine nine risk fa
ctors for suicide attempts among 80 women (51 attempters, 29 controls) with
a history of alcohol problems who were recruited from a large, inner-city
hospital. Prior studies established that each of the examined factors incre
ased the risk for suicidal behavioral, but these studies have varied accord
ing to whether or not they consisted exclusively of persons with alcohol pr
oblems. Whereas eight of the nine factors were bivariately associated with
suicide attempt status in this study, only three factors (hopelessness, rec
ent interpersonal loss, childhood trauma) remained significant in the multi
variate analysis. These findings illuminate the importance of using multiva
riate analyses when aiming to identify factors that uniquely increase the r
isk for suicidal behavior among persons with alcohol problems. (C) 1999 Els
evier Science Ltd.