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Suicidal ideation and driving under the influence of alcohol and marijuana among U.S. adults: Findings from the 2021-2023 National Survey on Drug Use and Health.

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Τίτλος: Suicidal ideation and driving under the influence of alcohol and marijuana among U.S. adults: Findings from the 2021-2023 National Survey on Drug Use and Health.
Συγγραφείς: Grigsby TJ; Department of Social and Behavioral Health, University of Nevada, Las Vegas, United States. Electronic address: timothy.grigsby@unlv.edu., Yockey RA; Department of Public Health, University of Mississippi, United States., Rojas M; Department of Health Sciences, California State University, Northridge, United States., Zhang X; Department of Health Sciences, California State University, Northridge, United States., Forster M; Department of Health Sciences, California State University, Northridge, United States.
Πηγή: Drug and alcohol dependence [Drug Alcohol Depend] 2026 Apr 01; Vol. 281, pp. 113077. Date of Electronic Publication: 2026 Feb 06.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Country of Publication: Ireland NLM ID: 7513587 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0046 (Electronic) Linking ISSN: 03768716 NLM ISO Abbreviation: Drug Alcohol Depend Subsets: MEDLINE
Imprint Name(s): Publication: Limerick : Elsevier
Original Publication: Lausanne, Elsevier Sequoia.
Ιατρικοί όροι (MeSH): Driving Under the Influence*/statistics & numerical data , Driving Under the Influence*/psychology , Alcohol Drinking*/epidemiology , Alcohol Drinking*/psychology , Marijuana Use*/epidemiology , Suicidal Ideation*, United States/epidemiology ; Humans ; Male ; Female ; Adult ; Health Surveys ; Young Adult ; Adolescent ; Middle Aged ; Aged
Περίληψη: Introduction: Individuals experiencing suicidal thoughts may exhibit reduced self-preservation, increased impulsivity, or a greater tendency toward risk-taking behaviors -factors that could plausibly elevate the likelihood of driving under the influence. Suicidal ideation has also been linked to diminished engagement in safety-promoting behaviors such as seatbelt use and reduced health-promoting attitudes and behaviors. The present study investigates the association between suicidal ideation with driving under the influence of alcohol (DUIA) and marijuana (DUIM) among US adults.
Method: Data are responses (N = 173,808) from the 2021-2023 National Drug Use and Health survey. This study included adults 18 and older (unweighted N = 139,524). Multivariate logistic regression models assessed relationships between SI and alcohol or marijuana DUI, adjusting for past year major depressive episode, substance use frequency, tobacco use, age, sex, survey year, education, annual household income, and metro area.
Results: The majority of respondents (71 %) were 35 years old or older, 16 % were 26-34, 13 % were between 18 and 25, and about half (49 %) identified as male. Approximately 6 % reported past-year DUIA, and 5 % reported DUIM. Individuals with past-year SI had higher odds of DUIA (aOR=1.43, 95 % CI: 1.21-1.69) and DUIM (aOR=1.52, 95 % CI: 1.29-1.79) after adjusting for covariates.
Conclusion: Our findings highlight that past-year SI is associated with higher odds of DUIA and DUIM. Implementing SI screening and interventions could indirectly address rates of DUI.
(Copyright © 2026 Elsevier B.V. All rights reserved.)
Competing Interests: Declaration of Competing Interest The authors have nothing to declare.
Contributed Indexing: Keywords: Alcohol; DUI; Marijuana; NSDUH; Suicide
Entry Date(s): Date Created: 20260215 Date Completed: 20260707 Latest Revision: 20260707
Update Code: 20260708
DOI: 10.1016/j.drugalcdep.2026.113077
PMID: 41691821
Βάση Δεδομένων: MEDLINE
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  Data: Suicidal ideation and driving under the influence of alcohol and marijuana among U.S. adults: Findings from the 2021-2023 National Survey on Drug Use and Health.
