Five. Substance Use Disorders and Suicidal Behaviour

  1. Rory C. O'Connor5,
  2. Stephen Platt6 and
  3. Jacki Gordon7
  1. Kenneth R. Conner1,2 and
  2. Mark A. Ilgen3,4

Published Online: 21 JUN 2011

DOI: 10.1002/9781119998556.ch5

International Handbook of Suicide Prevention: Research, Policy and Practice

International Handbook of Suicide Prevention: Research, Policy and Practice

How to Cite

Conner, K. R. and Ilgen, M. A. (2011) Substance Use Disorders and Suicidal Behaviour, in International Handbook of Suicide Prevention: Research, Policy and Practice (eds R. C. O'Connor, S. Platt and J. Gordon), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119998556.ch5

Editor Information

  1. 5

    Suicidal Behaviour Research Group, Centre for Health and Behaviour Change, School of Natural Sciences, University of Stirling, Scotland, UK

  2. 6

    Centre for Population Health Sciences, School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh, Scotland, UK

  3. 7

    Jacki Gordon + Associates, Glasgow, Scotland, UK

Author Information

  1. 1

    University of Rochester Medical Center, Rochester, New York, USA

  2. 2

    VA VISN 2 Center of Excellence, Canandaigua, New York, USA

  3. 3

    VA Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan, USA

  4. 4

    University of Michigan Department of Psychiatry, Ann Arbor, Michigan, USA

Publication History

  1. Published Online: 21 JUN 2011
  2. Published Print: 1 JUL 2011

ISBN Information

Print ISBN: 9780470683842

Online ISBN: 9781119998556



  • substance use disorders and suicidal behaviour;
  • individuals with substance use disorders (SUDs) - alcohol use disorders (AUDs), drug use disorders (DUDs), elevated suicidal behaviour risks;
  • role of three key distal risk factors - in suicidal behaviour, severity of SUD, aggression/impulsivity and negative affectivity;
  • individuals with SUDS - at elevated risk;
  • severe substance use disorder, a distal risk factor - individuals, at higher- and lower-risk for suicidal behaviour;
  • interpersonal stress - as a proximal risk factor;
  • integration, model of suicidal behaviour - distal and proximal risk factors, individuals with SUDs;
  • model of distal and proximal risk - for suicidal behaviour, individuals with SUDs;
  • model, individuals with SUDs - negative affectivity, diathesis for suicidal behaviour;
  • interventions, targeting suicidal behaviour - reducing, substance use disorder symptoms


This chapter contains sections titled:

  • Abstract

  • Introduction

  • Evidence that Individuals with SUDS are at Elevated Risk

  • Distal Risk Factors for Suicidal Behaviour among Individuals with SUDS

  • Proximal Risk Factors among Individuals with SUDS

  • Integration: Model of Suicidal Behaviour

  • Conclusions and Future Directions

  • References