@article{ref1,
title="Substance use-related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data",
journal="Suicide and life-threatening behavior",
year="2021",
author="Mennicke, Annelise and Kaniuka, Andrea R. and Pruneda, Phoebe and Cramer, Robert J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Suicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance-related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance-related suicide deaths unique to, or generalizing across, facility discharge. <br><br>METHODS: We used data from the National Violent Death Reporting System. Suicide deaths (N = 105,968) were aggregated from 2003 to 2017. Chi-square and independent samples t-tests were used to examine associations between drug/alcohol-related deaths and each correlate. Logistic regression was employed to identify the most robust substance-related suicide death-related factors. <br><br>RESULTS: Suicide deaths were commonly marked as being substance-related: 69% from correctional institutions, 54% from behavioral health facilities, 45% from those not released from a facility, and 39% from healthcare facilities. Regression models indicated housing interruptions and interpersonal stressors increased odds of the suicide death being marked as substance-related across discharge categories. Each discharge category also had unique predictors, underscoring the need for tailored prevention. <br><br>CONCLUSIONS: Substance-related suicide deaths are particularly common among adults discharged from correctional and behavioral health facilities. <br><br>FINDINGS are discussed with respect to community-focused, discharge planning, and clinical care suicide prevention strategies.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12813",
url="http://dx.doi.org/10.1111/sltb.12813"
}