The Zero Suicide model in addiction treatment settings: Recognizing the need for feasibility and implementation data

The Zero Suicide (ZS) model is a promising approach for preventing all suicides across health care settings. ZS provides guidelines for health care systems to implement best practices in suicide prevention. Patients with substance use disorders are at increased risk for suicide, but no known research has investigated how to integrate the ZS model into […]

Summary report: Experience and expertise of people with lived and living experience on the integration of mental health and substance use health services in Canada

This report is focused on how people in Canada experience formal integrated services when they have questions or concerns about their mental health and substance use health. An equally important theme that emerged during its interviews and focus groups were the expressions of “service” study participants give to friends, families, and strangers, which complement or […]

Integrated mental health, substance use and concurrent disorder service delivery

Over the past 20 years, the case has resoundingly been made for the transformation of mental health and substance use care into a collaborative system of support. Recognizing that mental health and substance use concerns are often co-occurring, and having to access separate services can be a barrier to whole-person health, the integration of these […]

Flawed reports can harm: The case of supervised consumption services in Alberta

Supervised consumption services have been scaled up within Canada and internationally as an ethical imperative in the context of a public health emergency. A large body of peer-reviewed evidence demonstrates that these services prevent poisoning deaths, reduce infectious disease transmission risk behaviour, and facilitate clients’ connections to other health and social services. In 2019, the […]

Cannabis, mental health and substance use health: Research knowledge exchange event March 1, 6 and 7, 2023. Summary report

The event objectives were as follows: 1. Identify and disseminate key findings from the funded research on the effects of cannabis, mental health and substance use health. 2. Build relationships among those who do cannabis-related research, looking at the effects of cannabis on mental health and substance use health. 3. Identify gaps and priorities to […]

Transgender individuals are at higher risk for suicidal ideation and preparation than cisgender individuals in substance use treatment

Introduction: This study describes the differences and similarities in mental health, substance use, and substance use treatment outcomes between people presenting for SUD treatment who identified as transgender and those who identified as cisgender men or women. Methods: We compared 64 individuals who self-identified as transgender and presented for SUD treatment to samples of cisgender men and […]

Mechanical restraint in inpatient psychiatric unit: Prevalence and associated clinical variables

Background and Objectives: mechanical restraint (MR) is a controversial issue in emergency psychiatry and should be better studied to implement other alternative therapeutic interventions. The aim of this study was to estimate the prevalence of MR in an Italian psychiatric unit and identify the sociodemographic and clinical characteristics as well as the pharmacological pattern associated […]

Mental health of South Korean adolescents in the COVID‑19 Era: Web‑based survey focused on suicide‑related factors

Background The coronavirus disease 2019 (COVID-19) pandemic has negatively impacted many aspects of life. Measures for preventing the spread of COVID-19 (e.g., school lockdowns, remote and hybrid classes, group and outdoor activity restrictions, and social distancing in the classroom and meal time) could have led to adolescents to experience anxiety and depressive symptoms. Such mental […]

The temporal association between suicide and comorbid mental disorders in people treated for substance use disorders: A National registry study

Background The time after contact with specialized health services for mental health and substance use is associated with an increased risk of suicide, where temporal aspects of suicide and comorbid mental disorders in patients with substance use disorders could be associated. This study aimed to examine the temporal association between time from last treatment contact […]

Association of opioid or other substance use disorders with health care use among patients with suicidal symptoms

Introduction Prior literature establishes noteworthy relationships between suicidal symptoms and substance use disorders (SUDs), particularly opioid use disorder (OUD). However, engagement with health care services among this vulnerable population remains underinvestigated. This study sought to examine patterns of health care use, identify risk factors in seeking treatment, and assess associations between outpatient service use and emergency department (ED) visits. Methods […]

Exploring correlates of involuntary treatment in substance use disorders: A global systematic review and meta-analysis

Given the legislative heterogeneity about involuntary treatment and psychoactive substance users, we opted to perform a systematic review and meta-analysis of the correlates of involuntary substance use disorders (SUD) treatment across different countries. We conducted research on the Pubmed database, searching for involuntary SUD treatment data worldwide. The systematic review analysed a total of 36 […]

