Suicide attempts history and affecting psychosocial challenges in individuals with substance use disorders: A qualitative study from a rural region of Türkiye

Objective: This study aimed to evaluate the suicide attempts histories and affecting psychosocial challenges in individuals with substance use disorders (SUD). Methods: This study was conducted between August and October 2023 using an inductive qualitative design. Purposive sampling method was used to reach the sample group. The study included individuals with substance use disorders who had attempted suicide at least once. They were being treated at an Alcohol and Substance Addiction Treatment Center in the eastern region of Türkiye. Interviews continued until data saturation was achieved with 13 participants. All interviews were audio recorded and then transcribed. The research adhered to the COREQ checklist. Results: Three main themes (etiological factors in SUD, challenges in coping with SUD and suicide) and ten sub-themes (family-based factors, environmental factors, traumatic experiences, personal factors, psychological, physical, and social factors, the causes and methods of substance use, and emotions) emerged in the analysis of the data. Conclusion: Given the connection between substance use and suicide, it is crucial to recognize and comprehend the increased risk of suicide among individuals with SUD and identify potential comorbid disorders and accompanying mental health issues. Psychiatric and mental health nurses can use effective psychosocial interventions to impart knowledge related to SUD management, organize grouptherapy (i.e., peer support), perform to ensure continuity of treatment and improve individuals' self-management skills.