Why Does Substance Use Increase the Risk for Suicide?

a person who is at risk of suicide

Have you ever wondered why substance use is closely linked to an increased risk of suicide? Imagine a scenario where all the stress piles up—financial strain, job insecurity, relationship issues—and there seems to be no escape. For some, turning to substances like alcohol or illicit drugs provides temporary security.

However, this coping mechanism can often spiral into a cycle of addiction and despair, sometimes resulting in tragic outcomes such as suicide. Knowing these connections can be life-changing, offering hope and pathways to recovery for those affected.

What Is Substance Use?

Substance use involves the consumption of alcohol, illicit drugs, or prescription medications beyond their intended use. There are different types of substance use, and each carries its own set of risks:

  • Alcohol Use Disorders (AUD). Alcohol abuse or chronic use leads to addiction and various health problems.

  • Opioid Use Disorders. Chronic opioid misuse—either prescription painkillers or illegal drugs like heroin.

  • Drug Use Disorders. The abuse of illicit drugs such as cocaine, methamphetamine, and marijuana.

These disorders can lead to significant mental health issues, physical health deterioration, and behavioral problems, making them a critical public health concern.

Signs and Symptoms of SUD

  • Behavioral Changes. Increased use of substances, engaging in risky behaviors, social isolation, suicidal behavior, and neglect of daily responsibilities.

  • Emotional and Mental Health Symptoms. Persistent sadness, irritability, feelings of worthlessness, aggressive behavior, and suicidal thoughts.

  • Physical Symptoms. Significant weight changes, disrupted sleep patterns, and substance-specific signs like bloodshot eyes and poor coordination.

Why Do People Develop Substance Use Disorders?

  • Mental Disorders. Individuals with psychiatric conditions like depression, bipolar disorder, or anxiety are more susceptible to substance abuse as a form of self-medication.

  • Genetic Predisposition. A family history of substance use disorders or mental health disorders is a risk factor for developing similar issues.

  • Environmental Factors. Exposure to stress, trauma, childhood abuse, and social isolation are common risk factors that can drive individuals toward substance use as a coping mechanism.

  • Peer Pressure and Social Influence. Adolescents and young adults are particularly affected by peer pressure, leading to experimenting with substances.

  • Accessibility and Availability. Easy access to drugs or alcohol can increase the likelihood of experimenting with these substances. Environments where substance use is normalized or encouraged can lead to higher rates of abuse.

  • Chronic Pain or Medical Conditions. People suffering from chronic pain or other medical conditions may turn to prescription medications or illicit drugs to manage their symptoms. Over time, this can lead to dependency and addiction.

  • Lack of Coping Skills. Some individuals may lack effective coping mechanisms for dealing with life's challenges. Without healthy ways to manage stress, they might resort to substance use as a way to escape their problems or numb their feelings.

How Does Substance Use Disorder Increase the Risk of Suicide?

Impaired Judgment

Substance use lowers inhibitions and impairs judgment, making it more difficult for individuals to think clearly and rationally. This impairment significantly increases the likelihood of engaging in risky behaviors, including self-harm and suicidal actions. When under the influence, individuals may make impulsive decisions that they would not consider while sober, leading to fatal consequences.

Exacerbation of Psychiatric Symptoms

Substance abuse often worsens existing mental health conditions, such as depression, anxiety, and other psychiatric disorders. This exacerbation creates a vicious cycle where mental health issues are both a cause and a consequence of substance use. Increased severity of these symptoms can lead to heightened feelings of hopelessness and despair, directly influencing suicidal tendencies.

History of Suicide and Behavioral Patterns

Individuals with substance use disorders frequently exhibit a history of suicidal behavior, including previous suicide attempts. This history significantly escalates their current risk for suicide, as past behavior is a strong predictor of future actions. Additionally, aggressive behaviors and impulsivity associated with substance use disorders can further affect an individual's mental state, making these factors for suicide.

Physical and Emotional Despair

Chronic use of substances like opioids or alcohol leads to a deterioration of physical health status and emotional well-being. The long-term impact on the body can create a state of physical despair, where individuals feel trapped in a cycle of addiction and declining health. Emotionally, the persistent struggle with substance use can lead to feelings of worthlessness and profound isolation. This combination often drives individuals toward suicidal thinking as they see no escape from their suffering.

Social Isolation

Substance use disorder can disrupt relationships, leading to social isolation and loss of support networks, which may elevate the risk of suicide, according to the Centers for Disease Control and Prevention. Social isolation removes essential support networks that are essential for emotional and mental stability. Without this support, individuals are left to cope with their struggles alone, increasing the prevalence of suicidal thoughts and behaviors.

How Can Suicide Be Prevented?

  • Hotlines and Support Groups. Immediate assistance is essential for those experiencing suicidal thoughts. Hotlines offer 24/7 confidential support, facilitating transitions to long-term care. Support groups provide safe spaces for sharing experiences, reducing isolation, and offering peer support.

  • Counseling. Professional counseling is essential in preventing suicide. Therapies with mental health professionals, like cognitive-behavioral therapy, help individuals change negative patterns. Dialectical behavior therapy teaches emotional regulation. Motivational interviewing fosters internal motivation to change behaviors.

  • Family and Community Support. Strong support systems protect against suicide risk. Education informs families and communities about warning signs, leading to early intervention. Family involvement in recovery provides accountability and emotional support.

  • Integrated Treatment Programs. Treating both substance use and mental health disorders is vital. Dual Diagnosis Treatment Centers offer specialized care. Outpatient and inpatient treatments provide structured environments for recovery, including detoxification, therapy, and long-term support.

  • Community Resources and Engagement. Community interventions are key in suicide prevention. School-based services offer early intervention for adolescents, while workplace programs include mental health screenings, stress management workshops, and confidential counseling.

  • Policy and Advocacy. Advocating for supportive policies can enhance mental health and substance use treatment. Public health campaigns raise awareness about the link between substance use and suicide, promoting preventive behaviors.

  • Regular Follow-Up and Monitoring. Continuous follow-up prevents relapse and reduces suicide risk. Also, regular check-ins monitor progress. Ongoing therapy and support groups provide long-term assistance for mental health and substance use recovery.

  • Harm Reduction Interventions. Harm reduction strategies lower the immediate risk of suicide. Safe use programs connect individuals with treatment. Naloxone distribution reverses opioid overdoses, providing a critical intervention.

  • Education and Training. Education leads to earlier interventions. Training programs equip professionals and community leaders to recognize signs of suicidal behaviors. Public awareness campaigns promote understanding and reduce mental health and substance use stigma.

Break the Cycle: Seek Professional Help at Harbor Care Today

Knowing why substance use increases the risk of suicide is not just an academic exercise—it's a matter of saving lives. The link between substance use and suicidal behaviors is well-documented, and those struggling with these issues are at a significantly greater risk for suicide.

If you or someone you know is struggling with substance use disorders or exhibiting suicidal thinking, don't wait until it's too late. Contact Harbor Care today for support. Our dedicated team is here to provide you with the compassionate care and comprehensive interventions you need to find a path forward.

David Henderson