The Addiction Psychologist

Dr. David Rudd - Suicide and Substance Use

25 snips
Sep 8, 2025
In this engaging discussion, Dr. David Rudd, a Distinguished University Professor and expert in suicide and substance use, tackles the rising rates of suicide and its ties to substance use. He highlights the significance of language in understanding suicidal ideation, advocating for compassionate approaches in clinical practice. Dr. Rudd explains the complex interplay between substance use and suicide risk, offering insights into effective interventions. He also emphasizes the importance of hope, accessibility in crisis care, and support for underserved communities.
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INSIGHT

Motivation Distinguishes Self-Harm From Suicide

  • Separate self-harm from suicidality by motivation; self-harm can be non-suicidal yet potentially lethal.
  • Assess capability to die as habituation to violence or injury that reduces fear and raises risk.
ANECDOTE

Kurt Cobain Diary Example Of Habituation

  • Kurt Cobain's diary showed deliberate exposure to weapons to habituate fear around dying.
  • Repetitive exposure to violence or injury increases capability to die in soldiers and emergency workers.
ADVICE

Query Preparation And Rehearsal Specifically

  • Ask about specificity, preparation, and rehearsal (how, when, where, method, planning) to detect movement toward suicide.
  • Document rehearsals and restrict access to methods immediately to reduce negligence risk.
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