In recent episodes we’ve discussed mental health issues that have a relationship to suicide. Now we’ll explore substance abuse and its impact on suicide.  Abusing drugs and alcohol can have a huge effect on our physical and emotional health. However, can substance abuse really increase the risk for suicide?  Simply put, yes. 

Under the influence, our decision making is impaired. Furthermore, people are not known for their great judgement when drunk or high.  In fact, substance use makes people act in ways they normally wouldn’t, including acting on impulses. Importantly, there is a strong relationship between impulsivity and suicide. For example, according to the Partnership to End Addiction, 25% of people who died by suicide had over the legal limit of alcohol in their systems.  Alcohol is readily available, which may explain why it is more often utilized by people who are suicidal. Moreover, opioids are extremely lethal and are responsible for a tremendous number of overdose deaths.  Those overdoses could be accidental or intentional. 

Having a substance abuse problem may make people feel hopeless or that they are a burden. Additionally, people who abuse substances become increasingly isolated.  Hopelessness, burdensomeness, and isolation have a direct relationship to suicidal thoughts. It can be very hard for a person to admit they have a problem. (In fact, this week’s blog is on that very topic, “The Denial Dilemma.”) Fortunately, we know that both substance abuse and thoughts of suicide are treatable. Working on one issue can usually help relieve the other.