or narcissistic personality disorders, are at a high risk of suicide. In this group, elevated suicide risk is associated with younger age, comorbid drug addiction and major mood disorders, a history of childhood sexual abuse, impulsive and antisocial personality traits, and recent reduction of psychiatric care, such as recent discharge from hospital. While some people with personality disorders may make manipulative or contingent suicide threats, the threat is likely to be non-contingent when the person is silent, passive, withdrawn, hopeless, and making few demands. A history of excessive alcohol use is common among people who die from suicide, and alcohol intoxication at the time of the suicide attempt is a common pattern. Meta analytic research conducted in 2015 indicates that a person with co-occurring alcohol use disorder and major depression is more likely to ideate, attempt, and complete suicide than those with individual disorders. Theoretical models See also Mental status examination (MSE) Notes References Further reading By comparing this text with earlier editions, unchanging fundamentals can be identified. Mental disorders screening and assessment tools Suicide prevention Treatment of bipolar disorder