By Richard Bade, Bradley S. Simpson, Maulik Ghetia, Lynn Nguyen, Jason M. White, Cobus Gerber

Aim: To assess the effects of social distancing and social isolation policies triggered by COVID-19 on alcohol consumption using wastewater analysis in Adelaide, South Australia.

Design: Longitudinal quantitative analysis of influent wastewater data for alcohol concentration.

Setting: Adelaide, South Australia.

Participants: Wastewater catchment area representative of 1.1 million inhabitants.

Measurements: Twenty-four hour composite influent wastewater samples were collected from four wastewater treatment plants in Adelaide, South Australia for 7 consecutive days (Wednesday–Tuesday) every 2 months from April 2016–April 2020. The alcohol metabolite ethyl sulfate was measured in samples using chromatography–tandem mass spectrometry. Data were population-weighted adjusted with consumption expressed as standard drinks/day/1000 people. Weekly consumption and weekend to mid-week consumption ratios were analysed to identify changes in weekday alcohol use pattern.

Findings: Estimated weekend alcohol consumption was significantly lower (698 standard drinks/day/1000 people) after self-isolation measures were enforced in April 2020 compared with the preceding sampling period in February 2020 (1047 standard drinks/day/1000 people), P < 0.05. Weekend to midweek consumption ratio was 12% lower than the average ratio compared with all previous sampling periods. April 2020 recorded the lowest alcohol consumption relative to April in previous years, dating back to 2016.

Conclusions: Wastewater analysis suggests that introduction of social distancing and isolation policies triggered by COVID-19 in Adelaide, South Australia, was associated with a decrease in population-level weekend alcohol consumption.

Addiction, Volume116, Issue6. June 2021. Pages 1600-1605

By Thomas Joiner

Of the approximately 38,500 deaths by suicide in the U.S. annually, about two percent--between 750 and 800--are murder-suicides. The horror of murder-suicides looms large in the public consciousness--they are reported in the media with more frequency and far more sensationalism than most suicides, and yet we have little understanding of this grave form of violence.

In The Perversion of Virtue, leading suicide researcher Thomas Joiner explores the nature of murder-suicide and offers a unique new theory to explain this nearly unexplainable act: that murder-suicides always involve the wrongheaded invocation of one of four interpersonal virtues: mercy, justice, duty, and glory. The parent who murders his child and then himself seeks to save his child from a fatherless life of hardship; the wife who murders her husband and then herself seeks to right the wrongs he committed against her, and so on. Murder-suicides involve the gross misperception of when and how these four virtues should be applied.

Drawing from extensive research as well as real examples from the media, Joiner meticulously examines, deconstructs, and finally rebuilds our understanding of murder-suicide in such a way that brings tragic reason to what may seem an unfathomable act of violence. Along the way, he dispels some of the most enduring myths of suicide--for instance, that suicide is usually an impulsive act (it is almost always pre-meditated), or that alcohol or drugs are involved in most suicides (usually they are not).

Oxford, UK: Oxford University Press, 2014. 264p.