Trapped by the high: What addiction is and how it changes the brain

Suicide ideation and behavior and ATOD use among bisexual high school students

Background Research has indicated that sexual minorities have higher prevalence rates for ATOD use and suicide ideation and behavior compared to heterosexual youth. Yet, most studies to date have combined gay, lesbian, and bisexuals into one category. This study sought to assess the uniqueness of bisexuality to assess the risk of ATOD use and suicide […]

The association between social fragmentation and deaths attributable to alcohol, drug use, and suicide: Longitudinal evidence from a population-based sample of Canadian adults

Background: Social fragmentation has been theorized and empirically associated with suicide in prior research. However, less is known about whether social fragmentation is associated with deaths attributed to alcohol use or drug use. This research examined the association between social  fragmentation and risk for deaths attributable to alcohol use, drug use, and suicide (collectively known […]

Suicide from intimate partner and other relationship conflicts: Demographic and clinical correlates’

Background: A significant portion of suicides are precipitated by interpersonal relationship problems. Aims: To examine demographic and clinical correlates of any intimate partner conflicts (IPC) and other interpersonal conflicts (OPC) as suicide precipitants. Methods: We analyzed data on 92,805 (72,628 male; 20,177 female) adult suicide decedents from the 2017 to 2019 U.S. National Violent Death Reporting System, using […]

Pilot randomized controlled trial of a brief strategy to prevent suicide after discharge from residential addiction treatment

Introduction Veterans are at greater risk for suicide and veterans with substance use disorder (SUD) have an even greater risk. Little research has looked into brief interventions to prevent suicide in this population in residential substance use treatment programs. Method We conducted a pilot, randomized controlled trial of a brief suicide prevention strategy called Veterans Affairs Brief Intervention and Contact Program […]

The relationship between adverse childhood experiences and suicide-related behaviours in Indigenous clients seeking substance use treatment

Indigenous populations in Canada are at higher risk of adverse childhood experiences (ACEs; e.g., abuse, neglect, or other household challenges before the age of 18) when compared to non-Indigenous populations. As the number of ACEs increase, so do rates of substance use and suicide risk. In non-Indigenous populations, the presence of prior suicide-related behaviours (SRBs) […]

Suicidal ideation among Canadian adults during the COVID‑19 pandemic: The role of psychosocial factors and substance use behaviours

Background Suicide is one of the most important and increasing public health agenda around the world. Since the COVID-19 pandemic, concerns have been raised about the potential adverse impacts of the pandemic on suicide-related outcomes. The main objective of this study was to examine the association of psychosocial risk factors (mental health illnesses and social […]

Implementing suicide risk screening in a virtual addiction clinic

The purpose of this study was to describe the feasibility of implementing suicide risk screening in a virtual addiction clinic. Suicide risk screening was implemented in a virtual addiction clinic serving individuals with substance use disorders (SUD) using a quality improvement framework. One-hundred percent (252/252) of eligible patients enrolled in the clinic were screened for […]

Factors associated with suicide in people who use drugs: A scoping review

Background Suicide is a significant contributor to global mortality. People who use drugs (PWUD) are at increased risk of death by suicide relative to the general population, but there is a lack of information on associated candidate factors for suicide in this group. The aim of this study was to provide a comprehensive overview of […]

Characteristics and related factors of suicide attempts among patients admitted to an Iranian poisoning center: Implications for suicide prevention

Background: Suicide is a major public health concern worldwide. Iran is no exception, with suicide rates increasing in recent years. Understanding the characteristics and related factors of suicide attempts can help inform suicide prevention efforts in Iran. Methods: A cross-sectional study was conducted on patients who attempted suicide and were admitted to the poisoning emergency […]

Substance abuse treatment: Group therapy

This guide helps counselors improve their skills in leading group therapy sessions for substance use treatment. The guide discusses types of group therapy, confidentiality, client placement, group development, stages of treatment, how-to tips, training, and supervision.

Suicidal behaviors and risk taking among homeless individuals: A systematic review and meta-analysis

The present systematic review and meta-analysis study aimed to determine sociodemographic characteristics, risky behaviors, mental health disorders, and substance use disorders associated with suicide behaviors including suicidal ideation and suicide attempts among homeless individuals. PubMed, Scopus, Web of Science, and Cochrane Library databases were searched to identify the relevant studies published between January 1, 1995 and November 1, 2022. […]