{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T18:42:46Z","timestamp":1776883366391,"version":"3.51.2"},"reference-count":62,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Suicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance\u2010related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance\u2010related suicide deaths unique to, or generalizing across, facility discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used data from the National Violent Death Reporting System. Suicide deaths (<jats:italic>N\u00a0<\/jats:italic>=\u00a0105,968) were aggregated from 2003 to 2017. Chi\u2010square and independent samples t\u2010tests were used to examine associations between drug\/alcohol\u2010related deaths and each correlate. Logistic regression was employed to identify the most robust substance\u2010related suicide death\u2010related factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Suicide deaths were commonly marked as being substance\u2010related: 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\u2010related across discharge categories. Each discharge category also had unique predictors, underscoring the need for tailored prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Substance\u2010related suicide deaths are particularly common among adults discharged from correctional and behavioral health facilities. Findings are discussed with respect to community\u2010focused, discharge planning, and clinical care suicide prevention strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12813","type":"journal-article","created":{"date-parts":[[2021,10,28]],"date-time":"2021-10-28T04:05:18Z","timestamp":1635393918000},"page":"132-146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Substance use\u2010related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data"],"prefix":"10.1111","volume":"52","author":[{"given":"Annelise","family":"Mennicke","sequence":"first","affiliation":[{"name":"University of North Carolina at Charlotte Charlotte North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea R.","family":"Kaniuka","sequence":"additional","affiliation":[{"name":"University of North Carolina at Charlotte Charlotte North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phoebe","family":"Pruneda","sequence":"additional","affiliation":[{"name":"University of North Carolina at Charlotte Charlotte North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Cramer","sequence":"additional","affiliation":[{"name":"University of North Carolina at Charlotte Charlotte North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"American Foundation for Suicide Prevention. 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