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Chunk #30 — DISCUSSION

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Reciprocal relationships between substance use and disorders and suicidal ideation and suicide attempts in the Collaborative Study of the Genetics of Alcoholism.
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for depressed mood (Hughes, 2008). Finally, the role of both acute and chronic alcohol use in SA has also been closely studied (Bagge et al., 2008; Conner et al., 2014). Within this literature, there are several proposed pathways that support our finding. For instance, escalation in alcohol use, subsequent to ideation, may reflect changes in drinking expectancies or motives or to facilitate SA. Distal effects have also been proposed – for instance, alterations in the residential, educational or vocational environment subsequent to SA, as well as other profound environmental changes (e.g., hospitalization) might result in escalations in problematic alcohol use (Bagge and Sher, 2008).