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Related Experiment Video

Updated: Jun 27, 2026

Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
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The Relationship Between Suicide Risk and Ruminative Thought in Alcohol and Substance Intoxication Cases Presenting

Serdar Derya1, Ahmet Kutur2, Mustafa Safa Pepele1

  • 1Emergency Medicine Department, Inonu University, Malatya 44069, Turkey.

Journal of Clinical Medicine
|June 26, 2026
PubMed
Summary

Ruminative thinking significantly increases suicide probability in emergency department patients with alcohol and substance use disorders. Cognitive assessments are crucial, especially for those using multiple substances.

Keywords:
alcohol intoxicationemergency departmentruminationsubstance usesuicide probability

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Area of Science:

  • Psychiatry
  • Emergency Medicine
  • Addiction Medicine

Background:

  • Ruminative thinking is linked to various mental health issues.
  • Suicide risk is a critical concern in patients with substance use disorders.

Purpose of the Study:

  • To examine the relationship between ruminative thinking styles and suicide probability.
  • To investigate demographic differences in these variables.
  • To assess suicide risk in emergency department patients with alcohol and substance intoxication/use.

Main Methods:

  • A descriptive study involving 45 emergency department patients in eastern Turkey.
  • Data collected via Sociodemographic Data Form, Rumination Scale, and Suicide Probability Scale.
  • Statistical analyses included descriptive statistics, Pearson correlation, independent samples t-test, and Linear Regression.

Main Results:

  • A positive, significant relationship was found between rumination and suicide probability (r = 0.441, p = 0.001).
  • Rumination explained 34% of the variance in suicide probability.
  • Patients using non-alcohol or multiple substances had higher suicide probability scores (p = 0.025).

Conclusions:

  • Ruminative thinking is a significant factor associated with suicide risk in patients with alcohol and substance use disorders.
  • Cognitive assessments should be integrated into clinical processes for these patients.
  • Multiple-substance users require close monitoring for suicide risk.