{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:39:51Z","timestamp":1790998791021,"version":"4.1.0"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100012286","name":"Deputy for Research and Technology, Kermanshah University of Medical Sciences","doi-asserted-by":"publisher","award":["97200"],"award-info":[{"award-number":["97200"]}],"id":[{"id":"10.13039\/501100012286","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Background<\/jats:title>\n \n Suicide is recognized as a major problem worldwide and is particularly prevalent among specific groups, including individuals with substance use disorders (SUD\n s<\/jats:sub>\n ). The present study aimed to investigate alcohol consumption as a risk factor for suicidal ideation and attempts among those with substance use disorders (SUDs) in western Iran.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is a cross-sectional study, involving 1,112 individuals with SUDs who sought treatment at Farabi Hospital in Kermanshah, Iran, between the years 2019 and 2021. These participants were included in the study through a convenient sampling method as part of an interview-based assessment study.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The participant\u2019s average age was 37.97 years, and 982 were male (94.7%). Overall, 285 (27.5%) individuals had a history of suicide attempts, 316 (30.5%) individuals reported suicidal ideation, and 463 (41.6%) were alcohol users. In individuals who consumed alcohol, the prevalence of suicidal ideation (172 (37.2%) individuals), and a history of suicide attempts (156 (33.8%) individuals) was significantly higher compared to non-alcohol users. There was a statistically significant relationship between alcohol consumption and a history of suicide attempts (p < 0.05). The probability of suicide attempted in people with a history of alcohol consumption was 1.5 times, and in patients with a history of simultaneous substance use, it was 1.4 times that of other patients (all Ps < 0.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Our study results revealed that alcohol consumption among individuals with SUD\n s<\/jats:sub>\n is associated with increased rates of suicidal ideation, attempts, and death. Therefore, clinicians should consider it as a separate suicide risk factor.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0317456","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T13:34:30Z","timestamp":1738676070000},"page":"e0317456","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Alcohol consumption associated with suicidal ideation, and suicide attempts in substance users: A cross-sectional study of an addiction registry in western Iran"],"prefix":"10.1371","volume":"20","author":[{"given":"Vahid","family":"Farnia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9885-634X","authenticated-orcid":true,"given":"Mahsa","family":"Mohebian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omran","family":"Davarinejad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6954-2882","authenticated-orcid":true,"given":"Denise","family":"A. 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