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The most common substances co-occurring with alcohol were marijuana, antidepressants, opioids, and benzodiazepines; polysubstance use was high, with 52% testing positive for alcohol and \u22651 other substance. Findings suggest an overall alcohol-involved suicide mortality rate of 24%, appearing higher than prior estimates.<\/jats:p>","DOI":"10.1093\/alcalc\/agag065","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:26:35Z","timestamp":1789755995000},"source":"Crossref","is-referenced-by-count":0,"title":["Alcohol-involved suicide mortality prevalence estimates and identification of co-occurring substance use from the National Violent Death Reporting System, 2022\u20132023"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8679-3771","authenticated-orcid":false,"given":"Madeline B","family":"Benz","sequence":"first","affiliation":[{"name":"Department of Psychiatry & Human Behavior, Warren Alpert Medical School of Brown University , 222 Richmond St., Providence, RI 02903 ,","place":["United States"]},{"name":"Psychosocial Research Department, Butler Hospital , 345 Blackstone Blvd., Providence, RI 02906 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