Alcohol consumption associated with suicidal ideation, and suicide attempts in substance users: A cross-sectional study of an addiction registry in western Iran.

<h4>Background</h4>Suicide is recognized as a major problem worldwide and is particularly prevalent among specific groups, including individuals with substance use disorders (SUDs). The present study aimed to investigate alcohol consumption as a risk factor for suicidal ideation and atte...

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Main Authors: Vahid Farnia, Mahsa Mohebian, Omran Davarinejad, Denise A Hien, Safora Salemi, Sara Hookari, Hafez Bajoghli, Bahareh Rahami
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317456
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Summary:<h4>Background</h4>Suicide is recognized as a major problem worldwide and is particularly prevalent among specific groups, including individuals with substance use disorders (SUDs). The present study aimed to investigate alcohol consumption as a risk factor for suicidal ideation and attempts among those with substance use disorders (SUDs) in western Iran.<h4>Methods</h4>This is a cross-sectional study, involving 1,112 individuals with SUDs who sought treatment at Farabi Hospital in Kermanshah, Iran, between the years 2019 and 2021. These participants were included in the study through a convenient sampling method as part of an interview-based assessment study.<h4>Results</h4>The participant's average age was 37.97 years, and 982 were male (94.7%). Overall, 285 (27.5%) individuals had a history of suicide attempts, 316 (30.5%) individuals reported suicidal ideation, and 463 (41.6%) were alcohol users. In individuals who consumed alcohol, the prevalence of suicidal ideation (172 (37.2%) individuals), and a history of suicide attempts (156 (33.8%) individuals) was significantly higher compared to non-alcohol users. There was a statistically significant relationship between alcohol consumption and a history of suicide attempts (p < 0.05). The probability of suicide attempted in people with a history of alcohol consumption was 1.5 times, and in patients with a history of simultaneous substance use, it was 1.4 times that of other patients (all Ps < 0.05).<h4>Conclusion</h4>Our study results revealed that alcohol consumption among individuals with SUDs is associated with increased rates of suicidal ideation, attempts, and death. Therefore, clinicians should consider it as a separate suicide risk factor.
ISSN:1932-6203