Abstract

•Suicidality rates are high among adults seeking substance use disorder treatment. •Suicidality groups differed in demographics, substance use, and health indicators. •Suicidality groups did not differ in drug/alcohol toxicology outcomes throughout treatment. •Adults with recent suicidal ideation did not maintain reductions in severity of alcohol problems at 6-months post-treatment. •Adults with past suicide attempts showed less improvement in drug use severity from post-treatment to 6 months post-treatment.

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