TY  - JOUR
PY  - 2021//
TI  - Substance use, current criminal justice involvement, and lifetime suicidal thoughts and behaviors history: the moderating role of thwarted belonging
JO  - Suicide and life-threatening behavior
A1  - Mitchell, Sean M.
A1  - Brown, Sarah L.
A1  - Görgülü, Tuğba
A1  - Conner, Kenneth R.
A1  - Swogger, Marc T.
SP  - 237
EP  - 246
VL  - 51
IS  - 2
N2  - OBJECTIVE: Criminal justice involvement, substance use, and suicide pose significant public health concerns; however, the unique and synergistic effects of these experiences among high-risk individuals remain understudied. We hypothesized positive main effects for alcohol-related severity, drug-related severity, current criminal justice involvement, and thwarted belonging (TB) on suicide ideation history (SIH) and suicide attempt history (SAH) and that TB would moderate these associations. <br><br>METHOD: We report on cross-sectional analyses of self-report assessments completed by 824 adult residential substance use patients. <br><br>RESULTS: Multinomial logistic regression analyses indicated that as alcohol- and drug-related severity increases, the probability of SIH and SAH increases; however, TB was only associated with a higher SIH probability. Significant two-way interactions (current criminal justice involvement*TB; alcohol-related severity*TB) indicated that (1) those high in TB with current criminal justice involvement were more likely to report a SIH than those without current criminal justice involvement; and (2) those low in TB and alcohol-related severity had the lowest SAH probability, whereas those low in TB and high in alcohol-related severity had the highest SAH probability. <br><br>CONCLUSION: The unique and combined effects of interpersonal and contextual risk factors may improve suicide risk conceptualization and assessment, and allow for tailored treatments for this high-risk population.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12699
ID  - ref1
ER  -