Mitchell, Sean MBrown, Sarah L.Görgülü, TuğbaConner, Kenneth R.Swogger, Marc T.2021-04-262021-04-262021Mitchell, S. M., Brown, S. L., Görgülü, T., Conner, K. R., & Swogger, M. T. (2021). Substance use, current criminal justice involvement, and lifetime suicidal thoughts and behaviors history: The moderating role of thwarted belonging. Suicide & life-threatening behavior, 51(2), 237–246. https://doi.org/10.1111/sltb.12699https://doi.org/10.1111/sltb.12699https://hdl.handle.net/20.500.12713/1702Objective: Criminal justice involvement, substance use, and suicide pose significant public health concerns; however, the unique and synergistic effects of these experiences among high-risk individuals remain understudied. We hypothesized positive main effects for alcohol-related severity, drug-related severity, current criminal justice involvement, and thwarted belonging (TB) on suicide ideation history (SIH) and suicide attempt history (SAH) and that TB would moderate these associations. Method: We report on cross-sectional analyses of self-report assessments completed by 824 adult residential substance use patients. Results: Multinomial logistic regression analyses indicated that as alcohol- and drug-related severity increases, the probability of SIH and SAH increases; however, TB was only associated with a higher SIH probability. Significant two-way interactions (current criminal justice involvement*TB; alcohol-related severity*TB) indicated that (1) those high in TB with current criminal justice involvement were more likely to report a SIH than those without current criminal justice involvement; and (2) those low in TB and alcohol-related severity had the lowest SAH probability, whereas those low in TB and high in alcohol-related severity had the highest SAH probability. Conclusion: The unique and combined effects of interpersonal and contextual risk factors may improve suicide risk conceptualization and assessment, and allow for tailored treatments for this high-risk population.eninfo:eu-repo/semantics/closedAccessCriminal Justice SystemSubstance UseSuicide AttemptSuicide IdeationThwarted BelongingArticle51223724633876498WOS:0006412766000082-s2.0-85104504614Q110.1111/sltb.12699N/A