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  Data: <searchLink fieldCode="AU" term="%22Grigsby+TJ%22">Grigsby TJ</searchLink>; Department of Social and Behavioral Health, University of Nevada, Las Vegas, United States. Electronic address: timothy.grigsby@unlv.edu.<br /><searchLink fieldCode="AU" term="%22Yockey+RA%22">Yockey RA</searchLink>; Department of Public Health, University of Mississippi, United States.<br /><searchLink fieldCode="AU" term="%22Rojas+M%22">Rojas M</searchLink>; Department of Health Sciences, California State University, Northridge, United States.<br /><searchLink fieldCode="AU" term="%22Zhang+X%22">Zhang X</searchLink>; Department of Health Sciences, California State University, Northridge, United States.<br /><searchLink fieldCode="AU" term="%22Forster+M%22">Forster M</searchLink>; Department of Health Sciences, California State University, Northridge, United States.
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  Data: <searchLink fieldCode="MM" term="%22Driving+Under+the+Influence%22">Driving Under the Influence*</searchLink>/<searchLink fieldCode="MM" term="%22Driving+Under+the+Influence+statistics+%26+numerical+data%22">statistics & numerical data</searchLink> <br /><searchLink fieldCode="MM" term="%22Driving+Under+the+Influence%22">Driving Under the Influence*</searchLink>/<searchLink fieldCode="MM" term="%22Driving+Under+the+Influence+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Alcohol+Drinking%22">Alcohol Drinking*</searchLink>/<searchLink fieldCode="MM" term="%22Alcohol+Drinking+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Alcohol+Drinking%22">Alcohol Drinking*</searchLink>/<searchLink fieldCode="MM" term="%22Alcohol+Drinking+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Marijuana+Use%22">Marijuana Use*</searchLink>/<searchLink fieldCode="MM" term="%22Marijuana+Use+epidemiology%22">epidemiology</searchLink> <br /><searchLink fieldCode="MM" term="%22Suicidal+Ideation%22">Suicidal Ideation*</searchLink><br /><searchLink fieldCode="MH" term="%22United+States%22">United States</searchLink>/<searchLink fieldCode="MH" term="%22United+States+epidemiology%22">epidemiology</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Health+Surveys%22">Health Surveys</searchLink> ; <searchLink fieldCode="MH" term="%22Young+Adult%22">Young Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Adolescent%22">Adolescent</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%22">Aged</searchLink>
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  Data: Introduction: Individuals experiencing suicidal thoughts may exhibit reduced self-preservation, increased impulsivity, or a greater tendency toward risk-taking behaviors -factors that could plausibly elevate the likelihood of driving under the influence. Suicidal ideation has also been linked to diminished engagement in safety-promoting behaviors such as seatbelt use and reduced health-promoting attitudes and behaviors. The present study investigates the association between suicidal ideation with driving under the influence of alcohol (DUIA) and marijuana (DUIM) among US adults.<br />Method: Data are responses (N = 173,808) from the 2021-2023 National Drug Use and Health survey. This study included adults 18 and older (unweighted N = 139,524). Multivariate logistic regression models assessed relationships between SI and alcohol or marijuana DUI, adjusting for past year major depressive episode, substance use frequency, tobacco use, age, sex, survey year, education, annual household income, and metro area.<br />Results: The majority of respondents (71 %) were 35 years old or older, 16 % were 26-34, 13 % were between 18 and 25, and about half (49 %) identified as male. Approximately 6 % reported past-year DUIA, and 5 % reported DUIM. Individuals with past-year SI had higher odds of DUIA (aOR=1.43, 95 % CI: 1.21-1.69) and DUIM (aOR=1.52, 95 % CI: 1.29-1.79) after adjusting for covariates.<br />Conclusion: Our findings highlight that past-year SI is associated with higher odds of DUIA and DUIM. Implementing SI screening and interventions could indirectly address rates of DUI.<br /> (Copyright © 2026 Elsevier B.V. All rights reserved.)
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  Data: Declaration of Competing Interest The authors have nothing to declare.
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