Although alcohol and drug use disorders have been found to be strongly related to suicide risk.3,5 Individuals with a substance use disorder are almost 6 times more likely to report a lifetime suicide attempt than those without a substance use disorder.2 Numerous studies of individuals in drug and alcohol treatment show that past suicide attempts and current suicidal thoughts are common.6-8 Recent evidence from veterans indicates that men with a substance use disorder are approximately 2.3 times more likely to die by suicide than those who are not substance abusers. Among women, a substance use disorder increases the risk of suicide