{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T01:47:37Z","timestamp":1767923257170,"version":"3.49.0"},"reference-count":19,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Abstract: Background: The interpersonal theory of suicide (ITS) may explain the link between alcohol use severity and suicidal ideation (SI) through interpersonal stressors at elevated alcohol use levels. Aims: This study aimed to clarify the indirect effects of perceived burdensomeness (PB) and thwarted belongingness (TB) in this relationship. Method: Cross-sectional data on SI, ITS, and alcohol use severity variables were collected via an online sample ( N = 299) screened for lifetime suicidal thoughts or behaviors, nonsuicidal self-injury, and alcohol use. Associations were tested using linear regression with parallel mediators. Results: Alcohol use severity was indirectly linked to SI through the unique indirect effect of PB, and the total indirect effect of both TB and PB. Limitations: Limitations include the cross-sectional design and use of an online sample, which limit causal inferences and generalizability to other high-risk populations. Conclusion: PB and the additive indirect effect of TB and PB may explain the positive relation between alcohol use and SI; implications are discussed.<\/jats:p>","DOI":"10.1027\/0227-5910\/a001013","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T08:05:06Z","timestamp":1750838706000},"page":"345-348","source":"Crossref","is-referenced-by-count":1,"title":["The Indirect Association Between Alcohol Use and Suicide Ideation Through Perceived Burdensomeness and Thwarted Belonging in a High-Risk USA Sample"],"prefix":"10.1027","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0302-7980","authenticated-orcid":true,"given":"Cole","family":"Marvin","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3781-0560","authenticated-orcid":true,"given":"Michael","family":"LeDuc","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-7368","authenticated-orcid":true,"given":"Sean","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3421-1650","authenticated-orcid":true,"given":"Devin","family":"Mills","sequence":"additional","affiliation":[{"name":"Community, Family, and Addiction Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2007.26.8.896"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2021.1931595"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.04.010"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.12.009"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-021815-093623"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000123"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.06.007"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000084"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.05.045"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12269"},{"key":"c9","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes A. 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